Health

Ask Health Experts and Get Answers to Your Health Question ASAP

Ask an Expert,
Get an Answer ASAP!

Health
This answer was rated:

I Have Extreme Chills With No Fever. Please Help.

I have extreme chills but...

I have extreme chills but no fever. This has been going on for months. I got these tests done- blood work, MRI, EEG and so on. Still no reason for the chills. These are not minor chills. I wrap up in a blanket and still shiver. It can be 90+ degrees outdoors and still I am chilled. This happens on and off all day. It feels like ice water in my veins. Then when I do get warm, I get hot, like boiling water, but not like a hot flash.

Show More
Show Less
Ask Your Own Health Question
Answered in 8 minutes by:
10/1/2007
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 36,887
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
Verified

Hello,

Were your thyroid function tests done?

Are you on any medications?

Ask Your Own Health Question
Customer reply replied 10 years ago

Yes and they were negative. I was taken off Lyrica, as the Dr. thought that might be part of the problem, but nothing has changed. I take the following medications and have for over a year:
Metformin 1000 mg a day
Glimepiride 2 mg a day
Vytorin 10/20 tabs 1 a day
Actos 45 mg a day
Vicodin as needed 7.5/750
Lisinopril 20 mg a day
Potassium 99 mg a day
Calcium 500 mg a day
Magnesium 250 mg a day
Black Cohos Root 300 mg a day

The Dr. went over all the medications again last week with me.

Hello,

Two of the commonest causes of chills without fever are abnormal thyroid functions and medications. I am sending you a link where you can read all other common causes for this, like Anemia, Hypoglycemia, Uncontrolled blood sugar etc. You can visit this link:

http://health.msn.com/womenshealth/articlepage.aspx?cp-documentid=100159027

Usually the approach for this is to get serial blood tests, chest x-ray and sonography done at 2-3 moths interval. Sometimes, initially all the things are normal but later on a small abnormality may be detected by these regular investigation. This clue can then be further investigated.

Ask Your Own Health Question
Customer reply replied 10 years ago

My thyroid test came back normal. Medications my Dr. don't feel are the issue as nothing has changed with them. The Diabetes is well under control and no Hypoglycaemia in about a year. I have had extensive blood tests done, but everything still seems to be normal. The blood tests have been done over weeks and started about three months ago. The chills are so severe at times that they wake my husband.
Does anyone have any other ideas? This can't be totally uncommon, something has to be making this happen.

Doctor Nash
Doctor Nash, Professor of Medicine (MD)
Category: Health
Satisfied Customers: 616
Experience: I've been teaching and practicing medicine for more than 40 years.
Verified

In most cases, a shaking chill is a mechanism to raise body temperature by increasing the activity of muscle cells. As they contract, do work, the cells generate heat, much as an auto mobile engine generates heat as it does work.

So, what is putting out a call for help by raising the body temperature? Usually this is the presence in the body of a foreign protein such as a bacteria, their toxins, or viruses. Unusually, it is another type of invader that we generally do not test for. The purpose for the increase in body temperature is that the higher temperatures help the immune system inactivate and kill them.

I would not look first at the shaking, I would consider your problem a fever of unknown origin (FUO). The muscle contraction is only a means to an end. Why do you need to have an increase in body temperature?

The following is copied from this source:

  • Although infections are the most common causes of elevated body temperature, fevers have a long list of other causes, including toxins, cancers, and autoimmune diseases.

Please go to the linked page. You will see elaboration of what I have told you, with a long list of possible causes that should be investigated for you.

I recommend that you see a good internal medicine doctor with experience in infectious and autoimmune diseases, who knows how to deal with FUOs. I doubt that a family practitioner would deal with this often. Also, ask him to see if he can shorten your mediation list.

Tell me where you live in North Carolina so that I can help you find a specialist if necessary. If you are close to any of the excellent academic medical centres in NC, that may be your best bet.

There is another possibility you may explore, although it would take longer and is my second choice. You can have your doctor look at the list of causes in the link and arrange for appropriate tests for all, and send samples drawn under your normal circumstance, during a chill, and when your body temperature has risen, for blood cultures to the Centre for Disease Control and Prevention (CDC) in Atlanta, GA, to test for rarely seen entities.

