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Medical Forum / General / General / June 2005

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Fever after being outside

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stryped@hotmail.com - 13 Jun 2005 15:54 GMT
My fevers seem to come on after I have been outside for some reason.
Not always but most of the time. Even when the sun is not out and I
dont think I am getting hot. Does that make any sense?
Twittering One - 13 Jun 2005 16:00 GMT
No, Please explain.
Please be more specific.
stryped@hotmail.com - 13 Jun 2005 16:17 GMT
Went outside yesterday. It was cloudy and raining a little. I was
washing my lawn mower. (Just fixed it and it was real dirty).
Temperature when I went in was 99.7.

Doctor has wanted me to take my temperature several times a day because
of intermittent fevers.
Jeff - 13 Jun 2005 18:26 GMT
> Went outside yesterday. It was cloudy and raining a little. I was
> washing my lawn mower. (Just fixed it and it was real dirty).
> Temperature when I went in was 99.7.
>
> Doctor has wanted me to take my temperature several times a day because
> of intermittent fevers.

99.7 is not a fever. 100.4 is. (Doctors don't consider a temperature below a
certain point, usually 101 F or 38 C (100.4 F) a fever.)

You were busy outside, moving around, etc. That generates heat. When heat is
generated, your body temperature goes up. This is normal.

Jeff
stryped@hotmail.com - 13 Jun 2005 18:54 GMT
Is it possible to go up so high that it induces flu like symtoms? I was
workign outside and got hot one day on my dad's bushhog trying to get a
rusted part off. About an hour later I started feeling bad and got flu
like symtpms: extremely cold, headach, shivering and a fever of 102. By
the next day I was fine.
Jeff - 14 Jun 2005 16:15 GMT
> Is it possible to go up so high that it induces flu like symtoms?

With a temperature you will feel warm and probably thirsty. It shouldn't
cause flu-like symptoms (except feeling warm and thirsty).

> I was
> workign outside and got hot one day on my dad's bushhog trying to get a
> rusted part off. About an hour later I started feeling bad and got flu
> like symtpms: extremely cold, headach, shivering and a fever of 102.

When you are overheated from being outside and active, you feel warm, not
cold (shivering).

When you are sick and feel cold (shivering), what I think happens is that
your body has a thermostat (in the part of the brain called the
hypothalamus). The set point of the thermostat goes up in response whatever
was causing this (probably a virus or a bacterium or some other infection or
inflammation). When your set point goes up, your temperature is below the
set point and you feel cold and start to shiver. (So if your temperature is
102 and your hypothamalus is saying it is supposed to be 103, you will still
feel cold.)

So if you feel cold and have a temperature of 102, there is something going
on that is not related to excercise or being too warm.

Jeff

> By
> the next day I was fine.
stryped@hotmail.com - 13 Jun 2005 18:58 GMT
Is it still not considered a fever if your "normal" temperature is
below 98.6? Mine over the years actually has been about 97.6.
Jeff - 14 Jun 2005 16:25 GMT
> Is it still not considered a fever if your "normal" temperature is
> below 98.6? Mine over the years actually has been about 97.6.

Actually, the average body temperature is around 98.2 F. What happened is
that the original temperature measurements where metric with an average temp
of 36.8 C. This got rounded up to 37 C and then converted  to 98.6 F. 98.6
is the temp that stuck as normal ever since.

I think the idea of calling a particular temperature a fever isn't to say
that the temperature is above normal, but rather, it is clinically
significant or something that you should really pay attention to. In other
words, if you have a temperature of 100 and feel pretty much ok, you will
get over it  without any problem. When the temperature gets higher, then you
more likely have a problem. So 100.4 or 101 or whatever is really a cutoff
based on clinical experience as a temperature that is more likely to
indicative of something that can be serious.

Of course, a fever is not an illness, but a symptom. You have to take all
the signs and symptoms together. If you have a cough, your lungs sound
really bad, you are shivering, you have difficulty breathing and a temp of
105, one would think about pneumonia or another serious infection. If  you
have a temp of 101, are dehydrated, and feel really warm and sweaty, one
would think that you are too hot, perhaps because you were just cutting the
grass. Getting fluids, getting into the shade or air conditioning are key.

Jeff
stryped@hotmail.com - 14 Jun 2005 18:46 GMT
What do you think of these symtoms and night sweats I am having?
Jeff - 14 Jun 2005 19:09 GMT
> What do you think of these symtoms and night sweats I am having?

A condition that you should talk to your doctor about.

There are at least 100 different things it could be.

Jeff
stryped@hotmail.com - 14 Jun 2005 19:41 GMT
I am. It is just goign so slow. What could it be? What will she want to
do next? I have had a gallium scan and a ct scan of my chest as well as
bloodwork.
Jeff - 15 Jun 2005 02:21 GMT
>I am. It is just goign so slow. What could it be? What will she want to
> do next? I have had a gallium scan and a ct scan of my chest as well as
> bloodwork.

You search google for fever of unknown origin. Without knowing your full
history, doing a full physical exam, and see all the lab test and imaging
studies, I don't know what she will do next.

Jeff
stryped@hotmail.com - 15 Jun 2005 14:03 GMT
I can tell you all the tests I have had.
Jeff - 15 Jun 2005 15:38 GMT
>I can tell you all the tests I have had.

But I can't see the results, examine you or get a full history. You have to
work with your doctor.

I can't really help you. Your doctor can.

Jeff
stryped@hotmail.com - 15 Jun 2005 18:57 GMT
Do you know naything about Gallium scans?
Jeff - 16 Jun 2005 02:34 GMT
> Do you know naything about Gallium scans?

Not really.

Jeff
 
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