How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Louise Sivak, M.D. Your Own Question

Louise Sivak, M.D.
Louise Sivak, M.D., Doctor
Category: Pediatrics
Satisfied Customers: 3498
Experience:  Pediatrician, Board-certified in Ped Hematology/Oncology
Type Your Pediatrics Question Here...
Louise Sivak, M.D. is online now
A new question is answered every 9 seconds

My 3 year old body temperature drops quite low at night, she

Resolved Question:

My 3 year old body temperature drops quite low at night, she was admitted to hospital one night at 17 months old with a temp of 32.4, which had brought on an aponea attack which the hospital could find no answer for. They checked her heart and tested her blood sugar with no results. We were discharged after being taught CPR and told not to get paranoid. Have you any ideas or is it just one of those things?
Submitted: 4 years ago.
Category: Pediatrics
Expert:  Louise Sivak, M.D. replied 4 years ago.

Hello,

I am sorry your daughter has this issue.

Did your thermometer at home show the 32.4 or was that in hospital? What other tests were done ?
Thanks,

Customer: replied 4 years ago.
my digital thermometer showed this but the hospital had their own readings which corresponded.It took a few hours for her temp to return to normal. The heart trace was 24 hour recording and an ECG and blood sugars done before meals. As far as I recall that was the extent of the tests.
Thanks
Expert:  Louise Sivak, M.D. replied 4 years ago.

Thank you for the helpful additional information.

Had you noted the lower temps prior to this?

Lack of normal temperature regulation is quite rare. I'd recommend your daughter be checked by a pediatric endocrinologist to see whether further tests are needed.

Let me know if you have more questions,

Louise Sivak, M.D.

Customer: replied 4 years ago.
I knew abbies feet would be cold in the mornings. That particular night she was wrapped in layers (vest, pajamas and fleece all in one) and in bed under a duvet with me. I was frustrated that no one could tell me why she was hypothermic and I know you can't either. Abbies temperature even now remains on the low side on my digital thermometer, checked in her ear, is 35.5 - under 36. I have commented on this to my doctor but he doesn't seem concerned and I end up feeling like an anxious parent!
Expert:  Louise Sivak, M.D. replied 4 years ago.

I certainly understand your frustration and very normal anxiety.

35-36 range doesn't worry me but 32.4 verified does particularly as it was associated at least in time with apnea. A pediatric endocrine specialist can help you decide on pursuing further tests if any.

My concerns are: could she have been born with a rare condition that interferes with body temp regulation? or could she have something wrong with her pituitary / hypothalamus glands in the brain that makes her temp regulation go awry? The other functions of those glands can be checked by blood tests and if I were her pediatrician, that's where I'd start.

All best ; hope you get helpful answers soon,

Louise Sivak, M.D.

Louise Sivak, M.D., Doctor
Category: Pediatrics
Satisfied Customers: 3498
Experience: Pediatrician, Board-certified in Ped Hematology/Oncology
Louise Sivak, M.D. and other Pediatrics Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Yogindra Vasavada

    Pediatrician

    Satisfied Customers:

    2507
    M.D.(ped) passed at first attempt, in practice continuously for last 37 years. Certi. in Comp
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr. Yogindra Va/2012-6-10_2618_DSC0039.64x64.JPG Dr. Yogindra Vasavada's Avatar

    Dr. Yogindra Vasavada

    Pediatrician

    Satisfied Customers:

    2507
    M.D.(ped) passed at first attempt, in practice continuously for last 37 years. Certi. in Comp
  • http://ww2.justanswer.com/uploads/GA/GauravMD/2012-6-9_62959_gaurav.64x64.JPG Dr. Gupta's Avatar

    Dr. Gupta

    Pediatrician

    Satisfied Customers:

    1442
    MD, practicing Pediatrician with 19 years of experience. Member American Academy of Pediatrics.
  • http://ww2.justanswer.com/uploads/edkulich/2010-08-17_171809_doctor.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified Pediatrician

    Satisfied Customers:

    819
    Board Certified, Ivy League educated Pediatrician.
  • http://ww2.justanswer.com/uploads/cbellmd/2009-11-19_013247_CB_PHOTO_2.jpg Raymond B., M.D.'s Avatar

    Raymond B., M.D.

    Doctor

    Satisfied Customers:

    422
    I provide medical care for newborns, children, adolescents and young adults up to age 21 years.
  • http://ww2.justanswer.com/uploads/DA/davhill1/2012-6-6_17340_DLHSittingCropped.64x64.jpg David L. Hill, MD, FAAP's Avatar

    David L. Hill, MD, FAAP

    Doctor

    Satisfied Customers:

    414
    Adjunct Assistant Professor of Pediatrics, UNC Medical School. Vice President, Cape Fear Pediatrics.
  • http://ww2.justanswer.com/uploads/josho33/2009-12-16_0435_php4n8fiy_c2PM.jpg Dr. Davidson's Avatar

    Dr. Davidson

    Board Certified Pediatrician

    Satisfied Customers:

    408
    Board Certified Specialist in Pediatrics, Allergy, Asthma & Immunology
  • http://ww2.justanswer.com/uploads/FA/fabiola.caracseghi/2012-4-12_204829_foto2.64x64.JPG Dr.Fabiola.MD's Avatar

    Dr.Fabiola.MD

    Pediatrician

    Satisfied Customers:

    118
    Pediatric Immunology. General Pediatrics