Rare Diseases: Why Do I Feel Cold in Winter? - Rare Disease

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Winter can be cold?


Doctor, may I ask...
during winter, sometimes I feel extremely cold, to the point of being unable to tolerate it.
What could be the underlying condition?

vv, 10~19 year old female. Ask Date: 2004/02/26

Dr. Jian Yingxiu reply Rare Disease


Please visit the Family Medicine outpatient clinic for consultation.

Reply Date: 2004/02/26

More Info


Feeling excessively cold during winter can be a perplexing and uncomfortable experience, and it may stem from various underlying conditions or physiological responses. While it is essential to consult a healthcare professional for a thorough evaluation, I can provide some insights into potential causes and considerations regarding this phenomenon.

One common reason for feeling cold in winter is related to poor peripheral circulation. This condition can lead to reduced blood flow to the extremities, such as hands and feet, making them feel cold. Factors contributing to poor circulation can include conditions like Raynaud's phenomenon, where blood vessels constrict excessively in response to cold or stress, leading to cold, numb, or painful fingers and toes. This condition is often more pronounced in colder weather and can be exacerbated by emotional stress.

Another possibility is hypothyroidism, a condition where the thyroid gland does not produce enough hormones, leading to a slower metabolism. Symptoms of hypothyroidism can include sensitivity to cold, fatigue, weight gain, and dry skin. If you suspect that your cold sensitivity might be related to thyroid function, it would be prudent to have your thyroid hormone levels checked through a blood test.

Additionally, anemia can also cause feelings of coldness. Anemia occurs when there is a deficiency of red blood cells or hemoglobin in the blood, which can lead to reduced oxygen delivery to tissues and a sensation of coldness, particularly in the extremities. Symptoms of anemia may include fatigue, weakness, and pale skin.

In some cases, psychological factors can play a role in how we perceive temperature. Conditions such as anxiety disorders or specific phobias can lead to heightened sensitivity to environmental factors, including temperature. If you find that your cold sensitivity is accompanied by anxiety or panic when exposed to cold environments, it may be beneficial to explore these feelings with a mental health professional.

Moreover, lifestyle factors such as nutrition, hydration, and physical activity can significantly impact how your body regulates temperature. A well-balanced diet rich in iron, vitamin B12, and other essential nutrients can help maintain healthy blood circulation and energy levels. Staying hydrated is also crucial, as dehydration can affect circulation and body temperature regulation.

If you are experiencing extreme cold sensations that interfere with your daily life, it is essential to seek medical advice. A healthcare provider can perform a comprehensive evaluation, including a physical examination and necessary laboratory tests, to determine if there is an underlying medical condition that needs to be addressed.

In conclusion, feeling excessively cold in winter can be attributed to various factors, including poor circulation, thyroid dysfunction, anemia, psychological influences, and lifestyle choices. Understanding the root cause of your symptoms is crucial for effective management and treatment. Therefore, I encourage you to consult with a healthcare professional who can provide personalized guidance and support based on your specific situation.

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