When having a high fever of 39°C, should you cover up to induce sweating to relieve chills?
Aug 22, 2023
Source: Cainiu Health
Dr. Yang Shuwen
Introduction
In general, when experiencing a high fever of 39°C accompanied by chills, it is not recommended to induce sweating by covering up. While it's acceptable to wear slightly more clothing for warmth during a high fever of 39°C with chills, deliberately "trapping sweat" should be avoided, as it may lead to febrile seizures and severe dehydration. During fever, clothing should be adjusted appropriately, and fluids should be replenished promptly to prevent collapse or dehydration.
In general, when experiencing a high fever of 39°C accompanied by chills, it is not recommended to induce sweating by bundling up. Although adding some clothing may be appropriate when fever reaches 39°C and chills are present, deliberately inducing sweat should be avoided, as it could lead to febrile seizures and severe dehydration. The detailed explanation is as follows:
When body temperature reaches 39°C, the internal temperature is already quite high, so inducing sweat is usually not advised. During fever, the body needs to dissipate heat effectively to reduce temperature. Keeping covered too warmly can impair proper sweat evaporation and hinder heat dissipation. Therefore, avoid using thick blankets and ensure adequate ventilation to promote local cooling, which helps lower body temperature.
However, for patients with a high fever of 39°C who also experience chills or shivering, the body temperature may still be rising. In such cases, moderate warming measures may be appropriate to maintain comfort, but excessive bundling to induce sweating is not recommended, due to the risks of febrile seizures and severe dehydration.
During fever, it's important to adjust clothing appropriately and replenish fluids promptly to prevent collapse or dehydration. If body temperature does not decrease明显, continues to rise, or is accompanied by other symptoms, prompt medical attention is advised to identify the underlying cause and receive targeted treatment.
