Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

190 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Child has pale face, lazy eye, cold hands and arms. What could be causing this?

Answered by
Dr.
Dr. Kaushik K Murthy

Pediatrician

Practicing since :2006

Answered : 338 Questions

default
Posted on Mon, 4 Mar 2013 in Child Health
Question: Hi - What could be causing my 25 month old's sudden onset of symptoms - but no fever? Extremely irritable screaming, crying; cold arms/legs, hands/feet - when i give her motrin she immediately shows improvement and starts acting like her normal self.

Yesterday morning she was extremely cranky - screaming and crying when she got up from bed (totally uncharactaristic) - after an hour of this i gave her Motrin. Almost 5 minutes later she started calming down and became herself again. She ate and drank well all day, no evidence of fever (I didn't take it - body felt normal temp). Wetting diapers normally, however no bowel movement yesterday. When she got up from her nap, about an hour before first dose of motrin was scheduled to wear off, her arms/legs and hands/feet were cool to the touch and she seemed chilled. Her face was pale and her eyes seemed weak. I covered her with blanket and then she became irritable and cranky as she did that morning. I gave her more motrin and, again within 5 minutes she showed marked improvement and seemed fine the rest of the evening.

I am very confused because, to date, she has always had obvious signs of fever and I always confirm via rectal reading that she's running a fever before i give her motrin. This time, however there was no evidence of fever. What could be causing these symptoms?

doctor
Answered by Dr. Kaushik K Murthy 1 hour later
Hi, thanks for writing here.

I went through your query in detail. It would be good if you have mentioned about the body temperature this time to rule out fever. Is it only a subjective guess you are making? I suggest you to check the temperature before declaring as having no fever, any temperature above 98.6 F is fever.

Other symptoms like irritability, paleness ,chillness, cold extremities,weakened eyes all are pointing towards fever, and the very fact that she is improving after medication also suggests that she might be running temperature.

I also suggest you to have a note on her urine output (or how many diapers). Any disturbance might suggest UTI as chills are commonly noticed in UTI which you had mentioned in the query.

If you notice new symptoms or if the fever is not controlled within 5 days, kindly follow up or get a pediatrician examine her.

Hope I have cleared your doubts, regards, do follow up.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Kaushik K Murthy 3 hours later
Thank you! Next time i will definately take her temperature instead of subjective guess. It's just that every other time it was obvious of her running fever. UTI is not something i considered - I will definately keep a check on that and keep check on her symptoms.

This morning, she's perfectly fine, my normal happy girl.

Thanks for your help!
doctor
Answered by Dr. Kaushik K Murthy 10 hours later
Hi, thanks for the follow up.

It's good to know that your child is back to normal and naughty again.

Do feel comfortable for any further queries, good day, regards.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication

Recent questions on  Ibuprofen

doctor1 MD

i have routine blood work done yearly and last month my GFR came back 59, HCT 31, nml w/ cr 1.0. i have markers for sjogrens, not clinical diagnosis, chol 203, hdl 54, ldl 110 triglycerides 88 and BP is 110/70 s ballpark average, microprotein 44 in urine from 4 last sept. i have no other healthproblems. repeat GFR 58, HCT 37 bun/cr same, chol level same but CO2 20, and microprotein is down to 8 in urine (cut protein down to minimum..i was big protein eater). i am worried about GFR. only thing i can think of that could have caused this is taking ibuprofen/benadryl during a 3 week period when i broke my rib prior to having labs drawn..and i took the ibuprofen regularly. i drink lots of water always. also since feb, i have increased exercise phenomenally. is it possible to turn this GFR around? and how quick does kidney failure take? am i on a downward spiral? i have next appt w/ Primary doc in 1 month, am repeating labs til then. what can i do that i am not doing to retard/repair circumstances? is it permanent damage?..

doctor1 MD

Hello: I have quite a concern and I will be going to the general doctor tomorrow for the physical examination. First a little about me, I am a 28 year old male. I am currently a 2nd year medical student in guadalajara but live in the United States. For about the past three weeks I ve noticed my stool has become progressively softer (for every single stool). Initially the smell and color was normal. For the past two days however the stool has become yellowish. What brings me concern was that my last stool passed was very soft, a darker yellow color, smelly, and much of the food I had eaten the night before was not digested. I have checked my blood pressure and it is normal. Heart rate is 70. No fever, or general feeling of malaise. No pain at all. No significant weight loss or fatigue. I ve had fellow students check for fluid wave and there is some movement on the other side but it s not a very fluid movement (is the opposite side not supposed to move AT ALL? Or can it move a little but should not be liquid movement?). Currently I am taking a larger does of Ibuprofen prescribed by a doctor here because about three weeks ago a painless non-inflamed lump was felt underneath the skin slightly anterior to the angle of the mandible. I have been taking the Ibuprofen for about 5 days and the lump has not gone away. In the past (5 years ago) I have had an H. Pylori infection with a subsequent ulcer in the duodenum. Only medication was used to treat the infection/ulcer. No followup was done afterwards. Beginning around the same time as the ulcer I have had recurrent bouts of hemorrhoids. Blood could be seen on wiping. Currently this is happening as well. About 8 years ago I suffered from a pneumonia but do not remember if it was viral or bacterial. I ve also had a pretty long history of right sided feeling in my abdomen. I would say the feeling is located directly on the line that would separate the upper and lower quadrant, slightly above the umbilicus. The feeling was never painful. I know the doctor I visit tomorrow will get to do the necessary physical tests to see if there is any significant pathology but I need to hear what other things it could be. The doctors here usually shoo us away because they think we are too young to get anything serious or they assume that just because we read a chapter in pathology we automatically think we suffer every disease in the textbook. Anyway, I know living in Mexico currently will expose me to certain bugs. However the course of those from what I know would not cause a 3 week history of progressively looser stools and the yellowness/malabsorption for the past two days. Any suggestions/comments of what it may be is more than welcome.

doctor1 MD

I have a massive headache after getting my tattoo. I have gotten many tattoos in the past, but this the first time I ve had this problem. It s a sharp pain on the right side of my head. No dizziness but I m extremely nauseous. I ve taken 800mg of ibuprofen but have not received any pain relief after 2 hours. Is it ok to take a Vicodin?

doctor1 MD

I m using a Lidoderm patch for (light) shoulder pain. I had a rotator cuff tear surgery in Oct. 2013. At times I get pain in the shoulder (while exercising and/or playing tennis). Is Lidoderm the same as ibuprofen except it is in a patch form? Thanks for replying.

doctor1 MD

I am 14 weeks pregnant with twins. For the past 3 days am having severe shooting pain in my arms and shoulders. It started with left hand now moved to right hand. Even my right knee, ankle and thighs have started to pain. I have applied pain...

doctor1 MD

I'm 27 year old female from past few days I have got joint pains . especially while climbing up and down the stairs along with the cracking sound. went to orthopedician they suggested couple of tests related to auto immune arthiritis, results are...

doctor1 MD

My left testicle has been giving me slight pain and discomfort for around a week now. Especially when I lay on my side to go to sleep, it floats substantially in front of my right testicle. When I m standing it is more elevated than my right, and...