This is the protocol at my university medical centre. We have excellent clinical and research laboratories, but there are tests that are so infrequently needed that, unless one of us has set up to do them because of a special clinical and research interest, we send them out.

Ask Your Own Health Question
Customer reply replied 10 years ago

Thanks for the information. I see an endocrinologist (sp) every three months. Is that the specialist you are speaking of? I have been taking my temp whenever this happens and it's between 96 and 98 degrees.

The only way I can describe this is, ice water running through my veins. Sometimes my hands and feet feel cold to the touch but not always.

I live in Hendersonville, NC.

Are the numbers you gave during the chill or when you feel (naturally) warm after the chill?

Although I was not thinking of an endocrinologist, he had to have been a very good intern or he would not have been accepted for a fellowship in endocrinology. Have you discussed this problem with him/her?

Ask Your Own Health Question
Customer reply replied 10 years ago

I go back to her in a few weeks. The numbers are taken during a chill, which I'll be honest, are getting to be more and more often. They last from about 5 mins up to about 30, and most all day long. Have been waking up around 3 - 4 each morning shivering. BP has been really good. Hands and feet are usually cold to the touch now.

The next time you chill, take your temperaature during it and then after it when you feel warm.

Those numbers may allow me to eliminate some possibilities.
Ask Your Own Health Question
Customer reply replied 10 years ago
Starting to feel cold 95.0 - shivers 96.1
back to chilly 95.4 then very hot 95.6

I will be talking with an infectious disease guy tomorrow about two other JA clients. If you don't mind, I'll bring you into the discussion.

Ask Your Own Health Question
Customer reply replied 10 years ago
Please do and thank you. Any insight will be greatly appreciated.

Do you sweat during the chill and/or after. I have been thinking of two possibilities, but they are usually accompanied by flushing of the skin and excessive sweating.

Ask Your Own Health Question
Customer reply replied 10 years ago
Sometimes I sweat after, not always. Usually have a flushed appearance about 85% of the time, even before this started.

Now we have some things to look for. The sweating and flushing are clues to something neuroendocrine.

It is now up to the endocrinologst to have a high index of suspicion for:

or more rarely

Pheochromocytoma is the more common of the two, and I have dealt with a fair number of them. Carcinoid is quite rare, but I have seen three cases here at JA in the past 18 months, which is striking because I probably did not see more than that in my career.

Suggest these to your endocrinologist. If the next appointment is very far down the road, you'll do well to try for an earlier one.

And do continue to keep me informed.

Doctor Nash
Doctor Nash, Professor of Medicine (MD)
Category: Health
Satisfied Customers: 616
Experience: I've been teaching and practicing medicine for more than 40 years.
Verified
Doctor Nash and 87 other Health Specialists are ready to help you
Ask your own question now
Customer reply replied 10 years ago
Thank you. My next appointment is on Tuesday and I'll mention these to her.

I will keep you informed. Thanks for the lead.

You are very welcome.

Ask Your Own Health Question
Ask Doctor Nash Your Own Question
Doctor Nash
Doctor Nash
Doctor Nash, Professor of Medicine (MD)
Category: Health
Satisfied Customers: 616
616 Satisfied Customers
Experience: I've been teaching and practicing medicine for more than 40 years.

Doctor Nash is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor (MD)

5,660 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Nurse Milli, RN

Nurse Milli, RN

Nurse (RN)

4,051 satisfied customers

20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.

Dr. Ketch

Dr. Ketch

Doctor

102 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Doctor (MD)

5,095 satisfied customers

Practice Director

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor (MD)

36,887 satisfied customers

MBBS, MS (General Surgery), Fellowship in Sports Medicine

Dr. Chip

Dr. Chip

Doctor (MD)

14,036 satisfied customers

Over 20 yrs of Family Practice

Dr. Mark

Dr. Mark

Doctor (MD)

