Why do you experience sudden temperature swings from hot to cold without sweating?
These rapid shifts between feeling hot and then cold are common with lupus, especially systemic lupus erythematosus (SLE). A MyLupusTeam member described it perfectly: "One moment, I am so hot it feels like there is fire surging through my Show Full Answer
Why do you experience sudden temperature swings from hot to cold without sweating?
These rapid shifts between feeling hot and then cold are common with lupus, especially systemic lupus erythematosus (SLE). A MyLupusTeam member described it perfectly: "One moment, I am so hot it feels like there is fire surging through my veins... Then the next moment, I am shivering cold."
This happens because lupus affects your immune system, which can disrupt how your body regulates temperature. About 70 percent of people with lupus in the U.S. have SLE, and these sudden temperature changes are frequently reported.
These episodes could signal:
* An approaching lupus flare
* Your body's response to inflammation
* A side effect from medications like corticosteroids
Even without visible sweating, your body is struggling to maintain a stable temperature. This is your immune system creating internal chaos that affects your body's thermostat. What you can do:
Track when these episodes happen and share patterns with your healthcare provider. They may indicate you need treatment adjustments.
To help manage these swings:
* Stay well hydrated throughout the day
* Wear layers you can easily remove or add
* Keep your environment at a comfortable temperature
* Avoid triggers like caffeine, alcohol, and spicy foods
If these temperature changes are new, worsening, or happening with other symptoms like fever or joint pain, contact your doctor. They can check if this signals a flare or if your treatment plan needs updating.
January 17
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