Q: Can indigestion cause vomiting and a high fever? My child's hands and feet are cold.

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Question:

My child vomited a lot just one time and hasn't since, but now has a fever of 101.5°F (38.6°C). Their hands and feet are cold. I thought it might be indigestion, but can that cause such a high fever?

Answer:

It must be worrying to see your child suddenly vomit and develop a fever.

【Summary of the Current Situation】

• One episode of vomiting + 101.5°F (38.6°C) fever + cold hands and feet.

• While "indigestion" is a common term, medically, these symptoms are more likely due to acute gastroenteritis (viral/bacterial) or another type of infection.

• Cold hands and feet during a rising fever are a common initial response as the body conserves heat to raise its core temperature.

【🚨 Go to the ER or Call Emergency Services Immediately if Any of These Apply】

• Difficulty breathing, or blue lips/fingernails.

• Difficult to wake up or seems very limp/lethargic.

• No urination for more than 8 hours.

• Continuous vomiting, or blood in vomit/diarrhea.

• The child is under 3 months of age.

【⚠️ When to See a Doctor Today】

• Repeated vomiting or unable to keep even water down.

• Fever continues to rise, and the child is lethargic or unusually fussy.

• Severe abdominal pain, bloody stools, or a stiff neck.

【✅ What to Do at Home for Now】

1. Small, Frequent Sips of Fluids: Offer 1-2 teaspoons of water, barley tea, or an oral rehydration solution every 5-10 minutes to prevent dehydration.

2. Fever Reducer: You can give Acetaminophen or Ibuprofen. If you provide your child's age and weight, I can guide you on the correct dosage.

3. Light Clothing: Dress them in a single, light layer and maintain a comfortable room temperature. Avoid heavy blankets.

4. No Physical Cooling: Do not use lukewarm water baths or ice packs, as this can cause shivering and raise the core temperature.

5. Observe for Dehydration: Keep an eye on urination frequency, check if their lips are moist, and see if they produce tears when crying.

【When to Follow Up or Return to the Hospital】

• Still unable to drink fluids or starts vomiting again after 4-6 hours.

• The fever lasts for more than 48 hours.

• No urine for 8 or more hours, or lips become very dry.

• The child becomes increasingly lethargic or less responsive.

Please let me know your child's age, weight, and the time of their last urination for more specific advice. If needed, I can provide a step-by-step checklist for you to follow.

For extra peace of mind and clear guidance when tracking your child's symptoms, the FeverCoach app is always there to help.

https://fevercoach.us