Why Does Body Temperature Rise to 37.5°C After 2 Days of Quitting Smoking? - Smoking Cessation

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Why does the body temperature rise to about 37.5°C (ear temperature) between 6 PM and 11 PM two days after quitting smoking?


Why does my body temperature rise to about 37.5°C (ear temperature) every day from 6 PM to 11 PM, two days after quitting smoking? Thank you!

kk, 30~39 year old female. Ask Date: 2003/05/18

Dr. Lin Mingxing reply Smoking Cessation


The Family Medicine Department of Tainan Hospital, under the Ministry of Health and Welfare, responded to this netizen: Generally speaking, after quitting smoking, the lack of nicotine support may lead to a gradual decrease in basal body temperature (unless accompanied by exercise).
Of course, after quitting smoking, anxiety may also trigger changes in the autonomic nervous system or endocrine system, resulting in temperature fluctuations.
Currently, due to the prevalence of SARS, one of the diagnostic criteria for SARS is fever, so it would be advisable to actively monitor body temperature to rule it out.

Reply Date: 2003/05/18

More Info


When someone quits smoking, their body undergoes a variety of physiological changes as it begins to adjust to the absence of nicotine and other chemicals found in tobacco. One of the notable changes that can occur is a fluctuation in body temperature. The phenomenon of experiencing a rise in body temperature to around 37.5°C (99.5°F) in the evening hours, specifically between 6 PM and 11 PM, after two days of quitting smoking can be attributed to several factors.

Firstly, nicotine has a significant impact on the autonomic nervous system, which regulates involuntary bodily functions, including temperature regulation. When a person stops smoking, the sudden withdrawal of nicotine can lead to a temporary imbalance in the autonomic nervous system. This imbalance may cause the body to react in various ways, including changes in body temperature. The body may experience a slight increase in temperature as it adjusts to the absence of nicotine, which can stimulate metabolic processes.

Secondly, the process of detoxification plays a crucial role. When a person quits smoking, the body begins to eliminate the toxins accumulated from years of smoking. This detoxification process can lead to various withdrawal symptoms, including increased heart rate, anxiety, and changes in body temperature. The rise in temperature may be a reflection of the body working harder to eliminate these toxins and restore homeostasis.

Moreover, the time of day can also influence body temperature. It is well-documented that body temperature naturally fluctuates throughout the day, typically being lower in the morning and peaking in the late afternoon or evening. This circadian rhythm can be affected by lifestyle changes, including alterations in sleep patterns, physical activity, and stress levels, all of which can be heightened during the initial days of quitting smoking.

Additionally, psychological factors such as anxiety and stress can contribute to an increase in body temperature. Many individuals experience heightened anxiety during the quitting process, which can activate the body's stress response. This response can lead to an increase in metabolic rate and, consequently, a rise in body temperature.

It is also important to consider the possibility of other underlying factors that could contribute to the observed increase in temperature. For instance, if the individual is experiencing any mild infections or inflammatory responses, these could also lead to a temporary rise in body temperature. Therefore, it is advisable to monitor the situation closely and consult a healthcare professional if the elevated temperature persists or is accompanied by other concerning symptoms.

In summary, the rise in body temperature to 37.5°C after quitting smoking for two days can be attributed to a combination of physiological changes related to nicotine withdrawal, the detoxification process, natural circadian rhythms, and psychological stressors. If this symptom continues or worsens, it is essential to seek medical advice to rule out any other potential health issues. Quitting smoking is a significant step towards better health, and understanding the body's responses can help individuals navigate this challenging process more effectively.

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