Fever since childhood?
Hello, doctor.
1.
My body tends to feel warm easily, especially between 9:00 PM and midnight.
I often need to find something to cool down my palms and soles.
I'm not sure which specialty I should consult for this condition.
During my middle and high school years, I stayed up late frequently, but I have improved my lifestyle now.
However, I am still concerned about my health.
CZS, 20~29 year old female. Ask Date: 2009/04/21
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, when we talk about fever, we must first rule out an elevated body temperature.
If the measured body temperature does not indicate a fever, it simply means the individual's surface temperature is higher than normal.
This is similar to some people being heat-sensitive; if there are no other symptoms (such as palpitations), it is entirely a matter of individual constitution.
Best wishes, Dr.
Chi-Feng Chen, Taoyuan Hospital, Department of Health.
Reply Date: 2009/04/21
More Info
When it comes to experiencing nighttime body heat, particularly between the hours of 9 PM and midnight, it's important to consider several factors that could be contributing to this phenomenon. Your symptoms of feeling excessively warm, especially in your hands and feet, can be indicative of various underlying issues, and understanding these can help you determine the appropriate course of action.
Firstly, it's worth noting that the body's temperature regulation can be influenced by a variety of factors, including hormonal changes, metabolic rate, and even psychological stress. In your case, since you mentioned a history of late-night activities during your school years, it's possible that your body is still adjusting to a more regular sleep schedule. However, if this sensation of heat persists, it may warrant further investigation.
One potential area of concern is the possibility of hyperthyroidism, a condition where the thyroid gland is overactive and produces excess thyroid hormones. This can lead to symptoms such as increased metabolism, weight loss, anxiety, and indeed, an increased body temperature. If you notice other symptoms such as unintentional weight loss, increased heart rate, or changes in appetite, it would be prudent to consult an endocrinologist, who specializes in hormonal disorders.
Another consideration is the role of anxiety and stress. Psychological factors can significantly impact physical sensations, including body temperature. If you find that your nighttime heat correlates with stress or anxiety levels, it may be beneficial to speak with a mental health professional. Techniques such as mindfulness, relaxation exercises, or cognitive behavioral therapy can help manage these feelings and potentially alleviate the physical symptoms associated with them.
Additionally, lifestyle factors such as diet and exercise can also play a role in how your body regulates temperature. Consuming spicy foods, caffeine, or alcohol, especially in the evening, can lead to increased body heat. Similarly, a lack of physical activity can affect your metabolism and how your body manages heat. A balanced diet and regular exercise can help improve your overall health and may mitigate some of the symptoms you're experiencing.
If your symptoms persist despite lifestyle changes, or if you experience additional symptoms such as night sweats, significant weight changes, or gastrointestinal issues, it may be wise to consult a gastroenterologist. They can evaluate whether there are any gastrointestinal conditions that could be contributing to your symptoms, such as gastroesophageal reflux disease (GERD) or other digestive disorders that might be exacerbated by your eating habits or stress levels.
In summary, while your symptoms of nighttime body heat could be related to a variety of factors, including hormonal imbalances, psychological stress, or lifestyle choices, it’s essential to monitor your symptoms closely. If they persist or worsen, seeking help from a healthcare professional is advisable. An endocrinologist can assess for hormonal issues, while a gastroenterologist can evaluate any digestive concerns. Additionally, considering a holistic approach that includes stress management and lifestyle modifications may also provide relief. Remember, your health is paramount, and addressing these concerns early can lead to better outcomes.
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