Am I Experiencing a Fever? Body Temperature Fluctuations - Internal Medicine

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Is this considered a fever?


Dear Doctor,
Hello.
Recently, I have been feeling a lot of eye strain, so I suspect I might have a fever.
I have been measuring my temperature every hour from yesterday to today, using axillary temperature.
Here are the readings:
From July 24:
11:00 - 36.8°C
12:00 - 36.5°C
13:00 - 36.3°C
14:00 - 37.2°C
15:00 - 37.2°C
16:00 - 36.8°C
17:00 - 36.5°C
18:00 - 36.5°C
19:00 - 36.5°C
20:00 - 35.8°C
21:00 - 35.5°C
22:00 - 35.8°C
From July 25:
07:00 - 36.5°C
08:00 - 36.8°C
09:00 - 36.4°C
10:00 - 36.9°C
11:00 - 37.5°C
It seems that my axillary temperature has exceeded 37°C.
Even if I have a fever, I would like to ask you, Doctor, does this count as a persistent fever? Are my temperatures generally elevated? I apologize for bothering you during your busy schedule.
Thank you very much, and I wish you all the best.
Sincerely,
Doctor Q&A Teams

Albert, 20~29 year old female. Ask Date: 2008/07/26

Dr. Yao Quan reply Internal Medicine


Mr.
Albert: Hello.
Your axillary temperature is mostly below 37 degrees Celsius (14 out of 17 measurements), with three instances exceeding 37 degrees.
I wouldn't classify this as a persistent fever.
However, some of your temperature readings are slightly elevated.
Generally, oral temperatures are about 0.5 degrees higher than axillary temperatures.
If we add 0.5 degrees to all your axillary temperature readings, six out of your 17 measurements would be above 37.2 degrees, which may be a bit high.
Notably, these higher temperatures occurred around noon or in the afternoon, which aligns with the typical diurnal variation in body temperature for most individuals.
Therefore, I suspect that your axillary temperature of 37.5 degrees at 11 AM on July 25 may have been influenced by a warmer environment at that time.
Measuring body temperature is an important basis for diagnosing diseases.
However, it is not necessary to be overly concerned about the exact temperature readings, as some individuals naturally have slightly higher body temperatures than average.
If you still have concerns, please visit a hospital for further tests to rule out any potential infections.
Sincerely, Dr.
Chuan Yao, Attending Physician, Department of Internal Medicine, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2008/07/26

More Info


When it comes to understanding whether you are experiencing a fever, it’s essential to consider the normal range of body temperature and the factors that can influence it. The average normal body temperature is typically around 98.6°F (37°C), but it can vary from person to person and can fluctuate throughout the day due to various factors such as activity level, time of day, and even the method of measurement.

From your recorded temperatures, it appears that most of your readings are below 37.5°C, which is generally considered the threshold for fever. Specifically, you recorded temperatures ranging from 35.3°C to 37.5°C, with only a few instances exceeding 37°C. This suggests that while you may have experienced slight elevations in temperature, it does not consistently indicate a fever.

It’s also important to note that body temperature can fluctuate due to a variety of reasons. For instance, physical activity, emotional stress, and environmental conditions can all lead to temporary increases in body temperature. Additionally, the method of measurement can also affect the readings; axillary (underarm) temperatures are typically lower than oral or rectal temperatures. Therefore, if you were to convert your axillary readings to oral equivalents, they might appear even lower.

Your concern about experiencing eye strain and questioning whether it correlates with fever is valid. Eye strain can result from prolonged screen time, lack of sleep, or even dehydration, which may not necessarily be linked to fever. If you are feeling discomfort in your eyes, it might be beneficial to take regular breaks from screens, ensure proper lighting, and stay hydrated.

In terms of your temperature readings, while you did have a couple of instances where your temperature reached 37.5°C, this is not sufficient to classify as a persistent fever. A persistent fever is typically defined as a temperature that remains elevated above 38°C (100.4°F) for an extended period. Since your readings mostly hover around normal or slightly elevated, it does not indicate a fever.

If you continue to feel unwell or if your symptoms worsen, it would be prudent to consult with a healthcare professional. They can perform a thorough evaluation, including a physical examination and possibly additional tests, to rule out any underlying conditions that may be causing your symptoms.
In summary, based on your recorded temperatures and the absence of consistent fever, it does not appear that you are experiencing a fever. However, if you have ongoing concerns about your health or if your symptoms change, seeking medical advice is always a wise decision. Remember, maintaining hydration, taking breaks from screens, and monitoring your symptoms can help you manage your overall well-being effectively.

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