Low-grade fever. Fever without signs of a cold: possible causes Increased body temperature after

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Temperature increase body to low subfebrile levels is a fairly common occurrence. It can be associated with various diseases, or be a variant of the norm, or be an error in measurements.

In any case, if the temperature remains at 37 o C, it is necessary to report this to a qualified specialist. Only he, after necessary examination, can tell whether this is a variant of the norm, or indicates the presence of a disease.

Temperature: what can it be?

It should be borne in mind that body temperature is a variable value. Fluctuations during the day in different directions are acceptable, which is quite normal. None symptoms it is not accompanied. But a person who first discovers a constant temperature of 37 o C can be extremely worried about this.

A person's body temperature may be as follows:
1. Reduced (less than 35.5 o C).
2. Normal (35.5-37 o C).
3. Increased:

  • subfebrile (37.1-38 o C);
  • febrile (above 38 o C).
Often, experts do not even consider thermometry results within 37-37.5 o C to be pathology, calling only data of 37.5-38 o C subfebrile temperature.

What you need to know about normal temperature:

  • According to statistics, the most common normal temperature body - 37 o C, and not 36.6 o C, contrary to popular belief.
  • The norm is physiological fluctuations in thermometry readings during the day for the same person within 0.5 o C, or even more.
  • In the morning hours there are usually more low performance, while the body temperature during the day or evening can be 37 o C, or slightly higher.
  • IN deep sleep thermometry readings may correspond to 36 o C or less (as a rule, the lowest data are observed between 4 and 6 o’clock in the morning, but a temperature of 37 o C or higher in the morning may indicate pathology).
  • The highest measurements are often recorded from about 4 pm until night (for example, constant temperature 37.5 o C in the evening may be a variant of the norm).
  • In old age, normal body temperature may be lower, and its daily fluctuations are not so pronounced.
Whether an increase in temperature is a pathology depends on many factors. Thus, a prolonged temperature of 37 o C in a child in the evening is a variant of the norm, and the same indicators in an elderly person in the morning most likely indicate pathology.

Where can you measure body temperature:
1. IN armpit. Despite the fact that this is the most popular and simplest measurement method, it is the least informative. The results obtained can be influenced by humidity, room temperature and many other factors. Sometimes there is a reflex increase in temperature during measurement. This may be due to anxiety, for example, from a doctor's visit. During thermometry in oral cavity or the rectum there cannot be such errors.
2. In the mouth (oral temperature): its values ​​are usually 0.5 o C higher than those determined in the armpit.
3. In the rectum (rectal temperature): normally it is 0.5 o C higher than in the mouth and, accordingly, 1 o C higher than in the armpit.

Also quite reliable is the determination of temperature in ear canal. However, for accurate measurements you need a special thermometer, so this method It is practically not used at home.

It is not recommended to measure oral or rectal temperature with a mercury thermometer; you should use an electronic device for this. For thermometry in infants, there are also electronic dummy thermometers.

Do not forget that a body temperature of 37.1-37.5 o C may be associated with an error in measurements, or talk about the presence of pathology, for example, an infectious process in the body. Therefore, consultation with a specialist is still required.

Temperature 37 o C - is this normal?

If the thermometer shows 37-37.5 o C, don’t get upset or panic. Temperatures greater than 37 o C may be associated with measurement errors. To ensure accurate thermometry, the following rules must be observed:
1. The measurement should be carried out in a calm, relaxed state, no earlier than 30 minutes after physical activity(for example, a child’s temperature after active play can be 37-37.5 o C and higher).
2. In children, measurements may be significantly elevated after screaming and crying.
3. It is better to carry out thermometry at approximately the same time, since low readings are more often observed in the morning, and in the evening the temperature usually rises to 37 o C and above.
4. When conducting thermometry in the armpit, it should be completely dry.
5. Where measurements are taken in the mouth (oral temperature), it should not be taken after eating or drinking (especially hot drinks), if the patient is short of breath or breathing through the mouth, or after smoking.
6. Rectal temperature may increase by 1-2 o C or more after physical activity or a hot bath.
7. A temperature of 37 o C or slightly higher can occur after eating, after physical activity, against a background of stress, anxiety or fatigue, after being in the sun, when being in a warm, stuffy room with high humidity or, conversely, excessively dry air.

Another common cause of a temperature of 37 o C and above can always be a faulty thermometer. This is especially true for electronic devices, which quite often produce measurement errors. Therefore, when you receive high readings, determine the temperature of another family member - in case it will also be high. And it’s even better to always have a working mercury thermometer in the house for this case. When an electronic thermometer is still indispensable (for example, to determine the temperature of a small child), immediately after purchasing the device, take measurements with a mercury thermometer and an electronic one (for any healthy family member). This will make it possible to compare the results and determine the error in thermometry. When conducting such a test, it is better to use thermometers of different designs; you should not take the same mercury or electric thermometers.

There are often situations when after infectious disease the temperature stays at 37 o C and above long time. This feature is often called a "temperature tail". Increased performance thermometers may persist for several weeks or months. Even after taking antibiotics against an infectious agent, a reading of 37 o C can remain for a long time. This condition does not require treatment and goes away on its own without a trace. However, if, along with a low-grade fever, cough, rhinitis or other symptoms of the disease are observed, this may indicate a relapse of the disease, complications, or indicate a new infection. It is important not to miss this condition, as it requires consultation with a doctor.

Other causes of low-grade fever in a child are often:

  • overheat;
  • reaction to preventive vaccination;
  • teething.
One of the common reasons for a child's temperature to rise above 37-37.5 o C is teething. In this case, thermometry data rarely reaches figures above 38.5 o C, so usually just monitoring the baby’s condition and using physical methods cooling. Temperatures above 37 o C can be observed after vaccination. Usually the indicators are kept within the subfebrile range, and if they increase further, you can give the child a one-time antipyretic drug. An increase in temperature as a result of overheating can be observed in those children who are excessively wrapped and dressed. It can be very dangerous and cause heat stroke. Therefore, if the baby overheats, he should first be undressed.

Fever may occur with many non-infectious diseases. inflammatory diseases. As a rule, it is accompanied by other quite characteristic signs of pathology. For example, a temperature of 37 o C and diarrhea streaked with blood may be symptoms of ulcerative colitis or Crohn's disease. In some diseases, such as systemic lupus erythematosus, low-grade fever may appear several months before the first signs of illness.

An increase in body temperature to low levels is often observed against the background of allergic pathology: atopic dermatitis, urticaria and other conditions. For example, shortness of breath with difficulty in exhaling, and a temperature of 37 o C or higher, can be observed during exacerbation of bronchial asthma.

