Home Pulpitis Heat. What to do

Pulpitis

Heat. What to do

1. ARVI, influenza

It begins suddenly: chills, nagging pain in the frontal region, aches and muscle pain, pain in the eyes, sneezing and runny nose. The temperature jumps quickly - within a few hours - to 38 - 39 degrees.

For relief, we take anti-inflammatory drugs (with paracetamol, ibuprofen, combined analgesics), do inhalations, keep bed rest, drink fruit drinks and tea with raspberries. And we wait 4-6 days for recovery.

2. Cold kidneys

In case of acute inflammation of the pelvic organs (kidneys, ovaries or prostate), the temperature may jump to 38 - 39 degrees, sweat on the forehead, pulling or dagger pain in the lumbar region on one or both sides, radiating to the groin or lower abdomen.

You need to urgently take a blood test (leukocytes will be elevated and ESR indicator). To relieve pain, you can take spazgan or no-shpa, drink urological preparations. To get rid of the infection, you will have to take a course of antibacterial drugs.

3. Tumors

The temperature lasts longer than a month. There is no obvious reason. Combined with general malaise, weakness, increased hair loss, loss of appetite and weight. Lymph nodes enlarge.

This happens with tumors of the kidneys, liver, lungs, and leukemia. There is no need to panic right away, but in some cases it is necessary to be examined by an oncologist without wasting time.

4. Problematic thyroid gland

Elevated temperature (about 37 - 38 degrees) is combined with weight loss, irritability, tearfulness, fatigue, and a feeling of fear. Appetite increases, but weight is lost.

Check your thyroid hormones. When thyroid function is impaired - hyperthyroidism - the entire thermoregulation system of the body is upset.

5. Dystonia

The temperature is about 37 degrees, mainly in young people. Accompanied by changes in pressure, red spots appear on the chest, face, and neck.

This condition is called “constitutional hyperthermia.” It often occurs during nervous and physical stress, for example during exams. This is a type of vegetative-vascular dystonia. Sedative and anti-anxiety medications, tinctures of eleutherococcus, valerian, motherwort and auto-training will help.

6. Rheumatism

An increase in temperature is combined with inflammation of the joints, kidneys, and pain in the heart.

This happens with rheumatism. This is an autoimmune disease, in which the general immune status of the body is disrupted and leapfrog begins, including with fever.

7. Drug fever

Even after examination it is not possible to identify the cause. Nevertheless, the temperature remains around 38 or rises periodically for three weeks.

It's a fever unknown origin" You need to undergo: an immune status test, hormone tests, and an endocrinological examination. Sometimes a rise in temperature can provoke the use of antibiotics, vascular, or hormonal drugs - this is a drug fever.

BY THE WAY

Which is better: powders or tablets?

Pharmacies now have a large selection of fever-relieving medications. different shapes release. Is there a difference, we asked our consultant otolaryngologist Anatoly SMIRNITSKY:

Medicines in tablets or capsules last longer than medicines and syrups. But it takes some time for the tablet to dissolve in the stomach and the active substance to enter the bloodstream. The exception is “fizzy” tablets, which bring down the fever quickly. But all anti-inflammatory pills do not act very well on the gastric mucosa, so it is better to take them after meals. Soluble powders healing effect They give it almost immediately. But such drugs take less time to act. They are good in quality emergency remedy. However, some of them cause drowsiness and are not recommended if you are going to drive (this information should be in the leaflet).

DATA

38.3 degrees - this temperature and higher already needs to be brought down with the help of medications. Without medications, the following will help bring yourself back to normal at a temperature of 37 to 38 degrees:

wiping the body with a weak solution of table vinegar;

green or black tea with raspberries, cranberry juice;

citrus. In order for the temperature during a cold to drop by 0.3 - 0.5 degrees, you need to eat a grapefruit or half a lemon.

Low-grade fever is an elevated body temperature of up to 38 °C, and low-grade fever is the presence of such a temperature for more than 3 days, often for no apparent reason. Low-grade fever is a clear sign of disorders in the body that arise due to illness, stress, and hormonal imbalances. Despite its apparent harmlessness, this condition, in which people often continue to lead their usual lifestyle, may turn out to be a symptom of a disease, including a serious one, and give undesirable consequences for good health. Let's look at the 12 main reasons that cause an increase in body temperature to subfebrile levels.

The inflammatory process caused infectious diseases(ARVI, pneumonia, bronchitis, tonsillitis, sinusitis, otitis, pharyngitis, etc.), is the most common cause of low-grade fever, and it is what doctors tend to suspect first when they complain about temperature. The peculiarity of hyperthermia in diseases of an infectious nature is that it also worsens general state health (there are headache, weakness, chills), and when taking an antipyretic drug it quickly becomes easier.

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Low-grade fever in children occurs with chickenpox, rubella and other childhood diseases in the prodromal period (that is, before the appearance of other clinical signs) and during the decline of the disease.

Infectious low-grade fever is also inherent in some chronic pathologies (often during an exacerbation):

diseases gastrointestinal tract(pancreatitis, colitis, gastritis, cholecystitis);
inflammation urinary tract(urethritis, pyelonephritis, cystitis);
inflammatory diseases of the genital organs (prostate, uterine appendages);
non-healing ulcers in the elderly and patients with diabetes.

To identify indolent infections, therapists usually use a general urine test, and if inflammation in a specific organ is suspected, they prescribe an ultrasound, x-ray, and examination by an appropriate specialist.

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Tuberculosis is a serious infection that causes damage to the lungs, as well as the urinary, skeletal, reproductive systems, eyes and skin. Low-grade fever, along with high fatigue, loss of appetite, and insomnia can be a sign of tuberculosis of any localization. The pulmonary form of the disease is determined by fluorography in adults and the Mantoux test in children, which makes it possible to identify the disease at an early stage. Diagnosis of the extrapulmonary form is often complicated by the fact that tuberculosis is difficult to distinguish from other inflammatory processes in organs, but in this case it is recommended to pay attention to the combination of signs characteristic of the disease: hyperthermia in the evenings, excessive sweating, as well as sudden weight loss.

