Why is my forehead hot while the armpit temperature is normal, and what should I do?

Jun 05, 2023 Source: Cainiu Health
Dr. Yang Shuwen
Introduction
In clinical practice, body temperature is generally considered accurate when measured orally, under the armpit, or rectally. A warm forehead with normal axillary temperature does not constitute a fever. A warm forehead despite normal body temperature may be caused by external factors, frontal sinusitis, autonomic nervous dysfunction, or similar conditions. Treatment may include physical cooling methods or medical interventions. Normal body temperature may occur in cases of high ambient temperature or after intense physical activity.

In clinical practice, body temperature is typically considered accurate when measured orally, under the armpit, or rectally. Forehead warmth with normal axillary temperature does not constitute a fever. When the forehead feels hot but body temperature is normal, possible causes include external factors, frontal sinusitis, and autonomic nervous system dysfunction. Treatment may involve physical cooling methods, medication, and other interventions. Specific explanations are as follows:

1. External factors

If ambient temperatures are excessively high or after intense physical activity, it is common for skin on the face to feel warm despite normal core body temperature. This is a normal physiological phenomenon and generally requires no concern. Patients can apply cold compresses to the forehead to help reduce the sensation of heat.

2. Autonomic nervous system dysfunction

Prolonged mental stress or excessive psychological pressure may disrupt the balance of the autonomic nervous system, which regulates and coordinates bodily functions. This imbalance can lead to functional disorders, with typical symptoms including palpitations, feelings of impending doom, and sensations of body heat. Under medical supervision, patients may take medications such as Oryzanol tablets or Vitamin B1 tablets for treatment.

3. Frontal sinusitis

Excessive fatigue or exposure to cold may lower overall immunity, leading to infection of the frontal sinus mucosa and subsequent inflammatory response. Clinical manifestations include headache, nasal congestion, and fever. Under medical guidance, patients may take oral antibiotics such as Amoxicillin capsules or Cefalexin tablets for treatment.

In addition to the above common causes, forehead warmth with normal temperature may also be associated with conditions such as encephalitis, meningitis, or menopausal syndrome. If symptoms persist, patients are advised to seek immediate medical evaluation, undergo appropriate diagnostic tests, and follow prescribed treatments.


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