Low-grade fever may be observed in pathologies of the following organ systems:
1. The cardiovascular system:

  • VSD (vegetative dystonia syndrome) - a temperature of 37 o C and slightly higher can indicate sympathicotonia, and is often combined with high blood pressure, headaches and other manifestations;
  • high blood pressure and temperature 37-37.5 o C can occur with hypertension, especially during crises.
2. Gastrointestinal tract: a temperature of 37 o C or higher, and abdominal pain, may be signs of pathologies such as pancreatitis, non-infectious hepatitis and gastritis, esophagitis and many others.
3. Respiratory system: a temperature of 37-37.5 o C may accompany chronic obstructive pulmonary disease.
4. Nervous system:
  • thermoneurosis (habitual hyperthermia) – often observed in young women, and is one of the manifestations of vegetative dystonia;
  • spinal and brain tumors, traumatic injuries, hemorrhages and other pathologies.
5. Endocrine system: fever may be the first sign of increased function thyroid gland(hyperthyroidism), Addison's disease (insufficiency of adrenal cortex function).
6. Kidney pathology: a temperature of 37 o C and higher may be a sign of glomerulonephritis, dysmetabolic nephropathies, and urolithiasis.
7. Genital organs: low-grade fever can be observed with ovarian cysts, uterine fibroids and other pathologies.
8. Blood and immune system:
  • a temperature of 37 o C accompanies many immunodeficiency conditions, including oncology;
  • a slight low-grade fever can occur with blood pathologies, including common iron deficiency anemia.
Another condition in which the body temperature constantly remains at 37-37.5 o C is oncological pathology. In addition to low-grade fever, weight loss, loss of appetite, weakness, pathological symptoms from various organs (their nature depends on the location of the tumor).

Indicators of 37-37.5 o C are a variant of the norm after surgery. Their duration depends on the individual characteristics of the body and the volume of surgical intervention. slight fever may also be observed after certain diagnostic procedures, such as laparoscopy.

Which doctor should I contact if I have an elevated body temperature?

Since an increase in body temperature can be caused by a wide range of various reasons, then the choice of a specialist to contact at a high temperature is determined by the nature of the person’s other symptoms. Let's consider what doctors of specialties you should contact in various cases increase in body temperature:
  • If, in addition to fever, a person has a runny nose, pain, sore or sore throat, cough, headaches, aches in muscles, bones and joints, then it is necessary to contact general practitioner (), since we are most likely talking about ARVI, colds, flu, etc.;
  • If you have a persistent cough for a long time, or a constant feeling of general weakness, or a feeling that it is difficult to breathe, or whistling when breathing, then you should consult a general practitioner and phthisiatrician (sign up), since these signs may be symptoms of either chronic bronchitis, either pneumonia or tuberculosis;
  • If elevated body temperature is combined with pain in the ear, leakage of pus or fluid from the ear, runny nose, sore throat, sore or sore throat, feeling of mucus flowing through back wall throat, a feeling of pressure, fullness or pain in the upper part of the cheeks (cheekbones under the eyes) or above the eyebrows, then you should contact otolaryngologist (ENT) (make an appointment), since most likely we are talking about otitis media, sinusitis, pharyngitis or tonsillitis;
  • If elevated body temperature is combined with pain, redness of the eyes, photophobia, leakage of pus or non-purulent fluid from the eye, you should contact ophthalmologist (make an appointment);
  • If elevated body temperature is combined with pain when urinating, lower back pain, frequent urge to urinate, then you need to consult a urologist/ nephrologist (make an appointment) And venereologist (make an appointment), because a similar combination of symptoms may indicate either kidney disease or a sexually transmitted infection;
  • If elevated body temperature is combined with diarrhea, vomiting, abdominal pain and nausea, then you should contact infectious disease doctor (make an appointment), since such a set of symptoms may indicate an intestinal infection or hepatitis;
  • If elevated body temperature is combined with moderate abdominal pain, as well as various symptoms of dyspepsia (belching, heartburn, feeling of heaviness after eating, bloating, flatulence, diarrhea, constipation, etc.), then you should contact Gastroenterologist (make an appointment)(if there is none, then see a therapist), because this indicates diseases of the digestive tract (gastritis, peptic ulcer stomach, pancreatitis, Crohn's disease, etc.);
  • If elevated body temperature is combined with severe, unbearable pain in any part of the abdomen, then you should urgently contact surgeon (make an appointment), since this indicates in serious condition(for example, acute appendicitis, peritonitis, pancreatic necrosis, etc.), requiring immediate medical intervention;
  • If elevated body temperature in women is combined with moderate or mild pain in the lower abdomen, discomfort in the genital area, or unusual vaginal discharge, then you should contact gynecologist (make an appointment);
  • If elevated body temperature in women is combined with severe pain in the lower abdomen, bleeding from the genitals, severe general weakness, then you should urgently contact a gynecologist, since these symptoms indicate a serious condition (for example, ectopic pregnancy, uterine bleeding, sepsis, endometritis after abortion, etc.), requiring immediate treatment;
  • If elevated body temperature in men is combined with pain in the perineum and in the prostate gland, then you should contact a urologist, as this may indicate prostatitis or other diseases of the male genital area;
  • If elevated body temperature is combined with shortness of breath, arrhythmia, edema, then you should contact a therapist or cardiologist (make an appointment), since this may indicate inflammatory heart diseases (pericarditis, endocarditis, etc.);
  • If elevated body temperature is combined with joint pain, skin rashes, marbling of the skin, impaired blood flow and sensitivity of the extremities (cold hands and feet, blue fingers, feeling of numbness, goosebumps, etc.), red blood cells or blood in urine, pain when urinating or pain in other parts of the body, then you should contact rheumatologist (make an appointment), since this may indicate the presence of autoimmune or other rheumatic diseases;
  • Temperature in combination with rashes or inflammations on the skin and symptoms of acute respiratory viral infections may indicate various infectious or skin diseases(for example, erysipelas, scarlet fever, chickenpox, etc.), therefore, if such a combination of symptoms appears, you need to contact a therapist, infectious disease specialist and dermatologist (make an appointment);
  • If an elevated body temperature is combined with headaches, surges in blood pressure, or a feeling of interruptions in heart function, then you should consult a therapist, as this may indicate vegetative-vascular dystonia;
  • If elevated body temperature is combined with tachycardia, sweating, or enlarged goiter, then it is necessary to contact endocrinologist (make an appointment), as this may be a sign of hyperthyroidism or Addison's disease;
  • If elevated body temperature is combined with neurological symptoms(For example, obsessive movements, coordination disorder, deterioration of sensitivity, etc.) or loss of appetite, causeless weight loss, then you should contact oncologist (make an appointment), since this may indicate the presence of tumors or metastases in various organs;
  • An elevated temperature, combined with very poor health, which worsens over time, is a reason to immediately call an ambulance, regardless of what other symptoms the person has.