6,234 satisfied customers

U.S. Physician/Surgeon in Neurosurgery

< Previous | Next >

Related Health Questions
My husband feels like he has something stuck in his stomach
My husband feels like he has something stuck in his stomach and every few minutes he gets a pain. What can I do?… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
36,887 satisfied customers
Dr I have this painless bump below the opening of my penis,
Dr I have this painless bump below the opening of my penis, and it's grey there. Is this normal?… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
36,887 satisfied customers
I swallowed a small Zoloft pill without water prior to going
Hello I swallowed a small Zoloft pill without water prior to going to bed and feel like it is stuck in my throat. I've tried drinking water, made myself vomit by coughing and ate food. Nothing has hel… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,285 satisfied customers
I m wondering how it takes tame fkunti completly clear you
Hi. I m wondering how long it takes tame fkunti completly clear you system. Having someone me and cramping and other symptoms that i think are due to the med not the flu … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,077 satisfied customers
My daughter keeps getting pinworm infections, she also has a
My daughter keeps getting pinworm infections, she also has a gecko. My husbans thinks that she is getting it from the gecko. I have been reading online and found mixed answers about whether or not hum… read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
798 satisfied customers
Been having Flu like symptom for close to a year now, until
Good day. Been having Flu like symptom for close to a year now, until recently I started feeling nauseated, fulness, loss of appetite and constant burping.. really don't know what am up against.. kind… read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
798 satisfied customers
My 4 year old has been puking liquids and loose since this
My 4 year old has been puking liquids and loose poops since this morning. … read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
798 satisfied customers
I am wondering if a blood pressure of 156/97 will 81 pulse
I am wondering if a blood pressure of 156/97 will 81 pulse is need for alarm? This was at resting and had onset of headache and heaviness. 40 year old female not on blood pressure meds. Thank you. … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
36,887 satisfied customers
I have had chills, muscle aches, no appetite for the last 5
I have had chills, muscle aches, no appetite for the last 5 days. Usually better in the morning, but worse in the afternoon and evening ( extremely fatigued as well). No runny nose, slight cough, ear … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,077 satisfied customers
I have a lump in my throat after violent vomiting. It's not
It's not visible, and since last night after the episode of vomiting … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
36,887 satisfied customers
I was bitten by a cat yesterday. I am taking Augmentin and a
I was bitten by a cat yesterday. I am taking Augmentin and a Medrol Dose pack, which I started yesterday. I was also given Percocet for pain. I take Klonopin 2mg every night. I took Percocet at 6 PM a… read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,077 satisfied customers
Arun A while back I pulled my hamstring (muscle behind the
Hello doctor Arun A while back I pulled my hamstring (muscle behind the knee, bellow knee) so I started wearing brace all summer long in a day time only of course, I do not wear it any longer as of 4 … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
36,887 satisfied customers
Every night I wake up dizzy, bathed in sweat and then throw
Every night I wake up dizzy, bathed in sweat and then throw up. My dr thinks I have gastroparasis. Could what I experience at night be part of gastroparasis? … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
36,887 satisfied customers
Well i forgot to mention that im of on my holidays to New
Hi doc..well i forgot to mention that im of on my holidays to New York on Monday doc.and im looking forward to it big time... yesterday was a good day.. today untill lunch Time ok.but then i started f… read more
Dr. Chip
Dr. Chip
Doctor (MD)
M.D.
14,036 satisfied customers
I was preparing macaroni salad and had all the ingredients
Hi. I was preparing macaroni salad and had all the ingredients on my table. I left for literally 20 seconds max to check my phone. When I got back to the kitchen, my cat was nibbling on a portion of t… read more
Dr. Kara
Dr. Kara
Doctoral Degree
5,383 satisfied customers
1) Is it healthy to eat grilled chicken when it's grilled
Hello,1) Is it healthy to eat grilled chicken when it's grilled with charcoal? Some people say it's not healthy.2) In general, what's the healthiest option to prepare chicken?… read more
Dr. Scott
Dr. Scott
Doctor
1,028 satisfied customers
I had unprotected oral sex with a man I do not know well. He
Hello. I had unprotected oral sex with a man I do not know well. He assured me that he was negative for STD' s and that he gets tested regularly. He came in my mouth a little bit but I pulled away and… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
36,887 satisfied customers
I have had a numbing chill like feeling on my legs for about
I have had a numbing chill like feeling on my legs for about two weeks now. It's constant and when it happens I get a strong urge to urine and bowel movement but can't seem to go very much … read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
798 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x