21 October 2017

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Chills is a typical general symptom of infectious diseases associated with high fever: It comes to muscle twitching - especially at the thigh and back muscles and the muscles of mastication, without it being possible at will affect it. A push usually takes a few minutes and often goes directly to sleep.

Chills is a feeling cold, in which the entire body uncontrollably trembles, So that the Body temperature rises rapidly. The tremors caused by the fact that the skeletal muscle quickly and repeatedly contracts (contracts) and relaxed again.

Chills can have various causes. So the uncontrollable muscle tremors typically occurs when a strong exposure to cold this results in the body temperature falls below its setpoint value.

Often cause infectious diseases, associated with high fever, chills - especially if the whole body is involved in the inflammatory response: The causative pathogens (often bacteria) cause the body as part of the immune response cytokines pours, including fever-causing substances (So-called. Pyrogens). Such substances are likely via the bloodstream into the brain where they trigger a fever response out.

For these febrile response of the hypothalamus designated part of the midbrain is responsible: He adjusted the setpoint of the core body temperature - which is normally at about 37 degrees Celsius - upwards. Then makes the Heat control system of the body such that the body temperature rises follows:

The picture shows a woman lying in bed with fever. © Jupiter Images / iStockphoto

High fever can cause chills.

There are many diseases question as causes of chills - for example:

If for travel - especially in tropical countries - suddenly chills and fever occur even diseases as causes are to be considered, the rare or do not exist in Germany, for example:

In addition, sudden chills, in a Sunstroke or heatstroke arise - caused by long or excessive sunlight and extreme heat. A very rare cause of chills is also the acute glaucoma, an increase in pressure in the eye, which requires immediate treatment.

In addition, medical intervention can cause chills: So the symptom may occur after surgery (or anesthesia) - due to a heat loss before, after or during surgery or by side effects of drugs or administered through the respiratory system anesthetics.

In chills, the first step in the diagnosis in a conversation, the doctor after the medical history inquired (so-called. Anamnesis). What interests, inter alia:

This is followed by physical examination: Here, the doctor scans among other things, the lymph nodes, listens from the lungs and examined the body for obvious inflammation. Usually it is already possible to deduce the cause of the chills.

If, all suggesting that a infectious disease behind the chills infected, an as needed pathogen detection confirm the diagnosis. To determine the exact pathogen, it is necessary to take a blood sample or a swab and apply it an exciting culture (that is, the pathogen under suitable environmental conditions to breed).

Depending suspected what triggers the doctor for the chills, can additional studies be useful - such as:

In chills therapy of hanging reason for the tremor and can therefore be very different from case to case.

Instead, it is advisable for an infection-related chills, supply heat: For example, an extra blanket, a hot water bottle and hot drinks. Only when the fever rose to 39 to 40 degrees Celsius and the chills disappeared is cold leg compresses are useful. In addition, you can use fever-reducing medications (such as Tylenol) for fever.

In addition: Communicate better one doctor, if - especially in children - as well as fever and chills

The doctor can determine what against reason the symptoms to do: Infected one Bacterial infection behind the chills, is a therapy with antibiotics effect (wherein a targeted treatment is possible if the pathogen is known). Is the chills a other disease basis (e.g., influenza, yellow fever, a mushroom poisoning or acute glaucoma) is a targeted treatment of underlying disease necessary.

When a Sunstroke or heatstroke causes chills, is - unlike febrile illness - cold useful: in such heat damage, the immediate measure is to cool the body with cold towels or baths. In some cases it is also necessary to stabilize the circulation. It is important in any case sufficient fluid intake, a water and electrolyte loss balance.


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