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Body temperature 37-38 °C along with pain in joints, muscles, rash, swollen lymph nodes may be a sign acute period HIV infection, which damages the immune system. A currently incurable disease makes the body defenseless against any infections - even such harmless ones (not involving death) as candidiasis, herpes, ARVI. The latent (asymptomatic) period of HIV can last up to several years, however, as the virus destroys the cells of the immune system, the symptoms of the disease begin to appear in the form of candidiasis, herpes, frequent colds, stool disorders - and low-grade fever. Timely detection of HIV will allow the carrier to monitor their immune status and, with the help of antiviral treatment, reduce the level of virus in the blood to a minimum, preventing life-threatening complications.

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With the development of certain tumor diseases in the body (monocytic leukemia, lymphoma, kidney cancer, etc.), endogenous pyrogens are released into the blood - proteins that cause an increase in body temperature. Fever in this case is difficult to treat with antipyretics and is sometimes combined with paraneoplastic syndromes on the skin - acanthosis nigricans of the body folds (with cancer of the breast, digestive organs, ovaries), Darier's erythema (with cancer of the breast and stomach), as well as itching without rash and any other reasons.

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Fever with hepatitis B and C is a consequence of intoxication of the body caused by damage to liver cells. Low-grade fever is often a sign sluggish form diseases. Hepatitis B initial stage also accompanied by malaise, weakness, pain in joints and muscles, jaundice of the skin, discomfort in the liver after eating. Early detection of such a difficult-to-treat disease will prevent its progression to chronic stage, which means reducing the risk of complications - cirrhosis or liver cancer.

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Helminthiasis (helminthic infestation)

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An increase in body temperature as a result of accelerated metabolism in the body also occurs with hyperthyroidism, a disorder associated with increased production of hormones thyroid gland. A body temperature of at least 37.3 °C is associated with illness excessive sweating, inability to tolerate heat, thinning hair, as well as increased anxiety, tearfulness, nervousness, and absent-mindedness. Severe forms of hyperthyroidism can lead to disability and even death, therefore, if you have the above symptoms, it is better to consult a doctor and get examined. Antithyroid drugs and healing techniques will help normalize the functioning of the thyroid gland: hardening, diet therapy, moderate physical exercise, yoga. In some cases, surgery may be required.

Body temperature- one of the main physiological constants of the body, ensuring the optimal level of flow biological processes. Slightly reduced or elevated temperature body - how to treat it? How to treat high or low temperature and is it necessary to do it at all?

How to measure body temperature correctly

To find out the exact temperature, you need to measure your rectal temperature. In this case, the measurement error is the lowest. When a patient already has a fever, measurements taken elsewhere will be very different from the actual temperature.

The usual normal body temperature is not very easy to determine. Significant individual variations may occur throughout the day. On average, the temperature fluctuates between 36 and 37.5 degrees. If a person is physically active, he is warm; V evening time The temperature is usually slightly higher than in the morning.

What is the best thermometer to measure body temperature?

The old glass mercury thermometers that remain in most households are already obsolete. In addition, they are quite dangerous in the hands of a child.

Today there are modern temperature meters: digital, or contact, and infrared. While a digital thermometer can be placed in the mouth, rectum or armpit, infrared temperature measuring devices are placed in the ear or forehead.

Digital thermometer (also electronic contact thermometer): Temperature can be read digitally. These models are very reliable, especially when used rectally, as mentioned above. If this is not possible, temperature readings will be relatively accurate if the thermometer is placed in the mouth.

Ear thermometer: Using infrared rays, the temperature is measured in seconds by eardrum. However, this thermometer is not suitable for newborns with otitis media. But if your child is uncomfortable taking rectal temperature, an ear thermometer is a good alternative. At the pharmacy you can ask for a thermometer appropriate for the child's age.

Forehead thermometer: The temperature of the forehead is also measured using infrared rays. But with such measurements, small deviations are often inevitable.

Normal body temperature

We all know that normal temperature body - 36.6 C. In fact, this indicator varies for the same person at different periods of life. 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.

The following may contribute to a slightly elevated body temperature:

stress;
physical activity;
taking a bath;
drinking hot (as well as strong) drinks;
staying on the beach;
clothes that are too warm;
emotional outburst.

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 asthenic type physique, having, in addition to an elegant physique, 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.

Causes of elevated body temperature

The cause of increased body temperature may be inflammation 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.”

Other common reason elevated body temperature – experienced stress. There is even a special term - psychogenic temperature. In this case, elevated temperature is accompanied by symptoms such as bad feeling, 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 can be dangerous diseases.

If the body temperature is elevated, the first step is to exclude all suspicions of inflammatory, infectious and other serious diseases. First you need to contact a therapist who will draw up individual plan examinations. As a rule, if there is an organic cause for elevated body temperature, there are other characteristic symptoms:

pain in different parts of the body;
weight loss;
lethargy;
increased fatigue;
sweating

When palpated, an enlarged spleen or lymph nodes may be detected. Typically, finding out the causes of elevated temperature begins with the following examinations:

general and biochemical urine and blood tests;
X-ray of the lungs;
Ultrasound of internal organs.

Then, if necessary, more detailed studies are prescribed - 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.

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 elevated temperature come from, even if there are no organic causes?

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 superficial vessels, located in the skin of the upper and lower limbs. 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; acupuncture (to normalize the tone of 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 daily routine;
regular, plentiful meals fresh vegetables and fruits;
taking vitamins;
sufficient exposure to fresh air;
physical training;
hardening.

