Test Overview
What is body temperature?
Body temperature is a measure of the body's ability to generate
and get rid of heat. The body is very good at keeping its temperature within a
narrow, safe range in spite of large variations in temperatures outside the
body.
When you are too hot, the blood vessels in your skin expand
(dilate) to carry the excess heat to your skin's surface. You may begin to
sweat, and as the sweat evaporates, it helps cool your body. When you are too
cold, your blood vessels narrow (contract) so that blood flow to your skin is
reduced to conserve body heat. You may start shivering, which is an
involuntary, rapid contraction of the muscles. This extra muscle activity helps
generate more heat. Under normal conditions, this keeps your body temperature
within a narrow, safe range.
Where is body temperature measured?
Your body temperature can be measured in many locations on your
body. The mouth, ear, armpit, and rectum are the most commonly used places.
Temperature can also be measured on your forehead.
What are Fahrenheit and Celsius?
Thermometers
are calibrated in either degrees
Fahrenheit (°F) or degrees Celsius (°C), depending on the custom of the region.
Temperatures in the United States are often measured in degrees Fahrenheit, but
the standard in most other countries is degrees Celsius.
What is normal body temperature?
Most people think of a "normal" body temperature as an oral
temperature of 98.6°F (37°C) .
This is an average of normal body temperatures. Your temperature may actually
be 1°F (0.6°C) or more above or below
98.6°F (37°C) . Also, your
normal body temperature changes by as much as 1°F (0.6°C) throughout the day,
depending on how active you are and the time of day. Body temperature is very
sensitive to hormone levels and may be higher or lower when a woman is
ovulating or having her menstrual period.
A
rectal or ear (tympanic membrane) temperature reading
is 0.5 to 1°F (0.3 to 0.6°C) higher than an oral temperature reading. A
temperature taken in the armpit is 0.5 to 1°F (0.3 to 0.6°C) lower than an oral
temperature reading.
What is a fever?
In most adults, an oral temperature above
100°F (37.8°C) or a rectal or
ear temperature above
101°F (38.3°C) is considered a
fever. A child has a fever when his or her rectal temperature is
100.4°F (38°C) or
higher.
What can cause a fever?
A fever may occur as a reaction to:
- Infection. This is the most common cause of a
fever. Infections may affect the whole body or a specific body part (localized
infection).
- Medicines, such as
antibiotics,
narcotics,
barbiturates,
antihistamines, and many others. These are called drug
fevers. Some medicines, such as antibiotics, raise the body temperature
directly; others interfere with the body's ability to readjust its temperature
when other factors cause the temperature to rise.
- Severe trauma or
injury, such as a
heart attack,
stroke,
heat exhaustion or
heatstroke, or burns.
- Other medical
conditions, such as arthritis,
hyperthyroidism, and even some cancers, such as
leukemia,
Hodgkin's lymphoma, and liver and
lung cancer.
Can a low body temperature be dangerous?
An abnormally low body temperature (hypothermia) can be serious,
even life-threatening. Low body temperature may occur from cold exposure,
shock, alcohol or drug use, or certain metabolic
disorders, such as
diabetes or
hypothyroidism. A low body temperature may also be
present with an infection, particularly in newborns, older adults, or people
who are frail. An overwhelming infection, such as
sepsis, may also cause an abnormally low body
temperature.
Can a high body temperature be dangerous?
Heatstroke occurs when the body fails to regulate its own
temperature, and body temperature continues to rise. Symptoms of heatstroke
include mental changes (such as confusion, delirium, or unconsciousness) and
skin that is red, hot, and dry, even under the armpits.
Classic heatstroke can develop without exertion when a person is
exposed to a hot environment and the body is unable to cool itself effectively.
In this type of heatstroke, the body's ability to sweat and transfer the heat
to the environment is reduced. A person with heatstroke may stop sweating.
Classic heatstroke may develop over several days. Babies, older adults, and
people with chronic health problems have the greatest risk of this type of
heatstroke.
Exertional heatstroke may develop when a person is working or
exercising in a hot environment. A person with heatstroke from exertion may
sweat profusely, but the body still produces more heat than it can lose. This
causes the body's temperature to rise to high levels.
Both types of heatstroke cause severe dehydration and can cause
body organs to stop functioning. Heatstroke is a
life-threatening medical emergency, requiring emergency medical
treatment.