<s>[INST] hi there i have a 6 year old who has had a cold for a week yesterday spiked a temp sleept from 6 till 6 is drinking sort of not really interested in food woke up this morning with pins an needles in just her right hand an it has been contionious all day today can you help in wot i should do [/INST] Thank you for posting your question. The symptoms of cold/low grade fever/decreased appetite that you have mentioned indicate most probably a low grade viral infection. This should take around 5 days to resolve. The pins and needle sensation that you have mentioned are usually due to partial nerve compression. This commonly could occur in cases where the sleep position might cause mild compression of the nerve to the hand. This is likely to be the case. In this case the sensation should resolve is some time and movement of the hand should be easy and not associated with any pain. Also, I suggest that you look for any weakness in the affected limb or increase in/spread of the sensation, in which case a medical consultation would be required. To prevent recurrence ensuring proper sleep position should be enough. Vitamin B (especially containing b12) supplements may be helpful. </s>