Low Body Temperature But Feel Hot

We all may have experienced at sometime a low body temperature but feel hot; we wonder what the causes could be behind such a strange happening.
It’ll worth knowing a little about our body’s thermostat and the process of thermoregulation and our body’s response to hot and cold temperatures.

Body heat is generated by muscle movement and basal metabolic activity.
Body heat is lost by conduction, convection, evaporation, and radiation.
Our body’s thermostat which regulates body temperature is located in the hypothalamus (in brain). It is extremely sensitive to changes in core body temperature.
The normal temperature is regulated within the range of 37 ± 0.5 degrees Celsius (98.6 degrees Fahrenheit).
Normal body temperature is important for maintaining various physiological functions of our body.
This basal body temperature increases in response to infections.

It Is To Be Remembered That The Site For Measuring Body Temperature Also Influences Values

Oral temperature – It is affected by hot and cold food or drinks and mouth breathing.
Axillary temperature (armpit) – Slightly lower than oral temperature (about 0.5 degrees Celsius)
Rectal temperature – Slightly higher than oral temperature (about 0.5 degrees Celsius)
Skin (shell) temperature – Varies according to the environment
Extremities – Are generally cooler than rest of the body

Low Body Temperature But Feeling Hot – What does it mean?

When the surrounding environment is cold, the body is able to produce heat by the following ways:

Shivering
Cutaneous vasoconstriction
Respiratory heat loss by stimulating ventilation

Low body temperature or hypothermia occurs when the body is unable to regulate or generate heat in a cold environment. In hypothermia, the core boy temperature falls below 35 degrees Celsius or below 96 degrees Fahrenheit.

For the purpose of differentiation and understanding, hypothermia is divided into 3 categories:

Mild Hypothermia

Moderate hypothermia

Severe hypothermia

36-36.4 degrees Celsius

(96.8-97.5 degrees Fahrenheit)

32.0 – 35.9 degrees Celsius

(89.6-96.6 degrees Fahrenheit)

Less than 32 degrees Celsius

(< 89.6 degrees Fahrenheit)

Signs and symptoms:

Fatigue

Increased respiratory rate

Shivering

Increased hunger

Mild confusion

Difficult speech

Signs and symptoms:

Slurred speech

Increased confusion

Signs and symptoms:

No shivering

Disorientation and extreme confusion

Weak and irregular pulse

Slow breathing

Coma and death

Low Body Temperature But Feeling Hot Could Mean The Following Also

Your body is unable to maintain core body temperature (between 96-99 degrees Fahrenheit) in cold surroundings.
Hypothermia also occurs in healthy individuals whose thermoregulatory mechanism is optimum but insufficient to cope with an excess cold or thermal stress.

Certain foods, drinks or substances in your diet or certain medical conditions could be responsible for the temperature mismatch.

Low body temperature is also seen in flu. If you are on fever medications, body temperature reduces during the sweating stage.

What are the Causes?

Causes for having low body temperature but feel hot are:

Sr. No.	Causes	Description
1.	Anorexia	There is significant cold intolerance in people who are underweight. This is because of poor insulation in these individuals. There is poor blood circulation to extremities and poor water, pH and electrolyte balance.
2.	Alcohol	Use of alcohol and recreational drugs impedes the thermoregulatory mechanisms among youngsters and adults.
3.	Extremes of age	Infants are at higher risk for having unusually low body temperature but feel hot. This is because of poor thermoregulation. Hypothyroidism in old age is an additional risk factor for having low body temperatures.
4.	Mental illnesses	Mental illnesses may hamper an individual’s perception of heat or cold. This in return interferes with the body’s response to the surrounding environment. Psychiatric medications may also inhibit the body’s natural response to cold temperatures.
5.	Dehydration	Dehydration is a complication of several major illnesses. Water and electrolyte imbalance occurs which an effect on thermoregulation. This is the reason, dehydrate patients have cold and clammy extremities, low blood pressure and low body temperature.
6.	Menopause	Maximum menopausal women experience hot flushes. There are a sudden rise and decline in body temperature. Changes in ovarian hormones have an impact on thermoregulation. This is the reason low body temperature is also experienced by menstruating women.
7.	Medical conditions	Hypothyroidism patients have an intolerance to cold. This is the reason they frequently complain of having cold hands and feet in spite of feeling hot. Hypoglycemia (low blood sugar level) causes profuse sweating with cold and clammy extremities. Glucocorticoid insufficiency – Also called adrenal insufficiency or Addison’s disease where the adrenal glands do not produce sufficient steroid hormone. Hypoglycemia, low blood pressure, vomiting and diarrhea leading to dehydration are some signs and symptoms of adrenal insufficiency which may be the cause of having low body temperature but feel hot. Stroke – Studies have found that low body temperature within 6 hours of onset of signs and symptoms is associated with severe stroke. Liver failure – It is associated with low blood pressure, dehydration and low blood sugar levels.
8.	Poikilothermia	It is a condition where the boy is unable to maintain a constant core body temperature irrespective of the surrounding environment.

How to Treat?

Treatment for Low Body Temperature but Feel hot Depends Upon the Cause

Conditions like anorexia, menopause and alcohol consumption can be easily identified and treated with the help of counseling, behavior therapy and rarely need medications.
Mild to moderate dehydration can be reversed with correction of body fluids. They may or may not require hospitalization but certainly need to be evaluated if dehydration occurs frequently and remains persistent.
Severe dehydration is a medical emergency and may indicate some serious underlying illness. It requires urgent medical attention and treatment.
Known medical conditions like hypothyroidism, adrenal insufficiency and diabetes mellitus need to be managed with the help of dietary guidelines and medications.

Tips to Control Naturally

It is important to get yourself evaluated for low body temperature but feel hot. Major medical conditions need to be ruled out before attempting to treat unexplained low body temperature at home.

Avoid prolonged contact with the cold environment and cover up adequately.
If you are in a cold environment like snow, wear gloves and scarf to cover all exposed parts of the body. This helps to avoid cold injury or frostbite.
Remove damp or wet clothing as soon as possible. Damp clothing further accelerates heat loss.
Avoid alcohol and drugs
Drink plenty of water and warm drinks
Eat foods that generate heat such as protein bars and eggs.
If the patient is unconscious, do not feed anything and call up the nearest medical center immediately.

Low body temperature but feel hot may seem quite easy to manage. Yet, it can be associated with some major illnesses and may have serious life-threatening complications like seizures and coma.

Dr. Himanshi Purohit

Dr. Himanshi is a Homoeopathic consultant and currently working as a lecturer in Post-graduate faculty of Homeopathy, Parul University, Vadodara. Completed BHMS and MD in Homeopathy in January 2018 and also has a clinical experience of about 6 years. Personal interests include reading, spending time with family and traveling.