What studies and diagnostic procedures can doctors prescribe when body temperature rises to 37-37.5 o C?

Since body temperature may rise against the background wide range various diseases, then the list of studies that the doctor prescribes to identify the causes of this symptom is also very wide and variable. However, in practice, doctors do not prescribe the entire possible list of examinations and tests that could theoretically help identify the cause of elevated body temperature, but use only a limited set of certain diagnostic tests that with the maximum probability allow identifying the source of the temperature. Accordingly, for each specific case, doctors prescribe a different list of tests, which are selected in accordance with the accompanying symptoms that a person has in addition to elevated body temperature, and indicating the affected organ or system.

Since most often elevated body temperature is caused by inflammatory processes in various organs, which can be either infectious origin(for example, sore throat, rotavirus infection, etc.), and non-infectious (for example, gastritis, ulcerative colitis, Crohn's disease, etc.), then always if it is present, regardless of the accompanying symptoms, it is prescribed general analysis blood and a general urine test, allowing one to determine in which direction the further diagnostic search should go and what other tests and examinations are necessary in each specific case. That is, in order not to prescribe a large number of studies of different organs, they first do a general blood and urine test, which allows the doctor to understand in which direction to “look” for the cause of the elevated body temperature. And only after identifying an approximate range of possible causes of temperature, other studies are prescribed to clarify the pathology that caused hyperthermia.

Indicators of a general blood test make it possible to understand whether the temperature is caused by the inflammatory process of an infectious or non-infectious origin, or is not associated with inflammation at all.

So, if ESR is increased, then the temperature is caused by an inflammatory process of infectious or non-infectious origin. If the ESR is within normal limits, then the elevated body temperature is not associated with the inflammatory process, but is caused by tumors, vegetative-vascular dystonia, endocrine diseases, etc.

If, in addition to the accelerated ESR, all other indicators of a general blood test are within normal limits, then the temperature is due to a non-infectious inflammatory process, for example, gastritis, duodenitis, colitis, etc.

If a general blood test reveals anemia, and other indicators, except hemoglobin, are normal, then the diagnostic search ends here, since the elevated temperature is caused precisely by the anemic syndrome. In such a situation, anemia is treated.

A general urine test allows you to understand whether there is pathology of the urinary system. If there is one according to the analysis, then other studies are carried out in the future to clarify the nature of the pathology and begin treatment. If urine tests are normal, then to find out the cause of the elevated body temperature, the urinary system organs are not examined. That is, a general urine test will allow you to immediately identify the system in which the pathology caused an increase in body temperature, or, on the contrary, dismiss suspicions of diseases of the urinary tract.

Having determined from a general analysis of blood and urine the fundamental points, such as infectious or non-infectious inflammation in a person, or a non-inflammatory process at all, and whether there is pathology of the urinary organs, the doctor prescribes a number of other studies to understand which organ is affected. Moreover, this list of examinations is already determined by the accompanying symptoms.

Below we present options for lists of tests that a doctor may prescribe for elevated body temperature, depending on other accompanying symptoms a person has:

