We ’ve all been there : burn up with pyrexia — and shivering with shudder at the same clock time . It turn out that what feels like an left over internal thermoregulator malfunction is actually a signaling that your body is fighting off an infection .

The first affair to understand is that most viruses and bacterium have a strong time subsist above normal human body temperature , which can motley by age , activity , and time of day , but is more often than not bear as 98.6 degrees F , according toMedlinePlus .

In fact , even just a one- or two - level hike in temperature can barricade many overrun microorganism in their track . So it ’s no wonder that over millions of years , fever evolved as a agency of assist the torso oppose itself . “ Part of our immune system ’s response against infection includes invoke the body ’s temperature to decrease the ability of microbes to reproduce , ” explainsAmesh Adalja , MD , a senior scholar at the Johns Hopkins Center for Health Security in Baltimore .

Why Do We Feel Cold  When We Have a Fever?

What Makes You Feel Colder When Your Body Is Hotter?

It ’s in reality a normal physiologic response . As shortly as your psyche teddy its internal thermoregulator to a higher fixed point to fight off an infection , the rest of your body goes to work seek to get extra warmth to meet that high temperature goal . Suddenly , you ’re technically below your newfangled “ ideal ” sum temperature , so you finger inhuman .

feel chilled then prompt you to start shivering and even shaking “ as your trunk try out to generate heat to raise your temperature by make your muscles contract , ” explains Nate Favini , MD , a primary aid specialist based in San Francisco .

How Long Do Fever and Chills Last in Adults?

The length of a fever — and any attach to chills — can vary significantly depending on its cause . “ In some case with a mild viral malady , a fever can last for a day , or it can last for weeks to month with systemic infection , ” say Dr. Adalja .

The respectable thing to do is play tec to regulate the informant of your fever free-base on other sign and symptom of your illness , he says . Possible causes abound , includingcolds and the grippe , bronchitis , pneumonia , appendicitis , gastroenteritis , glandular fever , ear contagion , sinus infections , and urinary tract infections ( UTIs ) .

While fever are usually due to viral or bacterial infections , other experimental condition that can impale your temperature let in certain incitive disorder , such as lupus , rheumatic arthritis , and Crohn ’s disease , as well as cancer and blood clot ( such asdeep vein thrombosis ) . Even sealed medications , such as penicillin , sulfa drugs , and antipsychotics , can activate a febrility , as can some illegal drugs , such as cocaine , according to theMerck Manual .

Allison Buttarazzi, MD

What Should You Do When You Have the Chills and Fever?

Fevers and chills in grownup that go hired man - in - hand generally resolve within a few days , notes theMayo Clinic . If your temperature is mildly elevated — between 100 degree F and 102 degrees F — and you have no other disturbing symptoms ( see below ) , the upright course of action is to simply rest and drink plenty of fluid to keep from becoming dehydrated .

However , even though you find dusty on the outside , you should keep clothing and blankets perch to foreclose overheat , because inside your body is very hot , grant toUPMC HealthBeat .

When Should You Call the Doctor?

If your temperature hit 103 arcdegree F , you should contact your physician , per theMayo Clinic . And harmonize to theMerck Manual’sguidance , you should also confabulate your Doctor of the Church if :

look for aesculapian assistant immediately if anything unusual or alarming accompanies the fever and thrill , such as any of these symptom :

What Medication, if Any, Should You Take?

Because fever helps the body defend against contagion and because a temperate fever itself is not serious , theMayo Clinicadvises that it ’s often salutary for otherwise healthy adult to let a fever endure its course .

Also be careful not to take more than one medication containing acetaminophen , which is a unwashed component in many over - the - counterpunch medications , let in cough and cold remedies . Acetaminophen can induce serious harm to the liver if you take too much .

Allison Buttarazzi , MD , is plug-in - certified in internal medicament and life-style medicine , and is a certified health and well - being coach . In her main care exercise , Dr. Buttarazzi focuses on modus vivendi medication to help her patients ameliorate their health and length of service , and her passion is helping patient prevent and reverse inveterate disease ( like gist disease , high blood pressure , and diabetes ) by improving their life-style habits .

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She is a alumna of Tufts University School of Medicine and complete a residency at Maine Medical Center . diagnose with coeliac disease during aesculapian school , she realized the major power of ameliorate one ’s health through diet and lifestyle habits , which she later incorporated into her praxis .

Kristen Stewart is an honor - pull ahead freelance writer who narrow in wellness , lifestyle and parenting subject . She covers a wide range of medical topics from cancer , diabetes , and tenderness health to beast hoarding , soundbox fine art with psoriasis , and more . Her article have been published in a variety of print and on-line publishing such asParenting , Parents , AARP : The powder magazine , The Lohdown on Science radio show , Taste of the Bay , Dog Fancy , and more .

Stewart has written patient education cloth for clients such as Bayer Healthcare , Novartis Pharmaceuticals , and Allergy Advocates . She has been an editor for a wide reach of projects include physician clinical templet , treatment protocols for esthetic and medical optical maser organization , and NIH Ulysses Grant proposal of marriage . Before get down her free lance career , she ferment as a senior editor in chief at UCLA ’s Brain Research Institute .

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Stewart tries to adopt the sizeable life-style she writes about and is always on the observation tower for new recipes . She can often be found at the gymnasium spinning and swim , and even tried her first mini - triathlon a few yr ago .

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