Diseases with high body temperature

The normal value of body temperature is maintained by two groups of processes: heat production and heat transfer. The thermometer will show higher numbers when heat production is activated:

Or if heat transfer deteriorates:

Pneumonia

If except high temperature If you have a cough, shortness of breath even at rest, and/or cough up brown phlegm, consult a doctor immediately! You may have a lung infection such as pneumonia.

Pneumonia can be quite severe, especially in older people and people in poor health. If the doctor confirms the diagnosis, he may prescribe fever reducers and antibiotics. In addition, the specialist will send you for a chest x-ray. Sometimes there is a need for inpatient treatment.

Acute bronchitis

If you are coughing up grayish-yellow mucus and/or having trouble breathing, you may have acute bronchitis (an infection of the respiratory tract). Drink as much fluid as possible and try to reduce your fever. You can also use cough suppressant medications. If you experience shortness of breath or do not feel better after 48 hours, be sure to consult a doctor.

Flu

headache;
pain in the limbs;
runny nose;
a sore throat.

It is very likely that you have something in common viral disease, for example, the flu. Stay in bed and take aspirin or paracetamol to reduce your fever and feel better. If you develop shortness of breath or do not feel better after 48 hours, contact your doctor.

Meningitis

If you have one or more of the following symptoms:

pain when tilting the head forward;
nausea or vomiting;
fear of bright light;
drowsiness or confusion.

See your doctor. These symptoms may be caused by meningitis (inflammation of the meninges), caused by germs or viruses entering the brain.

You will probably be hospitalized to clarify the diagnosis using lumbar puncture. If you have meningitis bacterial origin, you will be prescribed antibiotics, most likely intravenously. If you have meningitis viral origin, no special treatment will be required, but you will be prescribed painkillers and the necessary solutions will be administered intravenously. Recovery usually occurs within 2-3 weeks.

Acute infection of the kidneys or bladder

If you have one or more of the following symptoms:

lower back pain;
frequent urination;
pain when urinating;
pink or cloudy urine.

The cause of these symptoms may be an acute infection of the kidneys or bladder.

Consult a doctor immediately. The doctor will examine you, give you a urine test, and probably prescribe antibiotics. He will also refer you to special X-ray examination kidneys to determine the cause of the disease. Further treatment depends on the results of the examination.

Staying under the hot sun or in a stuffy room

Staying under the hot sun or in a stuffy room can cause your body temperature to rise. In most of these cases, the elevated temperature returns to normal value after about an hour in a cool room. But call a doctor right away if your temperature continues to rise.

High fever associated with postpartum infection

Postpartum infection, although a rare disease these days, can cause fever after the birth of a child. This usually occurs when the uterus and/or vagina becomes infected after childbirth. If you experience pain and redness of the mammary gland, then it may be infected. If your doctor suspects you have a postpartum infection, he or she will send a sample of your vaginal discharge for testing. Treatment includes a course of antibiotics.

Inflammation of the fallopian tubes

If, in addition to a high temperature, you feel pain in the lower abdomen and/or you have had profuse or unpleasant-smelling vaginal discharge. Inflammation fallopian tubes(sometimes referred to as salpingitis) is a possible cause of these symptoms. The doctor will perform a vaginal examination and collect discharge for analysis. If the test results confirm the diagnosis, you will most likely be prescribed a course of antibiotics.

Fever may be a symptom of the following diseases

How to bring down the temperature

What temperature should I lower?

This issue has long been quite acute among doctors.

Both opinions have their place, because an increase in temperature can be caused by various factors: it may be an external manifestation of disorders of the nervous system, in which case taking antipyretic drugs may be powerless.

Temperature may rise slightly during the working day (overexertion, nervous shock), if no symptoms colds However, no, you can’t shoot it down.

Should I shoot down? low temperature if it lasts for several days?

It is quite possible that this is a sign of neurosis or traumatic brain injury, hormonal disorder in organism. In this case, you first need to establish the cause; there is no point in deliberately lowering the temperature.

What medicines can be used to reduce the temperature?

In the human understanding, medicine is a kind of magic pill that must be taken urgently. Undoubtedly, if the temperature has really risen quite strongly and the patient is feeling unwell, you need to take action and give syrup or a tablet.

But before you bring down the temperature with pharmaceutical drugs, try to do it with “natural” techniques. First, give the patient hot tea or compote. This will give the body the necessary amount of moisture. After a while, offer the drink again, but with raspberries. Raspberries promote increased sweating, which helps heat transfer.

Provide cool air in the room.
If possible, try not to wrap the patient up too much.
Rubbing with alcohol will quickly help bring down a very high temperature.

How to bring down the temperature if nothing helps?

Paracetamol suppositories work very well. It is through the intestinal walls that the medicine is absorbed instantly. If you don’t have candles on hand, you can prepare an enema. To do this, dissolve crushed antipyretic tablets in warm water and administer them to the patient.

Reduced body temperature

Often, many people complain about an unreasonable drop in temperature, while their hands and feet get cold, and there is general apathy and lethargy. Low body temperature occurs for a number of reasons:

low hemoglobin;
dysfunction of the thyroid gland;
decreased immunity;
recent illness;
prostration.

If you visited a doctor, took tests, and low temperature body remains, then in order to increase body temperature, try changing your lifestyle - go in for sports, follow the principles healthy eating, take more vitamins.

Causes of decreased body temperature

decreased thyroid function;
adrenal gland damage;
disruption of the normal functioning of the body after a chronic illness;
overwork;
use of a large number of drugs;
pregnancy;
lack of vitamins C and much more.

Reduced body temperature - (i.e. body temperature below 36°C) is sometimes observed in healthy people in the morning, but even at this time it usually does not fall below 35.6°C.

A morning temperature drop to 35.6 - 35.9 ° C is often observed with decreased function of the thyroid gland, adrenal glands, with some diseases of the brain, exhaustion as a result of fasting, sometimes with chronic bronchitis, and also after significant blood loss.

A reduced body temperature inevitably occurs during freezing (after the end of the stage of adaptive warming of the body due to chills) down to 20 ° C and below, when metabolic processes practically stop and death occurs.