  • For a runny nose, sore throat, sore or raw throat, cough, headache, aching muscles and joints, usually only a general blood and urine test is prescribed, since such symptoms are caused by ARVI, flu, colds, etc. However, during an influenza epidemic, a blood test may be prescribed to detect the influenza virus to determine whether a person is dangerous to others as a source of influenza. If a person often suffers from colds, then he is prescribed immunogram (sign up) (total lymphocytes, T-lymphocytes, T-helpers, T-cytotoxic lymphocytes, B-lymphocytes, NK cells, T-NK cells, NCT test, assessment of phagocytosis, CEC, immunoglobulins of classes IgG, IgM, IgE, IgA), to determine which links immune system do not work correctly and, accordingly, what immunostimulants should be taken to normalize the immune status and stop frequent episodes of colds.
  • At a temperature combined with a cough or a constant feeling of general weakness, or a feeling that it is difficult to breathe, or whistling when breathing, it is necessary to mandatory do Chest x-ray (make an appointment) and auscultation (listen with a stethoscope) of the lungs and bronchi to determine whether a person has bronchitis, tracheitis, pneumonia or tuberculosis. In addition to x-rays and auscultation, if they do not give an accurate answer or their result is questionable, the doctor may prescribe sputum microscopy, determination of antibodies to Chlamydophila pneumoniae and respiratory syncytial virus in the blood (IgA, IgG), determination of the presence of mycobacterial DNA to distinguish between bronchitis, pneumonia and tuberculosis and Chlamydophila pneumoniae in sputum, bronchial washings or blood. Tests for the presence of mycobacteria in sputum, blood and bronchial washings, as well as sputum microscopy, are usually prescribed when tuberculosis is suspected (either asymptomatic persistent prolonged fever or fever with cough). But tests for determining antibodies to Chlamydophila pneumoniae and respiratory syncytial virus in the blood (IgA, IgG), as well as determining the presence of Chlamydophila pneumoniae DNA in sputum, are carried out to diagnose bronchitis, tracheitis and pneumonia, especially if they are frequent, long-lasting or untreatable antibiotics.
  • Temperature, combined with a runny nose, a feeling of mucus running down the back of the throat, a feeling of pressure, fullness or pain in the upper part of the cheeks (cheekbones under the eyes) or above the eyebrows, requires a mandatory x-ray of the sinuses (maxillary sinuses, etc.) (sign up) to confirm sinusitis, sinusitis or other type of sinusitis. In case of frequent, long-term sinusitis or that cannot be treated with antibiotics, the doctor may additionally prescribe the determination of antibodies to Chlamydophila pneumoniae in the blood (IgG, IgA, IgM). If the symptoms of sinusitis and elevated body temperature are combined with blood in the urine and frequent pneumonia, then the doctor may prescribe a test for antineutrophil cytoplasmic antibodies (ANCA, pANCA and cANCA, IgG) in the blood, since in such a situation systemic vasculitis is suspected.
  • If the elevated temperature is combined with a feeling of mucus running down the back wall of the throat, a feeling that cats are scratching in the throat, soreness and soreness, then the doctor prescribes an ENT examination, takes a smear from the oropharyngeal mucosa for bacteriological culture in order to determine the pathogenic microbes that caused inflammatory process. The examination is usually carried out without fail, but a swab from the oropharynx is not always taken, but only if a person complains of frequent occurrence similar symptoms. In addition, if such symptoms appear frequently and do not go away even with antibiotic treatment, the doctor may prescribe the determination of antibodies to Chlamydophila pneumonia and Chlamydia trachomatis (IgG, IgM, IgA) in the blood, because these microorganisms can provoke chronic, often recurrent infectious and inflammatory diseases of organs respiratory system(pharyngitis, otitis, sinusitis, bronchitis, tracheitis, pneumonia, bronchiolitis).
  • If an elevated temperature is combined with pain, a sore throat, enlarged tonsils, the presence of plaque or white plugs in the tonsils, or a constantly red throat, then an ENT examination is required. If such symptoms persist for a long time or appear frequently, the doctor will prescribe a smear from the oropharyngeal mucosa for bacteriological culture, as a result of which it will become known which microorganism provokes the inflammatory process in the ENT organs. If the sore throat is purulent, then the doctor will definitely prescribe blood tests for the ASL-O titer in order to identify the risk of developing complications of this infection such as rheumatism, glomerulonephritis, myocarditis.
  • If the temperature is combined with pain in the ear, discharge of pus or any other fluid from the ear, then the doctor must conduct an ENT examination. In addition to the examination, the doctor most often prescribes a bacteriological culture of ear discharge to determine which pathogen is the cause. inflammatory process. In addition, tests may be prescribed to determine antibodies to Chlamydophila pneumonia in the blood (IgG, IgM, IgA), to determine the titer of ASL-O in the blood, and to detect herpes virus type 6 in saliva, oropharyngeal scrapings, and blood. Tests for antibodies to Chlamydophila pneumonia and for the presence of herpes virus type 6 are performed to identify the microbe that causes otitis. However, these tests are usually prescribed only for frequent or long-term otitis media. A blood test for ASL-O titer is prescribed only when purulent otitis to identify the risk of developing complications of streptococcal infection, such as myocarditis, glomerulonephritis and rheumatism.
  • If elevated body temperature is combined with pain, redness in the eye, as well as discharge of pus or other fluid from the eye, then the doctor must perform an examination. Next, the doctor may prescribe a culture of the discharge from the eye for bacteria, as well as a blood test for antibodies to adenovirus and IgE content (with particles of dog epithelium) in order to determine the presence of an adenovirus infection or allergy.
  • When elevated body temperature is combined with pain when urinating, lower back pain or frequent trips to the toilet, the doctor will first and without fail prescribe a general urine test, determination of the total concentration of protein and albumin in daily urine, urine test according to Nechiporenko (sign up), Zimnitsky test (sign up), as well as a biochemical blood test (urea, creatinine). These tests in most cases can detect existing kidney disease or urinary tract. However, if the above tests do not provide clarity, the doctor may prescribe cystoscopy Bladder(sign up), bacteriological culture of urine or scraping from the urethra to identify a pathogenic pathogen, as well as determination PCR method or ELISA of microbes in scrapings from the urethra.
  • If you have an elevated temperature, combined with pain when urinating or frequent trips to the toilet, your doctor may order tests for various infections sexually transmitted diseases (for example, gonorrhea (sign up), syphilis (sign up), ureaplasmosis (sign up), mycoplasmosis (sign up), candidiasis, trichomoniasis, chlamydia (sign up), gardnerellosis, etc.), since such symptoms may also indicate inflammatory diseases of the genital tract. To test for sexually transmitted infections, your doctor may prescribe vaginal discharge, semen, prostate secretions, a urethral smear, and blood. In addition to tests, it is often prescribed Ultrasound of the pelvic organs (sign up), which allows us to identify the nature of changes occurring under the influence of inflammation in the genital organs.
  • With elevated body temperature, which is combined with diarrhea, vomiting, abdominal pain and nausea, the doctor first prescribes a stool test for scatology, a stool test for helminths, a stool test for rotavirus, a stool test for infections (dysentery, cholera, pathogenic strains of intestinal sticks, salmonellosis, etc.), stool analysis for dysbacteriosis, as well as scraping from the anal area for culture in order to identify the pathogenic pathogen that provoked the symptoms of intestinal infection. In addition to these tests, the infectious disease doctor prescribes blood test for antibodies to hepatitis A, B, C and D viruses (sign up), since such symptoms may indicate acute hepatitis. If a person, in addition to fever, diarrhea, abdominal pain, vomiting and nausea, also has yellowness of the skin and sclera of the eyes, then only blood tests for hepatitis (antibodies to hepatitis viruses A, B, C and D) are prescribed, since this indicates specifically about hepatitis.
  • If there is an elevated body temperature, combined with abdominal pain, symptoms of dyspepsia (belching, heartburn, flatulence, bloating, diarrhea or constipation, blood in the stool, etc.), the doctor usually prescribes instrumental studies and biochemical blood test. For belching and heartburn, a blood test for Helicobacter pylori and fibrogastroduodenoscopy (FGDS) (), which allows you to diagnose gastritis, duodenitis, stomach ulcers or duodenum, GERD, etc. For flatulence, bloating, periodic diarrhea and constipation, the doctor usually prescribes a biochemical blood test (activity of amylase, lipase, AST, ALT, alkaline phosphatase, concentration of protein, albumin, bilirubin), a urine test for amylase activity, a stool test for dysbacteriosis and scatology and Ultrasound of organs abdominal cavity(sign up), which allow you to diagnose pancreatitis, hepatitis, irritable bowel syndrome, biliary dyskinesia, etc. In complex and unclear cases or suspicion of tumor formations the doctor can prescribe MRI (sign up) or x-ray of the digestive tract. If there are frequent bowel movements (3-12 times a day) with unformed feces, banded stools (feces in the form of thin ribbons) or pain in the rectum, then the doctor prescribes colonoscopy (make an appointment) or sigmoidoscopy (sign up) and stool analysis for calprotectin, which allows identifying Crohn's disease, ulcerative colitis, intestinal polyps, etc.
