Why are a child's palms still hot after their fever has subsided?

Apr 10, 2023 Source: Cainiu Health
Dr. Ma Yan
Introduction
Fever reduction refers to the lowering of body temperature. After a child's fever subsides, the palms may still feel hot due to physiological reasons, recurrence of illness, or abnormal spleen and stomach function. Following fever reduction, although body temperature decreases, the palms and soles—being peripheral areas—may remain warm due to relatively slow blood circulation in these extremities. Fever is usually caused by bacterial or viral infections; if the pathogens are not fully eliminated, the illness may recur, leading to persistent warmth. Additionally, fever can disrupt normal digestive function, impairing the spleen and stomach's physiological activities and resulting in lingering symptoms.

Fever reduction refers to antipyresis. If a child's palms remain hot after fever subsides, it may be caused by physiological factors or pathological factors such as recurrence of illness or abnormal spleen and stomach function. It is recommended to visit a hospital for diagnosis to identify the specific cause.

I. Physiological Factors

After fever reduction, body temperature decreases, but because the palms and soles are peripheral areas with relatively slow blood circulation, they may still feel warm. This is usually a normal physiological phenomenon that does not require special treatment—close observation is recommended.

II. Pathological Factors

1. Recurrence of Illness

Fever may result from bacterial or viral infections. Although antipyretic medications can lower body temperature, if bacteria or viruses have not been completely eliminated, the condition may recur. In cases of bacterial infection, antibiotics should be taken as directed by a physician. Commonly used medications include roxithromycin capsules, penicillin V potassium tablets, and azithromycin capsules, which help inhibit and eliminate bacteria and relieve symptoms.

2. Abnormal Spleen and Stomach Function

Fever can disrupt normal digestive function, leading to impaired digestion and gastrointestinal discomfort. It is recommended to eat small, frequent meals consisting of light and easily digestible foods. If necessary, probiotics such as Bacillus subtilis bivalent live granules, Bifidobacterium triple viable capsules, or Lactobacillus sporogenes viable capsules may be taken under medical guidance to regulate intestinal flora, enhance digestion, and improve symptoms.

In addition, conditions such as upper respiratory tract infections may also contribute. A detailed medical evaluation at a hospital is advised, followed by active treatment under a doctor’s supervision.