What's the difference between a child having a fever with cold hands and feet and one with hot hands and feet?

Patient's question:

Female, 4 years old, my baby is usually normal during the day, but suddenly started having a fever at night. I'm very worried and want to know what the difference is between a child having a fever with cold hands and feet and one with hot hands and feet?

Doctor's answer:

If the baby's body temperature is in the rising phase, their hands and feet are usually cold, which is a phenomenon of pseudo-cold and true heat. This is because the baby's body temperature regulation center has not yet fully developed. When the body temperature rises, the blood vessels in the limbs will constrict, causing the limbs to feel cold. When the baby's body temperature begins to drop, their hands and feet will gradually warm up again. Different causes lead to different symptoms. Patients need to seek systematic and standardized examination in a formal Grade III-A hospital as soon as possible based on their own condition to receive symptomatic treatment. Additionally, patients should maintain a regular schedule, take precautions against cold, eat light, thin, and soft foods, ensure good ventilation, and drink plenty of warm water.

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