A less pronounced, non-life-threatening, decrease in body temperature is sometimes achieved through artificial cooling of the body (artificial hypothermia) in order to reduce the metabolic rate and the body’s need for oxygen, in particular during long periods of time. surgical operations using artificial blood circulation machines.

The first signs of low body temperature

weakness;
drowsiness;
general malaise;
irritability;
inhibition of thought processes.

If a child has a low body temperature, he or she must be shown to a doctor.

If at low body temperature a person does not experience any unpleasant symptoms, alert and efficient, examinations did not reveal any pathology, and the temperature throughout life remains lower than usual for healthy person, this can be regarded as a variant of the norm.

How to increase body temperature

There are life situations in which a person needs to artificially increase body temperature. In this context, there are countless methodologies for achieving the desired indicators, both the most effective and those that are unstable.

First of all, it is recommended as the safest way to increase the temperature, performing physical endurance exercises, and you can determine the list of exercises yourself, the main point in this process is achieving high fatigue.

Also to safe ways increases in body temperature can be attributed to staying in a very hot bath, though with small growth rates - up to 2 degrees.

A general physical method derived from the laws of thermodynamics - placing the body in any space where the temperature is higher than the temperature of the body itself.

One of the simplest, but quite effective ways to achieve the desired result is rub your armpits with salt.

They work almost as well iodine ingredients- for example, a small amount of unrefined sugar along with 4-5 drops of iodine on the tongue, or diluting a larger amount of iodine in a glass of water, adding about 6 tablespoons of unrefined sugar. An increase in body temperature is ensured by such methods.

It is also quite effective consumption of graphite in small quantities.

More exotic ways to increase temperature include: placing the cut onion under the armpits for 10-15 minutes.

Fever in a small child

If a child, especially a small one, has a fever, some parents get scared and don’t know what to do. The appearance of a high temperature signals an emerging disease. At the most critical moments, you should immediately call ambulance, in other cases you can cope with the temperature yourself.

What should not be done if a child has a high temperature?

What needs to be done?

Questions and answers on the topic "Body temperature"

Question:Can the temperature be 37.2-37.3 in the evening and 35.2 in the morning with oncology?

Answer: Such temperature surges are possible, but not only with oncology.

Question:Tell me, is low body temperature normal? In my life, my temperature is 35.4 - 35.6 (I feel good). I had a high temperature only a few times in childhood due to serious illnesses, but now (28 years old) I endure all diseases not just without a fever, but on the contrary with a low fever, right now, for example, I have laryngitis, my temperature stays at 34.8! Stable. (I feel slightly weak). What is the reason for this?

Answer: Low body temperature is not the norm! Check your thyroid function to see if there is any decrease in function.

Question:How to correctly measure a child's temperature?

Answer: Experts recommend measuring the baby’s temperature at rest, or even better, when the baby is sleeping. The baby should be picked up or placed on his side if he is sleeping. Place the thermometer on the side opposite the mother. Placing the thermometer involves placing it completely between the child’s arm and body, as if hiding it from the armpit to the elbow. For children over 4-5 years old, it is permissible to place the thermometer, like adults, perpendicular to the plane of the shoulder.

Question:How many days can you lower your temperature? What to do if the temperature rises again and again?

Answer: In cases where you do not know what exactly is causing your or your child's fever, be sure to consult a doctor if you (or your child) do not feel better within 1 day of getting sick, or if you develop some signs described at the beginning of the article. As we said above, in such situations, it is much more important to identify the cause of the disease and begin treatment aimed at eliminating it than to bring down the temperature. If you know what is causing the fever and it is not dangerous, you can reduce the fever (and accompanying symptoms) within a few days.

Question:Which medicine for fever should I choose?

Answer: To reduce high fever in children, you can use either Paracetamol (Acetaminophen) or Ibuprofen. Paracetamol (Acetaminophen), Ibuprofen, or Aspirin (acetylsalicylic acid) can be used to reduce high fever in adults.

Question:Hello! I am 25 years old, my temperature has been 36.9 - 37.2 for more than half a year. Special problems It doesn't create for me! I just don’t know if it’s possible to do heavy sports (weight lifting) at this temperature? During training it only makes you feel hot, but that’s normal! Please tell me!

Answer: Hello. In a healthy person, body temperature can rise to 37.5C; this is not dangerous. You can exercise if you otherwise have no health problems.

Question:Hello! For four months now the temperature has been 37.5 - 37.7. But only in a standing position, that is, if you lie down, the temperature will return to normal. Doctors say this is a “disorder of internal thermoregulation.” I ask how to treat - they shrug their shoulders. I no longer know what to do or what to think. Help me please. Tell me something. Which doctor should I go to next?

Answer: Hello. Violation of thermoregulation is a normal variant and does not need to be treated.

Question:Please tell me how many minutes it takes to measure the temperature with a mercury thermometer?

Answer: Hello! Body temperature is measured with a mercury thermometer for 7-10 minutes, while the armpit should firmly fix the device so that the result is as reliable as possible. In addition to mercury, there are also electronic contact thermometers. They measure temperature faster, usually within 30-60 seconds. however, many instruments are subject to inaccuracy. The most convenient option for young children is non-contact thermometers that measure body temperature the moment you hold it over the forehead.

Question:Hello, we are 5 months old, our daughter’s temperature has been 37-37.3 since birth, 2 weeks ago we had a general blood test and a general urine test, the pediatrician said that the indicators are normal. But the temperature is constantly above 37. We also now have swollen upper gums, the lower 2 incisors have already erupted. Should I do it or postpone it? what to do with this body temperature? Should I take any additional tests? Until 5 months there was a medical examination for neurology, now the neurologist has authorized the vaccination.

