Why does a child with a fever keep complaining of dizziness, and what should be done?

Generally speaking, fever refers to an elevated body temperature. If a child experiences dizziness during a fever, it may be related to imbalances in thermoregulation, excessive fluid loss, upper respiratory tract infection, otitis media, encephalitis, or other factors. Prompt treatment, either general or pharmacological, should be administered according to the underlying cause. If the condition does not improve, timely medical attention is necessary. Detailed explanations are as follows:

1. Imbalance in Thermoregulation

When a child has a fever, if the thermoregulatory center becomes imbalanced, the resulting increase in body temperature may cause dizziness. This is due to the dilation of blood vessels in the brain and the accelerated blood flow. Symptoms can be relieved through adequate rest and improving the ambient temperature.

2. Excessive Fluid Loss

If a child does not receive timely fluid replacement during a fever, excessive fluid loss may lead to hypotension and insufficient cerebral blood supply, which can cause dizziness. It is therefore recommended to encourage the child to drink more water regularly to replenish lost fluids.

3. Upper Respiratory Tract Infection

Upper respiratory tract infections are caused by various pathogens, such as bacteria and viruses. If these pathogens accumulate in the body without being promptly cleared, they may lead to elevated body temperature and dizziness. Symptoms may also include coughing and a runny nose. Treatment may involve medications such as ribavirin granules, pediatric cold remedy granules, or paracetamol- chlorpheniramine maleate- and artificial cow-bezoar-containing granules for children, as directed by a physician.

4. Otitis Media

Otitis media is an inflammation caused by bacterial invasion of the ear. When an inflammatory response occurs, body temperature may rise, potentially causing dizziness. Symptoms may also include ear discharge and hearing loss. Treatment may involve medications such as levofloxacin hydrochloride ear drops, ofloxacin ear drops, or chloramphenicol ear drops, as prescribed by a doctor.

5. Encephalitis

Encephalitis is an inflammation of the brain caused by infection with pathogens such as viruses, bacteria, or fungi. When the condition worsens and intracranial pressure increases, symptoms such as dizziness, headache, fever, nausea, and vomiting may occur. It is recommended to promptly follow medical advice to administer medications such as acyclovir injection, ceftriaxone sodium for injection, or mannitol injection for treatment.

If a child continues to experience the above symptoms, the underlying cause should be promptly identified and treated accordingly. Additionally, in daily life, parents should closely monitor their child's condition and ensure proper hygiene and care.