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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever Along With Cold Hands And Feet?

My son has fever of 101.1 yesterday and he again has a fever of 102.3 his afternoon. I gave him tylenol. He has no other symptoms, he acts normal and doesnt complain of any pain at all. I just noticed his hands are icy cold and probably his feet too just that he wears socks to keep it warm. Its unusual for him to have a fever. This is his first time. He is 18 months old. What could be his underlying sickness?
Mon, 19 Jan 2015
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Pediatrician, Pulmonology ,  's  Response
Hi...hands and feet feeling cold and tummy and head feeling hot is quite common in high fever. As you say he is acting normal otherwise, nothing to worry. But if his urine output is low or he is excessively drowsy, you need to take him to emergency room immediately.

Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.
Paracetamol can be given in the dose of 15mg/kg/dose (Maximum ceiling dose 500mg per dose) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.
Regards - Dr. Sumanth
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What Causes Fever Along With Cold Hands And Feet?

Hi...hands and feet feeling cold and tummy and head feeling hot is quite common in high fever. As you say he is acting normal otherwise, nothing to worry. But if his urine output is low or he is excessively drowsy, you need to take him to emergency room immediately. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn t require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15mg/kg/dose (Maximum ceiling dose 500mg per dose) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - Dr. Sumanth