Answer: Hello! Often in children, such a temperature is considered normal, especially if no pathologies are detected in the blood and urine. Regarding vaccinations: I recommend that you consult with an immunologist in person, he will give permission for vaccination or draw up an individual schedule according to which you will vaccinate your baby. I strongly recommend applying Viferon gel to the child’s nose before visiting the doctor; there is a lot of viral infection now, the child must be protected.

Answer: Hello! You have treatment for giardiasis, so you can treat and then monitor this point with repeated tests. The child’s body temperature does not drop critically, so I don’t see any reason to worry yet. You can take a general blood test and see the changes.

Question:A week ago our temperature rose to 37.2. They called a doctor, examined him, said that my throat was red and my breathing was hard and my upper teeth were cutting, she diagnosed “tracheitis”, prescribed the antibiotic Lecoclar, and cough syrup Ambraxol. We took tests. The tests are more or less normal, only the leukocytes are low 3.6. The rest is normal. We started treatment, the temperature subsided for three days, then rose again to 37.2. They took me to the doctor. She said that her throat was normal and her breathing was clear. That most likely these are teeth. Can this temperature be maintained during teething? What should I do?

Answer: Hello! The teeth themselves cannot cause fever. They can cause a temporary decrease in immunity and, as a result, infection with viruses or bacteria. Therefore, when body temperature rises, a high-quality examination by a doctor plus basic tests is recommended - general analysis blood and a general urine test (whether there are any inflammatory changes in them that are responsible for the increase in body temperature). You say that all tests are normal, except for a decrease in leukocytes (may be due to a viral infection). I recommend you start antiviral treatment, for example, the effective and safe drug Viferon. However, before using it, you must consult your pediatrician in person.

The problem of a slight and prolonged increase in temperature in women is one of the most difficult problems in the clinic of internal medicine. There are many “pitfalls” here, and obvious omissions by the doctor in communicating with the patient can lead to a lengthy and costly diagnostic search “blindly”.

Nowadays, an abundance of laboratory and imaging diagnostic methods, of course, can help find the cause, but it is better to do this purposefully. And you need to start with the confidence that an increase in temperature to 37 ° C without clinical symptoms in a woman, this is a sign of illness. Already at the initial stage of a conversation with a patient, a thoughtful doctor is sometimes able to establish that:

The woman never systematically measured her temperature in principle. At the same time, you need to know that normal body temperature has individual fluctuations, and may healthy women reach values of 37.5° C, especially in connection with changes in the menstrual cycle;
The problem may be far-fetched - the thermometer, either electronic or mercury, may be faulty.

Therefore, temperature measurements should be carried out with at least two thermometers, for three weeks or longer, both in the mornings and evenings. Only with a persistent deviation can we talk about an increase in temperature, but not yet about a “fever of unknown origin.” What does it mean? It turns out that not every increase in temperature is a sign of fever.

What does a temperature of 37-37.2°C mean: fever or hyperthermia?

What does it mean low-grade fever?

In addition to fever, hyperthermia may occur. There is a colossal difference between these two states. Let us remind you that:

Fever is a condition in which substances that have pyrogenic potential are released into the blood, that is, they increase the temperature.

Fever is characterized by daily fluctuations, and doctors distinguish different types of them - from remitting to hectic. An example of such an asymptomatic increase in temperature would be pulmonary tuberculoma.

Hyperthermia– this is a shift in the set point in the brain, which determines the rate of “burning” of carbohydrates and fats. If you want, this is setting the “idle speed” higher. A classic example is hyperthyroidism. Increased level thyroid hormones leads to the fact that, for example, a temperature of 37.2 ° C without symptoms in a woman becomes almost constant.

First of all, the doctor must understand whether we are talking about fever or hyperthermia. Then, he and the patient must “stir up” her memory. What if there is a key fact that can suddenly change the entire logical system?

Remember all

First of all, you need to try to remember whether the increase in temperature was preceded or accompanied by the following facts:

travel, especially to hot countries;
change of place of residence;
contact with domestic or wild animals;
consumption of unfamiliar food, national drinks;
visiting zoos, pastures;
communication with people with obvious signs of illness (pallor, jaundice, exhaustion, cough, hemoptysis;
taking medications, nutritional supplements;
using new cosmetics;
taking hormonal contraceptives;
presence of occupational hazards;
alcohol and drug use;
severe stress, depression;
change of sexual partner.

As you can see, this far from complete list can be continued for quite a long time. And each of these points can provide a “clue to the solution.” So, a trip to Thailand is fraught with schistosomiasis, contact with farm animals is fraught with brucellosis, and so on.

Causes of temperature 37 - 37.5 without symptoms in women

Why does low temperature occur?

The causes of fever without symptoms are so diverse that it is easier to name groups of pathological conditions rather than individual diseases. In any case, this information will be useful to patients considering what and how to tell the doctor.

Of course, here we will most likely not talk about typhoid and salmonellosis, since these infections manifest themselves very violently (although typhoid asymptomatic carriage also exists). But diseases such as syphilis, and even with an atypical location of chancre and lymphadenitis, may well cause fever.

Periodic rise in temperature is also caused by local inflammatory foci: chronic pneumonia, endocarditis, cholangitis, thrombophlebitis. Against the background of decreased immunity, various encysted pustules – abscesses – lead to prolonged fever. Among them, pelvic, tubo-ovarian, and pouch of Douglas abscess often occurs in women.

Quite often, fever is accompanied by perinephritis, pyelonephritis, abscess and kidney tuberculosis.

In some cases, anicteric forms may occur viral hepatitis, which are accompanied by minimal intoxication, but are manifested by a rise in temperature. Fever is also characteristic of decompensated liver cirrhosis, but in this case, there are usually signs.

The doctor should be especially wary if the examination reveals enlarged lymph nodes against the background of fever (often patients simply do not suspect this), or do not consider it necessary to complain, since they “don’t hurt.” IN in this case, taking into account the anamnesis, you should always keep in mind, especially taking into account the anamnesis (chaotic sex life, intravenous drug use).

