Rigor (patient information)
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Assosciate Editor(s)-In-Chief: Prashanth Saddala M.B.B.S
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Rigor |
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Synonyms and keywords: Shaking chills; shivering.
Overview
Chills refers to feeling cold after an exposure to a cold environment. The word can also refer to an episode of shivering, accompanied by paleness and feeling cold.
What are the symptoms of Rigor?
What causes Rigor?
- Exposure to a cold environment
- Viral and bacterial infections
Who is at highest risk?
Diagnosis
When to seek urgent medical care?
- There is stiffness of the neck, confusion, significant irritability, or sluggishness.
- There is a significant cough, shortness of breath, abdominal pain or burning, or frequent urination.
- A child younger than 3 months has a temperature of 101 degrees Fahrenheit or more.
- A child between 3 months and 1 year has a fever that lasts more than 24 hours.
- The fever remains above 103 degrees Fahrenheit after 1-2 hours of home treatment.
- The fever does not improve after 3 days, or has lasted more than 5 days.
Treatment options
Treatment depends on how long the chills and accompanying symptoms (especially fever) have lasted
Home Care
Fever (which can accompany chills) is the body's natural response to a variety of conditions, such as infection. If the fever is mild (102 degrees Fahrenheit or less) with no side effects, no professional treatment is required. Drink lots of fluids and get plenty of rest.
Evaporation cools the skin and thereby reduces body temperature. Sponging with comfortably warm water (about 70 degrees Fahrenheit) may help in reducing a fever. Cold water, however, is uncomfortable, and may increase the fever because it can trigger chills.
Medications such as acetaminophen are effective for fighting a fever and chills.
Do not bundle up in blankets if you have a high temperature. This will only cause the fever to rise.
Home Care for a Child
If the child's temperature is over 102 degrees Fahrenheit, or if the child is uncomfortable, give pain-relieving tablets or liquid. Non-aspirin containing pain-relievers such as acetaminophen are preferred. Ibuprofen may also be used. Follow the recommended dosage on the package label.
Children who have symptoms of a viral infection should not be given aspirin because of the risk of Reye syndrome.
If the child's temperature is over 103.5 degrees Fahrenheit 1 to 2 hours after giving medication for fever, place the child in a tub of lukewarm water up to the navel. Rub a wet washcloth or towel over the child's body for 20 minutes or for as long as can be tolerated. Add warm water as needed to keep the water temperature constant and keep the child from shivering. Pat (don't rub) the child dry with a towel.
- Dress the child in light clothing, provide liquids, and keep the room cool but not uncomfortable.
- Don't use ice water or rubbing alcohol to reduce a child's temperature. These can cause shock.
- Don't bundle a feverish child in blankets.
- Don't wake a sleeping child to give medication or take a temperature -- sleep is more important.