Body Temperature Variations and Health Implications - Family Medicine

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Temperature issues


Dear Dr.
Liao,
I have been experiencing anxiety and hypochondriacal tendencies, making me particularly sensitive to changes in my body.
Recently, I accidentally measured my body temperature below 35 degrees Celsius (the weather has been cooler lately), which caused me significant distress.
Consequently, I have been continuously monitoring my temperature, primarily using an ear thermometer, and I have encountered the following issues:
1.
When measuring the temperature in both ears, I find that the left ear temperature is consistently higher than the right ear temperature, with a deviation of 0.2 to 1.0 degrees.
Which temperature should I consider as accurate?
2.
I came across articles online stating that a body temperature below 36.5 degrees Celsius can greatly reduce immune function and increase the risk of cancer.
Is there any academic or clinical evidence supporting this claim?
Thank you for taking the time to respond.

kk, 20~29 year old female. Ask Date: 2021/12/04

Dr. Liao Yaopan reply Family Medicine


Hello, based on your description, I would like to remind you that the procedure for measuring body temperature should be consistent to avoid discrepancies.
The situation mentioned can actually be assessed by the actual measured temperature to determine if there is a fever.
Regarding the second point, there are currently no actual scientific research reports available.
Online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2021/12/04

More Info


Understanding body temperature variations and their health implications is crucial, especially for individuals who are sensitive to bodily changes, such as those with anxiety or health concerns. Your observations about temperature readings and their implications are valid and warrant a detailed discussion.

1. Temperature Variations Between Ears: It is not uncommon to find slight variations in temperature readings between the left and right ear. This can be attributed to several factors, including the placement of the thermometer, the ear canal's anatomy, and even blood flow variations. Generally, the average of both readings can be considered, but if one ear consistently shows a higher reading, it may be more reliable to use that ear for consistency. However, it is essential to ensure that the thermometer is used correctly, following the manufacturer's instructions for accurate readings.

2. Body Temperature and Immune Function: The claim that a body temperature below 36.5°C (97.7°F) significantly decreases immune function and increases cancer risk is a topic of ongoing research. While it is true that body temperature plays a role in metabolic processes, including immune responses, the relationship is complex. The human body maintains a core temperature around 37°C (98.6°F) through homeostasis, which is crucial for optimal enzyme function and metabolic processes.
When body temperature drops, it can lead to a state known as hypothermia, which can impair various bodily functions, including immune responses. However, the specific threshold at which immune function is significantly compromised can vary among individuals.
Regarding cancer risk, while some studies suggest that lower body temperatures may correlate with decreased metabolic activity, which could theoretically influence cancer cell proliferation, the evidence is not definitive. Cancer development is multifactorial, influenced by genetics, environment, lifestyle, and immune function. Therefore, while maintaining a healthy body temperature is essential, it is just one aspect of overall health.

Additional Considerations:
- Anxiety and Body Temperature: Your anxiety and health concerns can also influence how you perceive bodily changes. Anxiety can lead to physiological changes, including fluctuations in body temperature. It may be beneficial to address these feelings with a healthcare professional, as managing anxiety can help you better interpret bodily signals without undue stress.

- Monitoring Temperature: If you consistently find your temperature below the normal range, it may be worth consulting a healthcare provider. They can assess for underlying conditions such as hypothyroidism or other metabolic disorders that could contribute to lower body temperatures.

- Lifestyle Factors: Ensure you are maintaining a balanced diet, staying hydrated, and getting adequate rest. These factors can significantly impact your overall health and body temperature regulation.

In conclusion, while variations in body temperature can be concerning, understanding the context and potential underlying factors is essential. If you continue to experience significant fluctuations or have concerns about your health, I recommend consulting with a healthcare professional who can provide personalized advice and support.

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