If there have been injuries in the past, especially fractures, the presence of osteomyelitis cannot be excluded, and after a long stay in the hospital - phlebitis and phlebothrombosis at the site of installation of permanent catheters (for example, in a maternity hospital).

Tumors and neoplasms

Typically, tumors can be asymptomatic, and fever is one of the main diagnostic criteria. Most often these are Hodgkin's lymphomas and lymphocytic leukemia, less often - hypernephroid kidney cancer and hepatocellular carcinoma. May also debut acute leukemia, and others malignant neoplasms, including metastatic ones.

The examination data of a gynecologist and mammologist, the results of hysterography, mammography and other research methods are very important. Almost always, if you question a woman carefully, there will be mention of additional symptoms, for example, slight weakness.

Systemic connective tissue diseases

In this case, we are talking about diseases that are more common in women than in men. This is SLE - systemic lupus erythematosus, rheumatoid arthritis and systemic scleroderma. To identify them, especially on early stages, screening studies provide indispensable assistance - detection of antinuclear antibodies, LE - cells, antibodies to DNA.

This allows you to immediately begin a targeted search systemic diseases connective tissue. A great help in this will be the mention of sluggish arthritis, lesions small joints, and other symptoms characteristic of this pathology.

Closely related to these diseases is the group systemic vasculitis– angiitis, thromboangiitis, nodular arteritis. It is important to pay attention to vascular disorders and changes in the blood coagulation system.

Endocrine pathology

As a rule, in this case we are not talking about fever, but about an increase in the level of basal metabolism. Most often, this is a symptom of thyrotoxicosis, or hyperthyroidism. To suggest such a diagnosis, it is advisable to find confirmation of such facts - sweating, the desire to sleep without a blanket, a slight decrease in body weight and emotional lability.

Stool instability, tachycardia and palpitations often develop.

Taken by themselves, these symptoms may hardly bother a woman, especially if she dreams of losing weight, but their combined presence will allow the doctor to confidently prescribe tests for T3, T4, TSH, and antibodies to thyroglobulin.

Reaction to medications

Often, an increase in temperature in women can be associated with long-term use of medications, especially antibiotics from the beta-lactam group. For example, these include drugs such as all penicillins, cephalosporins, carbapenems and monobactams. All of them are widely used, for example, in the treatment inflammatory diseases in women - vaginitis, endometritis, adnexitis, if they are caused by bacterial flora. Sometimes, during an exacerbation, a woman uses antibiotics as self-medication, which causes a slight rise in temperature.

In some cases, women with rheumatic diseases take cytostatics, anticonvulsants(carbamazepine), antipsychotics (haloperidol). They can also lead to a rise in temperature. Sometimes a drug such as allopurinol, which is used for long-term therapy for hyperuricemia and urolithiasis, also causes a slight rise in temperature.

Pregnancy and childbirth

Pregnancy, and especially the first trimester, is a time of intense hormonal and immunological changes in the female body. After all, the unborn child carries half of the foreign genetic material taken from the father. And the duty of the female body is to ensure full acceptance and development of the baby.

Therefore, after conception there may be just a slight low-grade fever, not higher than 37.5 ° C. Then this condition disappears, and the temperature drops to normal.

If the temperature starts to rise again in the later stages, this is no longer a normal option, but a symptom that can be life-threatening for the baby. In this case, you cannot hesitate, and especially not try to “bring down” the temperature on your own, and take antibiotics irresponsibly. You need to see a doctor urgently.

Rare causes of fever

Sometimes it happens that low-grade fever is caused by rare causes. These include, for example, psychogenic causes, hypochondria, hysteroid psychopathy, stress. History also knows more surprising disorders associated with self-hypnosis - for example, the appearance of bleeding stigmata in people.

Quite often, patients with cancerophobia (fear of getting cancer) can have a fever for weeks at a time.

In other cases, when psychogenic reasons, a temperature of 37 °C may appear during the day, but at night it remains normal.
In addition to psychogenic fever, a number of diseases are possible - hereditary myositis, sarcoidosis. Their search usually takes longer, since not all doctors are familiar with them.

For example, if you suspect sarcoidosis, you need to see a phthisiatrician who treats this autoimmune disease, which is not at all related to tuberculosis.

What to do if you have a fever - which doctor should you go to?

Which doctor should I go to if I have a temperature of 37?

Those who have carefully read the material presented will understand that you can choose a “narrow specialist” only if you have any specific thoughts that have developed into confidence. This could be an infectious disease specialist, rheumatologist, gastroenterologist or endocrinologist.

In the same case, if there is no such confidence, you need to come to an appointment with an experienced therapist. Most often, it happens that a doctor (especially in a public clinic) cannot devote as much time to the patient as he should, and the first visit is limited to prescribing a wide variety of tests.

This is also an important stage of the diagnostic search, and should not be neglected.

There is, perhaps, the only exception: if a woman is pregnant, then first of all, you need to visit your local doctor - a gynecologist at the antenatal clinic.

We will not dwell on diagnostic issues - we will only say that most patients, in addition to examinations by a therapist, gynecologist, routine tests, examinations for HIV, blood culture, tuberculosis, undergo CT, MRI, and many instrumental methods “of increasing complexity and cost” .

This approach cannot be called justified: during a diagnostic search, you need to confirm hypotheses with facts, and not search at random.

Conclusion

In conclusion, it must be said: despite the fact that the overwhelming majority of cases of fever are caused by infectious causes, about 20% of all cases remain unsolved. According to experts, in 90% of all cases, such an unknown (cryptogenic) increase in body temperature without symptoms in a woman never occurs again.

Usually in this case we are talking about an episode of sluggish infection, and even about tuberculosis, from which the patient spontaneously and independently recovers without any treatment, without knowing about this diagnosis.

The question of great complexity and ambiguity is whether it is necessary to “test” treat such an incomprehensible and undiagnosed fever.