  • In case of elevated temperature in combination with moderate or mild pain in the lower abdomen, discomfort in the genital area, abnormal vaginal discharge, the doctor will definitely prescribe, first of all, a smear from the genital organs and an ultrasound of the pelvic organs. These simple studies will allow the doctor to determine what other tests are needed to clarify the existing pathology. In addition to ultrasound and smear on flora (), the doctor may prescribe tests for sexually transmitted infections ()(gonorrhea, syphilis, ureaplasmosis, mycoplasmosis, candidiasis, trichomoniasis, chlamydia, gardnerellosis, fecal bacteroids, etc.), to identify which vaginal discharge, scraping from the urethra or blood are donated.
  • At elevated temperatures, combined with pain in the perineum and prostate in men, the doctor will prescribe a general urine test, prostate secretion for microscopy (), spermogram (), as well as a smear from the urethra for various infections (chlamydia, trichomoniasis, mycoplasmosis, candidiasis, gonorrhea, ureaplasmosis, fecal bacteroides). In addition, the doctor may prescribe an ultrasound of the pelvic organs.
  • At a temperature combined with shortness of breath, arrhythmia and edema, it is imperative to do ECG(), chest x-ray, Ultrasound of the heart (sign up), as well as take a general blood test, a blood test for C-reactive protein, rheumatic factor and titer ASL-O (sign up). These studies allow us to identify the existing pathological process in the heart. If the studies do not clarify the diagnosis, the doctor may additionally prescribe a blood test for antibodies to the heart muscle and for antibodies to Borrelia.
  • If an elevated temperature is combined with skin rashes and symptoms of acute respiratory viral infections or influenza, the doctor usually prescribes only a general blood test and examines the rashes or redness on the skin different ways(under a magnifying glass, under a special lamp, etc.). If there is a red spot on the skin that grows over time and is painful, the doctor will order an ASL-O titer test to confirm or deny erysipelas. If the skin rash cannot be identified during the examination, the doctor may take a scraping and prescribe it under microscopy to determine the type of pathological changes and the causative agent of the inflammatory process.
  • If the temperature is combined with tachycardia, sweating and enlarged goiter, you should do Ultrasound of the thyroid gland (), and also take a blood test for the concentration of thyroid hormones (T3, T4), antibodies to steroid-producing cells of the reproductive organs and cortisol.
  • When the temperature is combined with headaches, surges in blood pressure, a feeling of interruptions in the work of the heart, the doctor prescribes blood pressure monitoring, ECG, ultrasound of the heart, ultrasound of the abdominal organs, REG, as well as a general blood test, urine test and biochemical blood test (protein, albumin , cholesterol, triglycerides, bilirubin, urea, creatinine, C-reactive protein, AST, ALT, alkaline phosphatase, amylase, lipase, etc.).
  • When the temperature is combined with neurological symptoms (for example, loss of coordination, deterioration of sensitivity, etc.), loss of appetite, causeless weight loss, the doctor will prescribe a general and biochemical blood test, a coagulogram, as well as an x-ray, Ultrasound of various organs (sign up) and, possibly, tomography, since such symptoms may be a sign of cancer.
  • If the temperature is combined with pain in the joints, rashes on the skin, marbling of the skin, impaired blood flow in the legs and arms (cold hands and feet, numbness and a crawling sensation, etc.), red blood cells or blood in the urine and pain in other parts of the body, this is a sign of rheumatic and autoimmune diseases. In such cases, the doctor prescribes tests to determine whether a person has joint disease or an autoimmune pathology. Since the spectrum of autoimmune and rheumatic diseases is very wide, the doctor first prescribes X-ray of joints (sign up) and the following nonspecific tests: complete blood count, concentration of C-reactive protein, rheumatoid factor, lupus anticoagulant, antibodies to cardiolipin, antinuclear factor, IgG antibodies to double-stranded (native) DNA, ASL-O titer, antibodies to nuclear antigen, antineutrophil cytoplasmic antibodies (ANCA), antibodies to thyroid peroxidase, the presence of cytomegalovirus, Epstein-Barr virus, and herpes viruses in the blood. Then, if the results of the listed tests are positive (that is, markers of autoimmune diseases are found in the blood), the doctor, depending on which organs or systems there is clinical symptoms, prescribes additional tests, as well as x-rays, ultrasound, ECG, MRI, to assess the degree of activity pathological process. Since there are many tests to identify and evaluate the activity of autoimmune processes in various organs, we present them in a separate table below.
Organ system Tests to determine the autoimmune process in the organ system
Diseases connective tissue
  • Antinuclear antibodies, IgG (antinuclear antibodies, ANAs, EIA);
  • IgG antibodies to double-stranded (native) DNA (anti-ds-DNA);
  • Antinuclear factor (ANF);
  • Antibodies to nucleosomes;
  • Antibodies to cardiolipin (IgG, IgM) (sign up);
  • Antibodies to extractable nuclear antigen (ENA);
  • Complement components (C3, C4);
  • Rheumatoid factor;
  • C-reactive protein;
  • ASL-O titer.
Joint diseases
  • Antibodies to keratin Ig G (AKA);
  • Antifilaggrin antibodies (AFA);
  • Antibodies to cyclic citrullinated peptide (ACCP);
  • Crystals in a smear of synovial fluid;
  • Rheumatoid factor;
  • Antibodies to modified citrullinated vimentin.
Antiphospholipid syndrome
  • Antibodies to phospholipids IgM/IgG;
  • Antibodies to phosphatidylserine IgG+IgM;
  • Antibodies to cardiolipin, screening - IgG, IgA, IgM;
  • Antibodies to annexin V, IgM and IgG;
  • Antibodies to phosphatidylserine-prothrombin complex, total IgG, IgM;
  • Antibodies to beta-2-glycoprotein 1, total IgG, IgA, IgM.
Vasculitis and kidney damage (glomerulonephritis, etc.)
  • Antibodies to the basement membrane of the glomeruli of the kidneys IgA, IgM, IgG (anti-BMK);
  • Antinuclear factor (ANF);
  • Antibodies to phospholipase A2 receptor (PLA2R), total IgG, IgA, IgM;
  • Antibodies to complement factor C1q;
  • Antibodies to endothelium on HUVEC cells, total IgG, IgA, IgM;
  • Antibodies to proteinase 3 (PR3);
  • Antibodies to myeloperoxidase (MPO).
Autoimmune diseases of the digestive tract
  • Antibodies to deamidated gliadin peptides (IgA, IgG);
  • Antibodies to gastric parietal cells, total IgG, IgA, IgM (PCA);
  • Antibodies to reticulin IgA and IgG;
  • Antibodies to endomysium total IgA + IgG;
  • Antibodies to pancreatic acinar cells;
  • Antibodies of the IgG and IgA classes to the GP2 antigen of pancreatic centroacinar cells (Anti-GP2);
  • Antibodies of the IgA and IgG classes to intestinal goblet cells, total;
  • Immunoglobulin subclass IgG4;
  • Calprotectin fecal;
  • Antineutrophil cytoplasmic antibodies, ANCA Ig G (pANCA and cANCA);
  • Anti-Saccharomyces antibodies (ASCA) IgA and IgG;
  • Antibodies to intrinsic factor;
  • Antibodies of the IgG and IgA classes to tissue transglutaminase.
Autoimmune liver diseases
  • Antibodies to mitochondria;
  • Antibodies to smooth muscles;
  • Antibodies to liver and kidney microsomes type 1, total IgA+IgG+IgM;
  • Antibodies to asialoglycoprotein receptor;
  • Autoantibodies for autoimmune liver diseases - AMA-M2, M2-3E, SP100, PML, GP210, LKM-1, LC-1, SLA/LP, SSA/RO-52.
Nervous system
  • Antibodies to the NMDA receptor;
  • Antineuronal antibodies;
  • Antibodies to skeletal muscles;
  • Antibodies to gangliosides;
  • Antibodies to aquaporin 4;
  • Oligoclonal IgG in cerebrospinal fluid and blood serum;
  • Myositis-specific antibodies;
  • Antibodies to the acetylcholine receptor.
Endocrine system
  • Antibodies to insulin;
  • Antibodies to pancreatic beta cells;
  • Antibodies to glutamate decarboxylase (AT-GAD);
  • Antibodies to thyroglobulin (AT-TG);
  • Antibodies to thyroid peroxidase (AT-TPO, microsomal antibodies);
  • Antibodies to the microsomal fraction of thyrocytes (AT-MAG);
  • Antibodies to TSH receptors;
  • Antibodies to steroid-producing cells of reproductive tissues;
  • Antibodies to steroid-producing cells of the adrenal gland;
  • Antibodies to steroid-producing testicular cells;
  • Antibodies to tyrosine phosphatase (IA-2);
  • Antibodies to ovarian tissue.
Autoimmune skin diseases
  • Antibodies to the intercellular substance and basement membrane of the skin;
  • Antibodies to protein BP230;
  • Antibodies to protein BP180;
  • Antibodies to desmoglein 3;
  • Antibodies to desmoglein 1;
  • Antibodies to desmosomes.
Autoimmune diseases of the heart and lungs
  • Antibodies to cardiac muscles (myocardium);
  • Antibodies to mitochondria;
  • Neopterin;
  • Serum angiotensin-converting enzyme activity (diagnosis of sarcoidosis).

