Body alternately feels cold and hot

Feeling alternately cold and hot may generally be caused by non-disease factors such as emotional stress, but it could also be related to medical conditions including viral colds, endocrine disorders, or thyroid dysfunction. It is recommended that patients seek immediate medical attention upon noticing these symptoms. Once the underlying cause is identified, targeted treatment should be initiated; otherwise, inappropriate treatment may worsen the condition.

I. Non-disease Factors

Alternating sensations of cold and heat in the body may result from high levels of emotional stress. Stress can lead to changes in blood flow velocity and increased heart rate, which in turn alter the body's basal metabolic rate, causing fluctuations in body temperature. This condition usually resolves on its own with adequate rest and does not require specific treatment.

II. Disease Factors

1. Viral Cold

Alternating chills and fever may indicate a viral infection and are often early signs of a viral cold. Treatment for viral colds should be symptom-based. For example, if general fatigue and body aches occur, medications such as Yuanhu Zhitong Dripping Pills may be used. For fever, antipyretic analgesics like ibuprofen, acetaminophen, or diclofenac sodium can be administered. Antiviral therapy may include antiviral oral liquids, Lanqin Oral Solution, ribavirin, or oseltamivir.

2. Endocrine Disorders

Endocrine imbalances may also cause alternating feelings of cold and heat. Such imbalances are commonly triggered by emotional fluctuations, reduced immunity, irregular lifestyle habits, or improper use of medications. Treatment for endocrine disorders should target their root causes and primarily focus on regulation and restoration of balance.

3. Thyroid Dysfunction

Alternating sensations of cold and heat can also be one of the clinical manifestations of thyroid dysfunction. Initial evaluation should include definitive diagnostic testing, such as thyroid function tests, and, when necessary, testing for thyroid autoantibodies. Depending on the severity, mild cases may be treated with oral antithyroid medications, typically over a course of one and a half to two years. During treatment, regular monitoring of blood counts, liver function, and thyroid function indicators is essential, and medication regimens should be adjusted accordingly based on disease progression.

If symptoms of alternating cold and heat persist despite rest, prompt medical consultation is advised to determine the exact cause and begin appropriate treatment under medical supervision. During treatment, avoid acidic, spicy, and irritating foods. Maintain regular meal times with consistent portion sizes, follow a healthy sleep schedule, ensure sufficient sleep, and avoid overexertion and staying up late.