Some experts believe that if you feel stable and have preserved performance, you should limit yourself to observation. Other experts, especially in disadvantaged regions, believe that it is better to start treatment with anti-tuberculosis drugs, since this is how tuberculosis often progresses in women.

Sometimes low molecular weight heparins are prescribed for “test” purposes if there is a suspicion of venous thrombosis, but especially carefully and carefully it is worth approaching the treatment of unclear fever with hormones if rheumatic diseases are suspected. After all, the slightest error in the intended diagnosis will lead to a decrease in immunity, and if this process is caused by an infection, then the situation will only worsen.

Patients with such unrecognized fever should be monitored over a period of one year after the end of the febrile period. As a consolation, we can say that in ICD-10, the official classifier of all diseases, there is still such a diagnosis - fever of unknown origin.

Human body temperature is an important indicator in making diagnoses. Each patient has his own standards, despite the fact that a thermometer reading of 36.6 degrees is considered standard and natural.

Many people do not pay attention to their temperature or even take it unless there are additional signs of illness.

If you still care about your well-being and periodically monitor your thermometer readings, then you should know and take into account the following facts:

temperature is measured in the armpit, mouth and rectum (standard values differ);
if during the day the thermometer readings fluctuate by half a degree, then this is not a pathology;
the minimum body temperature (less than 36 degrees) is observed during deep sleep;
in the evening, the thermometer readings are higher than in the morning;
in older people the temperature is lower, and in children under three years of age it is higher than in middle-aged people.
If for a long time, an adult has a temperature of 37-37.5 without symptoms, doubts should arise about their health.

It is worth noting that identifying the root cause is complicated by the fact that there are no additional manifestations, and independent diagnosis is unacceptable here.

Increased body temperature is caused by certain proteins called pyrogens. They enter the human body from the external environment (primary) or are produced spontaneously (secondary).

These proteins bind to the hypothalamus and activate immune system and affect a person’s overall well-being.

First of all, the reasons that an adult patient has a temperature of 37 without symptoms are divided into natural and external.

Natural conditions include conditions that have nothing in common with pathological ones, but at the same time regulate temperature regime. An increase in thermometer values occurs under stress, hormonal imbalance in women, due to the adoption of certain medicines, due to the established lifestyle and so on.
Pathological causes of hyperthermia can be different. Some diseases are acquired from strangers through infection. Others are triggered by the functioning of the body. Also often found congenital pathologies, which causes body temperature to rise.

One way or another, when pathological reasons the patient needs the help of a doctor. Every person needs to have an idea of the reasons that can provoke hyperthermia.

Diseases are the most common cause of hyperthermia

The most common reason why a temperature of 37 degrees rises in the evening without symptoms is some kind of disease.

It can be congenital or acquired, occur in acute or chronic form, have a temporary Negative influence per person or permanent.

Respiratory viral infections are the most common cause of fever. Viruses infect the upper or lower Airways person. This activates the body's defenses and there is a sharp rise in temperature to 37.3-37.6 without symptoms. Then, after 3-5 days, additional manifestations occur, and the doctor will be able to accurately determine the cause of the disease.
Pathogens are also known intestinal diseases, which are related to viruses. Microorganisms affect soft fabrics and mucous membranes abdominal cavity, the latent period can last up to a week.
Inflammatory processes can occur without additional symptoms. But most often this happens only in the first days of illness. There is a high probability that after a few days the patient will develop other symptoms of the disease in addition to fever.
Bacterial causes are less common. Statistics show that they are in second place in popularity after viral pathologies. Often bacterial infection becomes a complication of an improperly treated viral disease. Bacteria affect the respiratory organs, tissues, bones, urinary and digestive systems.
Tumor processes are a common reason why the temperature is 37-37.5 for a long time remains symptom-free. Often, it is this symptom that forces patients to see a doctor, where he learns about his disappointing diagnosis.

Pathologies of the respiratory system

If a person has a slight fever and nothing else, this indicates a latent viral or bacterial infection.

Often this is how everyone knows ARVI. With it, the temperature returns to normal within 3-5 days. After some time, the patient may experience additional symptoms such as cough, runny nose or body aches.

It is known that tuberculosis occurs with virtually no symptoms. In this case, a temperature of 37.3-37.5 lasts for 2 weeks or more, and this disease is detected only during an examination of the patient with a complaint of prolonged fever.

Diseases of the urinary and reproductive system

Maintaining a low temperature for a month or more may be due to the chronic course of diseases such as pyelonephritis or cystitis.

They usually appear additional signs, but depending on the sensitivity of the patient may not be noticed. Vulvovaginitis in women and prostatitis in men occur with a slight increase in the thermometer level.

Lesions of the digestive system

Prolonged low-grade body temperature without additional manifestations may indicate gastritis, ulcers, hepatitis, cholelithiasis and other pathologies.

Intestinal infections, colitis and even flatulence can cause a slight increase in thermometer readings.

Other diseases

A temperature of 37.3-37.5 without symptoms in an adult can persist for a long time with such chronic diseases as:

adnexitis.
tonsillitis.
pyelonephritis.

Inflammation of the heart muscle is also accompanied by this symptom, and later additional manifestations join it.

A slight increase in the readings on the thermometer occurs as a result of injuries (bruises, cuts). Even an ordinary splinter that stays in the human body for a long time can provoke this symptom.

In case of blood diseases (for example, leukemia), the temperature increases for a while, after which it returns to normal. This symptom can be caused by: arthrosis, lupus erythematosus, sepsis, allergies, scleroderma and other diseases.

The influence of hormonal levels

Deviations and malfunctions in the functioning of the hypothalamic-pituitary system are always accompanied by causeless temperature fluctuations.

IN last years More and more often, patients turn to specialists with complaints of low-grade fever. However, they do not have additional symptoms of the disease. The cause in this case may be disturbances in the body's hormonal system.

