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Published on: 3/17/2025

Is It Normal for My Baby to Have Hot Hands and Feet Without a Fever?

It is common for a baby’s hands and feet to feel warm even when the baby does not have a fever. This is usually due to normal blood flow differences and the way a baby’s body manages temperature.

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Explanation

Babies often show different temperatures on their hands and feet because their bodies are still learning how to control blood flow and heat. This means that even if your baby’s hands feel warm, it does not mean they have a fever. In babies, temperature differences in the outer parts of the body can be normal. For example, the blood may move more easily to the hands and feet at times, making them feel warmer, while the core temperature remains steady. It is important to check your baby’s overall behavior. If your baby is feeding well, sleeping normally, and seems content, warm hands and feet by themselves are usually not a sign of a problem. However, if you notice other symptoms, like changes in behavior or persistent changes in temperature, it is a good idea to speak with your pediatrician. Remember, these temperature differences are often just a part of how your baby’s body regulates its heat and are normal unless other concerns arise.

(References)

  • Burkey BW, Jacobs JA, Aziz H. Temperature Instability in an Infant Treated with Propranolol for Infantile Hemangioma. J Pediatr Pharmacol Ther. 2017 Mar-Apr;22(2):124-127. doi: 10.5863/1551-6776-22.2.124. PMID: 28469538; PMCID: PMC5410861.

  • Bach V, Abbiss CR, Libert JP, McCabe SM. Skin Temperatures of Back or Neck Are Better Than Abdomen for Indication of Average Proximal Skin Temperature During Sleep of School-Aged Children. Front Psychiatry. 2020 Sep 18;11:494528. doi: 10.3389/fpsyt.2020.494528. PMID: 33061911; PMCID: PMC7530240.

  • Kundu A, Rafiq M, Warren PS, Tobias JD. Erythromelalgia in the pediatric patient: role of computed-tomography-guided lumbar sympathetic blockade. J Pain Res. 2016 Oct 18;9:837-845. doi: 10.2147/JPR.S110688. PMID: 27799815; PMCID: PMC5079692.

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