Temperature 37-37.5 o C: what to do?

How to bring down the temperature to 37-37.5 o C? Reducing this temperature medicines not required. They are used only in cases of fever above 38.5 o C. An exception is an increase in temperature by later pregnancy, in young children who have previously had febrile convulsions, as well as in the presence of severe diseases of the heart, lungs, nervous system, the course of which may worsen against the background high fever. But even in these cases, reduce the temperature medications it is recommended only when it reaches 37.5 o C and above.

The use of antipyretic drugs and other methods of self-medication can complicate the diagnosis of the disease and also lead to unwanted side effects.

In all cases, the following recommendations must be followed:
1. Think: are you doing thermometry correctly? The rules for taking measurements have already been discussed above.
2. Try changing the thermometer to eliminate possible errors in measurements.
3. Make sure that this temperature is not normal. This is especially true for those who have not previously regularly measured their temperature, but have detected elevated data for the first time. To do this, you need to consult a specialist to eliminate symptoms. various pathologies and examination appointments. For example, if a temperature of 37 o C or slightly higher is constantly detected during pregnancy, and there are no symptoms of any diseases, this is most likely the norm.

If the doctor has identified any pathology leading to an increase in temperature to subfebrile levels, then the goal of therapy will be to treat the underlying disease. It is likely that after healing the temperature will return to normal.

In what cases should you contact a specialist immediately:
1. Low-grade body temperature began to rise to febrile levels.
2. Although the fever is mild, it is accompanied by other severe symptoms (severe cough, shortness of breath, chest pain, difficulty urinating, vomiting or diarrhea, signs of exacerbation of chronic diseases).

Thus, even a seemingly low temperature can be a sign of serious illness. Therefore, if you have any doubts about your condition, you should inform your doctor about them.

Prevention measures

Even if the doctor has not identified any pathology in the body, and a constant temperature of 37-37.5 o C is normal, this does not mean that nothing can be done at all. Long-term low-grade fevers are chronic stress for the body.

To gradually bring your body back to normal, you should:

  • promptly identify and treat foci of infection and various diseases;
  • avoid stress;
  • give up bad habits;
  • follow a daily routine and get enough sleep;

Body temperature 37 - 37.5 - reasons and what to do about it?


Before use, you should consult a specialist.

There are five types of body temperature:

  • normal - stays within 35-37 degrees;
  • subfebrile - increased to 38 degrees;
  • febrile - high up to 39 degrees;
  • pyretic - high up to 41 degrees;
  • hyperpyretic - above 41 degrees.

Low-grade body temperature

The symptom is characterized by a temperature of 38 degrees or lower, usually present with colds, inflammation, pneumonia, pathologies of the liver, kidneys, thyroid gland, heart and blood vessels. Subfertility is not a cause for concern if it goes away on its own within 1-3 days. Longer persistence requires a visit to the clinic for tests and, if necessary, treatment.

Febrile body temperature

Temperature range within 38-39°. Usually occurs due to viruses, injuries, damage to the integrity of soft tissues, joints, and musculoskeletal structures. In children under 1 year of age, it may manifest itself as a reaction to teething or weakened immunity. The persistence of a febrile state harms breathing, metabolism and the functioning of such body systems as endocrine, digestive, cardiovascular, and genitourinary.

Pyretic body temperature

The condition of 39-41° is caused by pyrogens - these are infections and bacteria that provoke the development of fever. Fever manifests itself in the form of chills or fever, and also has symptoms:

  • spasms of skin microvessels;
  • decreased sweating;
  • pale skin;
  • irritation of cold thermoreceptors;
  • increase in heat production.

Hyperpyretic body temperature

The medical name for the condition is hyperpyrexia. Life-threatening increase in body temperature above 41 degrees. Most often it signals the development of intracranial hemorrhage, blood poisoning, and in children - measles and enteroviruses. The main symptoms are spasms of subcutaneous vessels, fever, and sometimes delirium. Immediate intervention is required to bring down the temperature - its persistence threatens blood clotting, especially in the armpits, groin and neck.

Temperature in a healthy person

An increase in body temperature without symptoms often remains unnoticed by the patient - and at the same time, even low-grade fever (from 37.2 to 37.9 °C) can be combined with weakness and affect ability to work and physical activity. Mild malaise is not always perceived as a symptom and is associated with stress, lack of sleep, and a changing daily routine.

In order to prevent overdiagnosis, that is, an erroneous judgment about the presence of a disease in a patient, physiological causes of increased body temperature should be excluded. Before the examination begins, it is necessary to collect a detailed medical history, which implies a survey regarding lifestyle, the presence of bad habits, the nature of the diet, the level of physical activity, and professional activities.

If, at the stage of oral consultation, it is found out that an elevated temperature for a long time without symptoms is associated with physiological processes, you will not have to use numerous laboratory and instrumental research methods and medications.

