Elevated body temperature?
Hello, doctor.
Recently, over the past three weeks, my body temperature has varied, being around 36.7-36.9°C before noon, increasing to 37-37.3°C in the afternoon, and dropping to about 36.3-36.5°C from 10 PM to early morning.
I mainly feel warm in the afternoons and have experienced dry mouth.
Over the past month, I have undergone several tests including gastroscopy, abdominal ultrasound, chest and lower abdominal X-rays, nasal endoscopy, and routine blood tests.
Additional tests for ANA, RF, LDH, and ESR all returned normal results.
However, there has been fluctuation in my white blood cell count (the other blood cell counts such as red blood cells and platelets have remained relatively stable).
The white blood cell counts were as follows: 1/5 - 56,301; 1/26 - 54,302; 2/3 - 57,692; 2/7 - 67,802; 2/13 - 48,20.
Since no cause has been found, I am worried about my consistently elevated body temperature.
I occasionally feel itching in certain areas of my body and am concerned that it might be lymphoma or leukemia.
A Zhe, 30~39 year old female. Ask Date: 2018/02/24
Dr. Chen Yunfang reply Oncology
Hello: Based on the data you provided, you do not have a fever, and your white blood cell count is normal.
There is no evidence of lymphoma or leukemia, so please try not to worry too much.
Thank you!
Reply Date: 2018/02/24
More Info
Persistent elevated body temperature can be a source of concern, especially when accompanied by other symptoms such as dryness of the mouth, feelings of heat, and occasional itching. Your recent observations of body temperature fluctuations, with readings ranging from 36.3°C to 37.3°C, suggest a mild elevation, particularly in the afternoon. This pattern, along with your extensive medical evaluations, raises several points worth discussing.
Firstly, it is important to understand that normal body temperature can vary throughout the day due to several factors, including physical activity, time of day, and individual metabolic rates. The average normal body temperature is generally considered to be around 37°C (98.6°F), but it can fluctuate between 36.1°C (97°F) and 37.2°C (99°F) in healthy individuals. Your readings, while slightly elevated, fall within a range that may not necessarily indicate a pathological condition, especially if they are not consistently above 37.5°C (99.5°F), which is often used as a threshold for fever.
The normal variations in your blood work, particularly the white blood cell count, can also be indicative of a non-specific response to various stimuli, including stress, infection, or inflammation. Fluctuations in white blood cell counts can occur due to a variety of benign reasons, such as recent infections, stress, or even physical exertion. It is essential to interpret these results in the context of your overall health and any accompanying symptoms.
Your concern regarding serious conditions such as lymphoma or leukemia is understandable, especially given the anxiety that can accompany unexplained symptoms. However, both conditions typically present with more pronounced symptoms, such as significant weight loss, night sweats, persistent fatigue, and swollen lymph nodes. The absence of these symptoms, along with normal results from your extensive testing, is reassuring.
The occasional itching you experience could be related to several benign causes, including dry skin, allergic reactions, or even anxiety. Stress and anxiety can manifest physically, leading to sensations such as warmth or itching. It is crucial to consider the psychological aspect of your symptoms, as anxiety can exacerbate physical sensations and lead to a heightened perception of bodily changes.
In terms of managing your concerns, it may be beneficial to focus on lifestyle factors that can influence body temperature and overall well-being. Staying hydrated, maintaining a balanced diet, and engaging in regular physical activity can help regulate body temperature and improve your overall health. Additionally, practicing stress-reduction techniques such as mindfulness, meditation, or yoga may alleviate some of the anxiety surrounding your symptoms.
If your elevated body temperature persists or if you develop new symptoms, it would be prudent to follow up with your healthcare provider. They may consider further investigations or referrals to specialists, depending on your clinical picture. Keeping a symptom diary, noting any changes in your temperature, associated symptoms, and potential triggers, can provide valuable information for your healthcare team.
In conclusion, while your concerns about persistent elevated body temperature and associated symptoms are valid, the results of your recent tests and the nature of your symptoms suggest that there may not be an underlying serious condition. However, continued monitoring and open communication with your healthcare provider are essential to ensure your health and peace of mind.
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