Is It Normal for My Baby to Shiver Occasionally? Pediatric Insights - Pediatrics

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Baby shivering?


Dear Doctor, my baby is over one year old, and I have noticed that she sometimes shivers (with cold limbs).
Is this situation normal? Thank you.

Xiao You, 30~39 year old female. Ask Date: 2015/12/26

Dr. Xiao Kaiwen reply Pediatrics


As long as there are no accompanying symptoms such as seizures (staring, continuous twitching, altered consciousness, or cyanosis of the lips) and developmental delays, further observation is acceptable.

Reply Date: 2015/12/26

More Info


It's understandable to be concerned when you notice your baby shivering or experiencing tremors. Shivering in infants can occur for various reasons, and while it may sometimes be normal, it’s essential to consider the context and accompanying symptoms.

Firstly, shivering is a physiological response to cold. Babies have a higher surface area-to-volume ratio than adults, which means they can lose heat more quickly. If your baby is in a cooler environment or not adequately dressed, shivering could be a natural response to help generate body heat. In such cases, ensuring your baby is warm enough by adding layers or using blankets can help alleviate the shivering.

However, if your baby is shivering even in a comfortable environment or if the shivering is accompanied by other concerning symptoms, it may warrant further investigation. For instance, if your baby exhibits signs of distress, such as crying excessively, lethargy, or difficulty feeding, these could indicate an underlying issue that needs medical attention. Additionally, if the shivering occurs frequently or lasts for an extended period, it’s advisable to consult a pediatrician.

In some instances, shivering can be a sign of a fever. If your baby has a fever, it’s crucial to monitor their temperature and seek medical advice if it rises above 100.4°F (38°C) in infants under three months or if it persists in older infants. Fever can indicate an infection, and timely intervention may be necessary.

Another consideration is the possibility of neurological issues. While rare, certain conditions can cause tremors or shivering in infants. If you notice that the shivering is rhythmic or occurs in specific patterns, or if it seems to affect only certain parts of the body, it’s essential to discuss these observations with your pediatrician. They may recommend a neurological evaluation to rule out any concerns.

In summary, occasional shivering in a one-year-old can be normal, especially in response to cold. However, if the shivering is persistent, occurs in a warm environment, or is accompanied by other symptoms, it’s essential to consult your pediatrician for a thorough evaluation. Regular check-ups and open communication with your healthcare provider can help ensure your baby’s health and well-being. Always trust your instincts as a parent; if something feels off, it’s better to seek professional advice.

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