An elevated body temperature in a healthy person is observed:

  • while working in a heating microclimate;
  • in the hot season;
  • in case of clothing that does not correspond to the ambient temperature.
  • during physical activity;
  • when eating large amounts of food with high energy value;
  • when consuming hot foods and drinks;
  • as a result of stress, fear;
  • as a manifestation of daily fluctuations.

Women of reproductive age who have a fever without symptoms should be assessed for possible pregnancy.

If the temperature rises without symptoms in the second half of the menstrual cycle, you should also think about physiological mechanisms.

A heating microclimate is a combination of climatic parameters (ambient temperature, air speed, etc.) that promotes the accumulation of heat in the human body, which is manifested by profuse sweating and increased body temperature. To reduce the intensity of the adverse effect, breaks in work, installation of air conditioners, and reduction of working hours are necessary.

Relaxing on the beach in direct sunlight and staying in a hot room are likely factors that cause an increase in body temperature. Closed clothing from thick fabric, which does not allow air and moisture to pass through, impedes heat transfer - this leads to a temperature imbalance with excessive heat accumulation in the body.

Physical activity includes sports or work loads and leads to an increase in body temperature for no reason that could be determined objectively; with sufficient training, patients feel good, temperature readings return to normal after a short rest.

Eating a large breakfast, lunch or dinner, especially if the food was hot, can affect body temperature: the values ​​shift up to 0.5 °C from the normal level. It is also known that temperature changes when a person experiences strong emotions. An elevated temperature combined with a heat wave or heat wave occurs within a short time after drinking alcohol.

Circadian rhythms are evolutionarily fixed mechanisms that cause body temperature to rise in the evening. The difference between the indicators in different time days can range from 0.5 to 1 °C.

In addition, it is important to clarify which method of thermometry the patient uses. Sometimes temperature for no reason is the result of an incorrect assessment of the data obtained during measurement. Rectal temperature is higher than axillary (determined in the armpit) and oral (measured in the oral cavity).

Determination errors may be associated with a thermometry device - the most accurate are considered mercury thermometers. Electronic and infrared thermometers are sensitive to measurement technology, so you must strictly follow the instructions; the discrepancy between the actual body temperature and the recorded values ​​can reach 0.5 °C.

Temperature as a symptom

Constitutional fever, or thermoneurosis, can cause elevated body temperature without symptoms. Low-grade fever is observed for several months or even longer, while the patient’s health remains satisfactory.

If pathological manifestations are present, they are quite variable, and the connection with fever cannot always be traced. These include hyperhidrosis, a feeling of discomfort in the heart area, headaches, mood swings, sleep disturbances, a tendency to low or high blood pressure or a sharp fluctuation in its indicators for no apparent reason.

Temperature without other symptoms is a presumptive sign:

  1. Infectious and inflammatory process.
  2. Systemic connective tissue diseases.
  3. Endocrine pathology.
  4. Vascular thrombosis.
  5. Neoplasms.

Diseases belonging to the listed groups can begin with an increase in temperature when the clinical picture, including additional symptoms. In some cases, patient complaints and initial examination do not allow any changes other than fever to be detected.

Infectious diseases are a large group of pathologies, many of which can occur in a latent (latent) form - for example, tuberculosis of various localizations, viral hepatitis B and C.

Sometimes high temperature becomes the main manifestation infective endocarditis, outbreaks chronic infection(sinusitis, tonsillitis, carious teeth). Careful diagnosis is required to confirm or refute the infectious nature of the fever.

Systemic connective tissue diseases (systemic lupus erythematosus, dermatomyositis, etc.) are associated with immunological disorders and manifest themselves inflammatory lesion connective tissue. Fever for no reason in adults may last for several weeks or even months before additional symptoms appear.

A complaint that an adult has a fever without symptoms sometimes characterizes initial stage hyperthyroidism. This is a syndrome of hyperfunction of the thyroid gland, manifested by an increase in the level of triiodothyronine and thyroxine and an increase in the intensity of the basal metabolism. The development of pathology can be caused by autoimmune mechanisms; hereditary factors are also important.

Temperature without symptoms in an adult with thrombosis is important diagnostic sign; elimination of fever using heparin therapy in the absence of effect from antibacterial agents suggests the presence of vascular pathology.

Fever due to tumors

In the case of neoplasms, temperature without signs of disturbance in the general condition is recorded at the beginning of the development of tumors of the bladder, kidneys, liver, hemoblastosis, and multiple myeloma. It is believed that the cause of increased body temperature is the production of pyrogens - biologically active substances that contribute to the appearance of fever (for example, interleukin-1).

The severity of fever does not always depend on the size and location of the tumor; elevated temperature without symptoms at the onset of the disease most often corresponds to subfebrile and febrile levels. After tumor removal, as well as during successful treatment With chemotherapy, normalization of temperature indicators is observed.

Fever is characteristic of tumors localized in the cavities of the heart (cardiac myxoma). Before the heart valves are involved in the pathological process, it is difficult to suspect the presence of a neoplasm.

Symptoms characteristic of a full-blown clinical picture of myxoma:

  • sudden increase in body temperature;
  • weight loss;
  • pain in muscles and joints without specific localization;
  • shortness of breath, dizziness, swelling;
  • skin pigmentation.

Fever with cardiac myxoma is resistant to the use of antibacterial drugs. In the blood test, signs of anemia are observed (decrease in red blood cells, hemoglobin), increased ESR, leukocytosis, thrombocytopenia, but in some cases erythrocytosis, thrombocytosis ( increased content erythrocytes and platelets).

Infective endocarditis is a possible complication of the pathological process with cardiac myxoma.

Fever without other symptoms occurs in patients undergoing chemotherapy, radiation therapy and is called neutropenic fever. There is a sharp decrease in the number of neutrophils followed by infection; in this case, the only manifestation of the infectious process is a fever above 38 °C.

It is necessary to carry out antibacterial therapy with monitoring of body temperature and evaluation of effectiveness for 3 days after the start of treatment.

A temperature of 37 in the absence of other symptoms of disease is often observed in small children. Their bodies are still developing, so physiological mechanisms thermoregulation are unformed.

What are the reasons for an increase in temperature to 37 degrees without symptoms?

If children often have a temperature of 37 degrees without symptoms due to imperfect thermoregulation mechanisms, then in adults such a symptom is a sign of pathological conditions.

The most common causes of asymptomatic fever up to 37 degrees:

  • A weakened immune system makes it impossible to eliminate toxic factors from the body naturally, so the metabolic rate increases by increasing the temperature.
  • Pregnancy in women is accompanied by the presence of fetal waste products in the blood.
  • Decrease energy reserves accompanied by a slowdown biological reactions, which leads to acceleration of temperature reactions.
  • Depression and neurological disorders lead to disruption of the functionality of the thermoregulation center in the brain.
  • Hidden infections.

