Unexplained Elevated Body Temperature: Is It a Fever? - Internal Medicine

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Unexplained elevated body temperature?


Hello doctor, my body temperature has been unusually high in the past few days, measuring around 37.8 to 38.0 degrees Celsius with a forehead thermometer.
However, I have no symptoms; I am not coughing, I don't have a headache, and importantly, I feel fine and am not fatigued or sleepy.
Others measured with the same thermometer have normal readings (around 36.8 degrees Celsius), so it doesn't seem to be a device issue.
Should I consider this a fever?

A-Hong, 10~19 year old female. Ask Date: 2021/05/30

Dr. Hong Yuanbin reply Internal Medicine


Hello, this temperature is indeed on the higher side.
It is recommended to measure with another thermometer.
If the reading is still the same, it is advisable to visit an infectious disease clinic for further evaluation.
Thank you for your inquiry.

Reply Date: 2021/05/30

More Info


When it comes to understanding body temperature and whether an elevated reading constitutes a fever, it's essential to consider several factors. In general, a normal body temperature for adults typically ranges from 36.1°C to 37.2°C (97°F to 99°F). A temperature of 37.8°C (100°F) or higher is generally considered a fever. However, the context of the temperature reading is crucial.

In your case, with readings consistently around 37.8°C to 38.0°C, you are indeed in the low-grade fever range. However, the absence of other symptoms such as cough, headache, fatigue, or malaise is noteworthy. This could suggest that your body is responding to something other than an infection, as fever is often a response to infections, inflammation, or other medical conditions.

Several factors can lead to an unexplained elevated body temperature:
1. Physiological Variations: Body temperature can fluctuate throughout the day due to various factors, including physical activity, time of day, and hormonal changes. For instance, body temperature is usually lower in the morning and can rise throughout the day, peaking in the late afternoon or evening.

2. Environmental Factors: External conditions, such as a warm environment or recent physical activity, can temporarily elevate body temperature. If you have been in a warmer environment or engaged in exercise before taking your temperature, this could explain the higher readings.

3. Stress and Anxiety: Emotional stress can also lead to temporary increases in body temperature. If you have been experiencing stress or anxiety, this might contribute to your elevated readings.

4. Hormonal Changes: In women, hormonal fluctuations during the menstrual cycle can affect body temperature. The luteal phase, which occurs after ovulation, is characterized by a slight increase in basal body temperature.

5. Infections: While you mentioned not having any symptoms, it's still possible to have a mild infection that hasn't yet manifested with noticeable symptoms. Some infections can cause a low-grade fever without other signs.

6. Chronic Conditions: Certain chronic conditions, such as autoimmune disorders or thyroid issues, can also lead to unexplained fever.
Given that your readings are consistently elevated but without accompanying symptoms, it might be wise to monitor your temperature over the next few days. If the elevated temperature persists or if you develop any new symptoms, it would be advisable to consult with a healthcare professional for further evaluation. They may recommend blood tests or other diagnostic measures to rule out any underlying conditions.

In summary, while your current temperature readings do indicate a low-grade fever, the lack of other symptoms suggests that it may not be due to an acute infection. Monitoring your condition and consulting with a healthcare provider if the situation does not improve is the best course of action.

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