Just a few decades ago, this was largely attributed to the female body. In patients, the failures were accompanied by menstrual irregularities. But in recent decades, disturbances in the production of hormones are common in men.

The thermometer level may show 37-37.5 degrees for several years. The patient does not experience any additional symptoms. This deviation is preceded by head trauma, tumor, cerebral edema, encephalitis and other conditions that could have occurred a long time ago.

Some people with complaints of hyperthermia have hypothalamic syndrome - a permanent dysfunction of the apparatus that regulates body temperature.

The functioning of the thyroid gland and adrenal glands also affects the thermometer readings. Even the functions of the liver and kidneys can affect this process, since these organs are the conductor of hormones in the human body.

Psychosomatics

Temperature 37-37.2 without symptoms in adults of both sexes can be observed due to psycho-emotional reasons. Permanent nervous tension, stress, increased fatigue, lack of sleep - this is what contributes to the appearance of this symptom.

A slight increase in the thermometer level (up to 37.3) is observed in people during rage and anger. If you have recently suffered a serious shock, then there is nothing strange about hyperthermia.

The temperature can also rise due to joyful emotional experiences. It is important to take into account the individual characteristics of the body. Some people tolerate any shock without changes in temperature, while others feel hyperemia at the slightest experience.

Increased temperature in women

Among the fairer sex, temperature fluctuations occur especially often. In some ways, the reasons for this can be called hormonal. But women should be separated into a separate block.

Temperature 37-37.2 during pregnancy early stages- normal and common occurrence. It increases due to the release of large volumes of progesterone, the pregnancy hormone. persist this state can for a long time: during the entire first trimester. It is important to pay attention to your well-being, because during this period all diseases will be dangerous. If there are no additional symptoms, and a pregnant woman has a temperature of 37-37.3 degrees, then there is nothing to worry about.
In the second part of the cycle, an increase in temperature may also occur. It is due to the fact that an egg was released from the ovary, and in its place a corpus luteum. It secretes the same progesterone, which is necessary for conception. During this period, women may note that the thermometer level shows slightly elevated numbers: 36.9-37.1. After the onset of menstruation they will return to normal.
An increase in temperature in patients often occurs after surgical and diagnostic procedures. Laparoscopy, hysteroscopy, metrosalpingography, diagnostic curettage, abortion, childbirth and other procedures are accompanied by an increase in temperature. In this case, you should adhere to the medical recommendations given to the patient after the procedure. Within a short period of time, the thermometer readings will return to normal.
Breastfeeding women always experience a slight increase in temperature. If you measure it in the armpit, you can get values of 37.2-37.7 degrees. It's all about the closely located mammary glands. It is believed that these indicators are not informative, since they show the temperature breast milk. Women during lactation should measure it at the elbow.
Some menopausal women experience hyperemia with readings of 37-37.4 degrees, which is not a deviation from the norm.

Diagnosis and treatment

Before you start looking for one or more causes of hyperthermia in yourself, you need to make sure that the measurement was carried out correctly. Observe the following rules when determining body temperature:

use a working thermometer (it’s good if it’s a mercury thermometer);
take measurements in same time(not earlier than half an hour after meals and physical activity);
if the measurement is carried out in the armpit, then it should be clean and dry.

If you have persistent hyperthermia, you should definitely consult a doctor. The specialist will prescribe certain types of examinations to the patient, based on the anamnesis and concomitant clinical picture. When diagnosing, it is necessary to undergo the following studies:

blood test (general, biochemical, sugar and clotting);
urine analysis (general, according to Nechiporenko, with interpretation of salts);
ultrasound scanning of the peritoneum (kidneys, pelvis, digestive organs);
examination of the heart and blood vessels (ultrasound, ECG, Doppler);
X-ray and fluorography;
determination of antibodies, tumor markers, pathogens and a narrower range of diagnostic procedures (if necessary).

What should the patient do?

Usually, low-grade fever (up to 38) does not require taking antipyretics. However, all rules have their exceptions.

Reducing a temperature above 37.5 degrees is necessary for pregnant women, people with diseases of the nervous system, and patients who are prone to seizures.

For this purpose, common drugs based on ibuprofen or paracetamol. In other situations, you should do the following:

take a horizontal position (this will help stabilize emotional condition and relieve tension);
perform aromatherapy (oil will help eliminate hyperemia tea tree, mixed with orange);
place a cloth soaked in water on the forehead and temples (you can add vinegar in equal proportions for effectiveness);
drink fortified tea (with lingonberries, viburnum, raspberries).

Helminthiasis (helminthic infestation)

How to measure body temperature correctly

What is the best thermometer to measure body temperature?

Normal body temperature

Causes of elevated body temperature

Diseases with high body temperature

Pneumonia

Acute bronchitis

Flu

Meningitis

Acute infection of the kidneys or bladder

Staying under the hot sun or in a stuffy room

High fever associated with postpartum infection

Inflammation of the fallopian tubes

How to bring down the temperature

What temperature should I lower?

What medicines can be used to reduce the temperature?

Reduced body temperature

Causes of decreased body temperature

The first signs of low body temperature

How to increase body temperature

Fever in a small child

What should not be done if a child has a high temperature?

What needs to be done?

Questions and answers on the topic "Body temperature"

What does a temperature of 37-37.2°C mean: fever or hyperthermia?

Remember all

Causes of temperature 37 - 37.5 without symptoms in women

Tumors and neoplasms

Systemic connective tissue diseases

Endocrine pathology

Reaction to medications

Pregnancy and childbirth

Rare causes of fever

What to do if you have a fever - which doctor should you go to?

Conclusion

Diseases are the most common cause of hyperthermia

Pathologies of the respiratory system

Diseases of the urinary and reproductive system

Lesions of the digestive system

Other diseases

The influence of hormonal levels

Psychosomatics

Increased temperature in women

Diagnosis and treatment

What should the patient do?

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