Why do I feel cold all the time?

Question

Hello doctor,

I am feeling extremely cold all the time, except when I am sleeping. It feels like the thermometer in my body is broken, and it cannot regulate my body temperature. I cannot think of any triggering factors. I have been to my primary doctor, endocrinologist, and rheumatologist, and checked for everything. Everything came back normal. Do you have any idea what could be causing this problem?

I have done specific tests like Thyroid antibodies, testosterone, TB gold, IGF, Vitamin B12, Vitamin D, TSH, Free T4, Total T3, Cortisol, CBC, heavy metals, sedimentation rate, CRP, and complete metabolic panel. All are normal.

Kindly guide.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern. According to your statement, you have been suffering from extreme cold all the time except when sleeping.

Feeling cold may have resulted from a fever or long-term exposure to a cold environment. Without fever and cold climate, it may also result from hypothyroidism, anemia, viral or bacterial infection, hypothermia, malaria, etc.

Hypothyroidism is one of the most common causes of feeling extremely cold all the time. When the thyroid gland does not produce enough hormone for metabolism, it does not create enough heat to make the body warm. If a person's body temperature falls too low for any reason, they cannot keep sufficient body temperature. This condition is known as hypothermia, which is a life-threatening condition.

Sometimes, feeling cold occurs before a person gets a fever due to viral or bacterial infections. If a person's Hb% % is below normal, then the body cannot produce enough heat or keep body temperature and fails to make a person warm. This condition is known as anemia.

Again, a person suffering from malaria may feel extremely cold as it has three stages: cold, hot, and sweating. Treatment depends on the causes. You make your body warm by wearing warm clothes, taking hot tea or coffee, eating red meats, oily or fatty foods, stopping fans or air conditioners, taking hot soup, etc.

I hope this helps.

Please feel free to reach out in case of further queries.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

The part of the brain that controls body temperature is called the hypothalamus. So any disorder in the adrenal gland or pituitary gland can cause rapid heat loss and make you feel extremely cold. Some medical conditions, such as DM (diabetes mellitus), stroke, severe arthritis, Parkinson's disease, spinal cord injuries, poor nutrition, anorexia nervosa, etc., affect the body's ability to regulate temperature. Again, some medications like a beta-blocker, neuroleptics, antipsychotics, antidepressants, narcotics, pain medications, sedatives, etc., can also change the body's ability to regulate temperature. Alcohol consumption and substance abuse can cause heat loss, too. So you should undergo MRI (magnetic resonance imaging) of the brain, CT (computed tomography) scan of L/S spine, RA (rheumatoid arthritis) test, RBS (random blood sugar), etc., to find out the underlying causes that are responsible for your suffering and then treat them accordingly.

I hope this helps.

Please feel free to reach out in case of further queries.

Thank you.