Why Am I Always Cold? 8 Possible Reasons
- Stella Kwan
- Nov 29, 2024
- 4 min read
Updated: Nov 30, 2024
Do you often find yourself reaching for a sweater or scarf when others are perfectly comfortable? Always feeling cold can be frustrating and may leave you wondering if something is wrong.
While everyone has a similar average body temperature, slight variations exist. According to Dr. Francesco Celi, an endocrinologist, “Although the ‘normal’ body temperature is 37°C (98.6°F), some individual differences are common.” Factors like gender, climate, and underlying health conditions can play a role.
In Malaysia or other tropical countries, feeling cold all the time might feel out of place given the warm weather. However, the reasons behind this can range from harmless quirks to underlying health conditions. Let’s explore why this might happen and what you can do about it.
8 Reasons You May Always Feel Cold
Thyroid Issues (Hypothyroidism)
The thyroid gland plays a critical role in regulating metabolism and body temperature. When the thyroid produces insufficient hormones, metabolism slows, and blood vessels constrict, making you feel cold.
Tip: If you experience other symptoms like weight gain, fatigue, or dry skin, consult a doctor for a thyroid function test. You can conveniently use eConsult for a virtual medical consultation to discuss these symptoms and get professional advice
Raynaud’s Syndrome
This condition causes blood vessels in the fingers and toes to spasm, reducing blood flow and leaving these areas feeling icy cold or numb, especially in air-conditioned environments. Stress or exposure to cold drinks can trigger an attack.
Tip: Avoid cold drinks or surfaces like marble countertops. Always carry a light jacket or gloves for cold indoor spaces.
Anemia
Iron deficiency, common in Asia due to dietary habits, can lead to anemia. Without enough healthy red blood cells to carry oxygen, your body struggles to stay warm. Low levels of B12 or folate can also cause similar issues.
Tip: Increase iron-rich foods like leafy greens, lentils, and fish. Consider supplements if needed, after consulting your doctor.
Low Body Weight
Body fat helps insulate and regulate body temperature. Individuals with very low body fat, including those with restrictive eating habits or eating disorders, may struggle to stay warm.
Tip: Ensure a balanced diet with enough calories and nutrients. Healthy fats like nuts, seeds, and avocados can help.
Sleep Deprivation
Lack of sleep disrupts the hypothalamus, a part of the brain that controls body temperature. This can lead to poor thermoregulation, leaving you feeling cold even in warm climates.
Tip: Aim for 7–8 hours of quality sleep. Limit screen time and caffeine before bed to promote better rest.
Nerve Damage or Neurological Conditions
Conditions like diabetes, Parkinson’s disease, or even chronic stress can damage nerves responsible for maintaining body temperature. Peripheral neuropathy, a common complication of poorly managed diabetes in Asia, can leave extremities cold and numb.
Tip: If you experience tingling or numbness along with cold sensations, consult a healthcare provider.
Infections or Fevers
When battling infections, the body may adjust its internal thermostat, causing chills. On the flip side, severe infections like dengue or sepsis can cause hypothermia by redirecting blood flow to vital organs.
Tip: Stay hydrated, rest, and seek medical advice if chills are accompanied by a high fever or other severe symptoms.
Medications
Certain medications like beta-blockers, hormonal contraceptives, and chemotherapy drugs may interfere with temperature regulation.
Tip: If you notice a connection between your medication and feeling cold, discuss alternatives or adjustments with your doctor.
How to Stay Warm in Malaysia
Even in a hot and humid climate, indoor environments like offices, malls, and cinemas can feel uncomfortably cold due to air-conditioning.
To stay comfortable:
Dress in light, breathable layers.
Carry a scarf or jacket for air-conditioned spaces.
Drink warm herbal teas or soups.
Use hand warmers or small heating pads for extremities.
When to See a Doctor
If you’ve always felt colder than others, it’s likely just a natural variation in your body. However, if you’ve recently noticed a change in your tolerance to cold, or if you have accompanying symptoms like fatigue, weight changes, or numbness, it’s best to consult a doctor.
Be prepared to answer these questions during your visit:
Have you recently gained or lost weight?
Do you feel cold all over or in specific areas?
Are you experiencing other symptoms like fatigue, constipation, or hair loss?
The Bottom Line
Feeling cold isn’t always a cause for concern, especially if it’s been a lifelong pattern. However, if it’s sudden, persistent, or accompanied by other health changes, seeking medical advice is important. Understanding the reasons behind it can help you find the right solution and improve overall well-being.
Stay warm and take care!
Sources
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Hypothalamus. Cleveland Clinic. March 16, 2022.
Hernandez-Cordero NZ et al. Hypothalamic Dysregulation: A Hidden Culprit in Multiple Sclerosis Symptoms. Journal of the Endocrine Society. May 3, 2021.
Peripheral Neuropathy: What It Is, Symptoms & Treatment. Cleveland Clinic. May 3, 2021.
Drewry AM et al. The Presence of Hypothermia Within 24 Hours of Sepsis Diagnosis Predicts Persistent Lymphopenia. Critical Care Medicine. June 2015.
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