Body temperature issues
Hello Doctor, I received the BNT vaccine on November 25th, and for the past three weeks, my body temperature has been consistently elevated.
I have been measuring my ear temperature (pulling the ear back and inserting the thermometer deeply), which ranges between 37.2°C and 37.5°C, occasionally reaching 37.6°C.
After my menstrual period, my temperature remains the same, but in cooler environments, it occasionally drops to between 36.8°C and 37.1°C.
I went to the hospital for blood and urine tests, and all results were normal (including white blood cells, red blood cells, ESR, and HSCRP).
The only abnormal finding was 6-10 epithelial cells in my urine, but all other urine tests were normal.
I also had a chest X-ray, which was normal.
In October, I underwent autoimmune testing, and my ANA was 1:80 (positive), but the doctor said it was normal.
The Anti-ENA (La-Ab) and Anti-ENA (Ro)-Ab indices were also normal.
I have not regularly measured my temperature in the past, but when I did, it was approximately 36.5°C to 36.7°C, only rising to about 36.8°C to 36.9°C before my menstrual period.
I would like to ask the doctor:
1.
Is my current temperature (ear temperature 37.2°C to 37.5°C) considered normal, slightly elevated, or indicative of a low-grade fever?
2.
Do I need to undergo any further tests?
3.
If my temperature continues to remain elevated, could it be concerning, and how can I improve this? (I am currently drinking plenty of water.) The elevated temperature is really troubling me as I am worried it may indicate a serious illness or even a tumor.
Thank you, Doctor, for taking the time to respond.
Nìmíng, 20~29 year old female. Ask Date: 2021/12/18
Dr. Hong Yuanbin reply Internal Medicine
Hello,
1.
It is considered slightly elevated, but it does not reach the level of a true fever (38°C).
2.
It is recommended to visit the Infectious Diseases outpatient clinic for a detailed fever evaluation.
If everything is normal, you can feel more at ease.
3.
It is advisable to monitor for any other abnormal symptoms in addition to the fever.
You can record your temperature multiple times a day and then show the temperature log to the Infectious Diseases physician.
Additionally, it is recommended to avoid staying up late, maintain a regular schedule, and engage in regular exercise.
Thank you for your inquiry.
Reply Date: 2021/12/18
More Info
Persistent elevated body temperature after vaccination can be a source of concern for many individuals. In your case, you received the BNT vaccine on November 25, and since then, you have been experiencing a slightly elevated body temperature, ranging from 37.2°C to 37.6°C. This situation raises several questions regarding the normalcy of your symptoms, the need for further examinations, and potential implications for your health.
1. Understanding Your Body Temperature:
The normal body temperature for adults typically ranges from 36.1°C to 37.2°C, with slight variations throughout the day. Factors such as time of day, physical activity, and hormonal changes (especially in women during their menstrual cycle) can influence body temperature. Given that your readings are between 37.2°C and 37.6°C, they are slightly above the average normal range but do not necessarily indicate a fever (which is generally considered to be 38°C or higher). It is important to note that individual baseline temperatures can vary, and what is normal for one person may be slightly different for another.
2. Need for Further Examinations:
Since you have already undergone blood tests, urine tests, and a chest X-ray, all of which returned normal results, it suggests that there is no acute infection or significant underlying condition at this time. The presence of elevated epithelial cells in your urine may not be clinically significant, especially if other parameters are normal. However, if your elevated temperature persists or if you develop new symptoms (such as significant fatigue, weight loss, or night sweats), it would be prudent to consult your healthcare provider for further evaluation. They may consider additional tests, such as imaging studies or referrals to specialists, depending on your clinical picture.
3. Implications of Persistent Elevated Temperature:
While a persistent low-grade fever can be concerning, it is essential to consider the context. Vaccination can trigger an immune response, leading to mild symptoms such as fever, fatigue, and malaise. These symptoms are typically transient and resolve within a few days to weeks. If your elevated temperature continues beyond a few weeks without any other concerning symptoms, it may be less likely to be related to the vaccine and more indicative of a benign process or a physiological response to stressors in your life.
4. Managing Your Symptoms:
Staying well-hydrated, as you are currently doing, is beneficial. Additionally, maintaining a balanced diet rich in fruits and vegetables can support your immune system. Regular physical activity, adequate sleep, and stress management techniques can also contribute to overall well-being. If you find that your anxiety about your symptoms is affecting your quality of life, consider discussing this with a mental health professional or your primary care physician.
In summary, while your current body temperature readings are slightly elevated, they do not necessarily indicate a serious health issue, especially given the normal results from your recent medical evaluations. However, continuous monitoring and open communication with your healthcare provider are essential. If you have any new or worsening symptoms, do not hesitate to seek medical advice. Your health and peace of mind are paramount, and addressing your concerns with a professional can help alleviate anxiety and provide clarity on your health status.
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