Without symptoms, a temperature of less than 37 degrees is a protective factor, which indicates that pathological condition the body’s defense systems have not yet completely “defeated”. Because of this, doctors do not recommend “bringing down” the temperature in children below 38.5 degrees

.

Latent infections in the prodromal period may not manifest symptoms, but lead to certain disorders.

Causes of high body temperature. To assess the condition of a person with a high temperature, let's find out why the temperature rises too high, for most people it is 38.5 C. It is necessary to understand that a high temperature in an adult is not as dangerous as a fever in a child. If the temperature is not very high, you can bring it down yourself without threat to life. What temperature should I lower for an adult? There are many reasons for an increase in temperature in an adult.

Causes of elevated temperature

Slightly elevated body temperature, which does not decrease at all, but jumps from time to time - how to treat it? How to treat high temperature and is it necessary to do it at all?

Why can body temperature be different?

We all know that normal body temperature is 36.6 C. In fact, this indicator is for the same person in different periods life changes. For example, a thermometer gives different numbers throughout the month, even with full health. This is typical mainly for girls. Their body temperature usually rises slightly during ovulation and returns to normal with the onset of menstruation.

But fluctuations in body temperature can occur within one day. In the morning, immediately after waking up, the temperature is minimal, and in the evening it usually rises by 0.5 C. Stress, food, physical activity, taking a bath or drinking hot (and strong) drinks, staying on the beach, wearing too warm clothes, emotional outburst and many other things can contribute to a slightly elevated body temperature. High temperature small child much more dangerous than high fever in adults.

The cause of high fever in adults can be prolonged exposure to the open sun in hot weather, as well as prolonged exposure of a child to a hot room.

Every person's body has a certain temperature, most often normal. If you measure the temperature in the mouth, then in a healthy person it will not be higher than 37. In an adult, the body temperature can be brought down by taking aspirin or paracetamol every four hours.

Is elevated body temperature normal?

And there are also people for whom the normal body temperature is not 36.6, but 37 C or even slightly higher. As a rule, this applies to boys and girls of asthenic body type, who, in addition to an elegant physique, also have a vulnerable mental organization.

Fever is not uncommon, especially in children. According to statistics, it is typical for every fourth child aged 10 to 15 years. Typically, such children are somewhat withdrawn and slow, apathetic or, conversely, anxious and irritable. But in adults this phenomenon is not unique.

However, you shouldn’t blame everything on the characteristics of the body. Therefore, if the usual body temperature has always been normal and suddenly suddenly becomes elevated over a long period of time and at different times of the day, this is a cause for concern.

Elevated body temperature has different causes...

The reasons for increased body temperature in an adult include the following factors.

The cause of increased body temperature may be an inflammatory process or infection. But sometimes the thermometer readings remain above normal even after recovery. Moreover, elevated body temperature can last for several months. This is how post-viral asthenia syndrome often manifests itself. Doctors in this case use the term “temperature tail”. Caused by the consequences of an infection, a slightly elevated body temperature is not accompanied by changes in tests and goes away on its own.

However, here lies the danger of confusing asthenia with incomplete recovery, when an elevated temperature indicates that the disease, which has subsided for a while, has begun to develop anew. Therefore, just in case, it is better to take a blood test and find out whether the leukocytes are normal. If everything is in order, you can calm down, the temperature will jump and jump and over time it will “come to its senses.”

Another common cause of elevated body temperature– experienced stress. There is even a special term - psychogenic temperature. In this case, elevated temperature is accompanied by symptoms such as feeling unwell, shortness of breath and dizziness.

Well, if in the foreseeable past you have not suffered from stress or infectious diseases, and your body temperature is elevated, then it is better to get examined. After all The cause of a prolonged increase in body temperature may be dangerous diseases .

We exclude dangerous diseases as the cause of elevated temperature

With elevated body temperature, the first thing you need to do is exclude all suspicions of inflammatory, infectious and other serious illnesses(tuberculosis, thyrotoxicosis, Iron-deficiency anemia, chronic infectious or autoimmune diseases). First, you need to contact a therapist who will draw up an individual examination plan. As a rule, if there is an organic cause for elevated body temperature, there are other causes. characteristic symptoms: pain in different areas body, weight loss, lethargy, increased fatigue, sweating. When palpated, an enlarged spleen or lymph nodes may be detected. Usually, finding out the causes of elevated temperature begins with general and biochemical analyzes urine and blood; X-ray of the lungs, ultrasound internal organs. Then, if necessary, more is prescribed detailed studies– for example, blood tests for rheumatoid factor or thyroid hormones. In the presence of pain of unknown origin and especially when sharp decline body weight requires consultation with an oncologist.

The cause of elevated temperature is metabolic disorder

If examinations have shown that there are no organic reasons for elevated body temperature, it is too early to relax, since there is still cause for concern.

Where does the elevated temperature come from, even if there are no organic reasons? It appears not at all because the body accumulates too much heat, but because it transfers it poorly environment. Violation of the thermoregulation system at the physical level can be explained by spasm of superficial vessels located in the skin of the upper and lower extremities. Also, in the body of people with elevated body temperature, disruptions in endocrine system(causes may include dysfunction of the adrenal cortex and metabolism).

Doctors consider this condition as a manifestation of vegetative-vascular dystonia syndrome and even gave it a name - thermoneurosis. And although this is not a disease in its pure form, because no organic changes occur, it is still not the norm. After all, prolonged elevated temperature is stress for the body. Therefore, this condition must be treated. Neurologists at elevated temperatures in such cases recommend massage and acupuncture (to normalize the tone peripheral vessels), psychotherapy.

Greenhouse conditions do not help, but rather hinder getting rid of thermoneurosis. Therefore, for those who suffer from this disorder, it is better to stop taking care of themselves, and begin to harden and strengthen the body. People with problematic thermoregulation need: correct mode day; regular meals with plenty of fresh vegetables and fruits; taking vitamins; sufficient stay for fresh air, physical education and hardening.

The reason for the increased temperature is an error in its measurement!

A thermometer placed under the arm may not give entirely correct information - due to the abundance of sweat glands in the armpit. Inaccuracies are likely in this area. If you are used to measuring your temperature in your mouth (where it is half a degree higher than under your armpit), then know that the numbers will go off scale if you ate, drank a hot drink or smoked an hour before. The temperature in the rectum is on average 1 C higher than in the armpit, but remember that the thermometer may be “wrong” if measured after taking a bath or exercising. Measuring temperature in the ear canal is considered the most reliable today. But this requires a special thermometer and strict adherence to all the rules of the procedure.

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