What Causes Cold Intolerance? (2024)

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Cold intolerance isn’t an illness but is a symptom of an underlying condition. It may be connected to issues with thyroid regulation, the hypothalamus, or blood flow. Or it may be a symptom of conditions such as anemia, hypothyroidism, fibromyalgia, or anorexia.

Cold intolerance is when you’re extremely sensitive to cold temperatures. Cold intolerance is more severe than the normal feeling of chilliness when you’re outdoors on a cool day.

Some people are prone to feeling cold, especially those who have chronic health problems or little body fat.

If you have cold intolerance, you’ll likely find yourself complaining of cold when others around you are comfortable or even too warm. Simply adding extra layers of clothing may not relieve your feeling of being cold.

It’s also possible to experience sensitivity to cold in certain parts of your body, such as your hands.

See your doctor for an evaluation if you have no history of cold intolerance, and the problem of feeling cold persists. Your treatment will depend on your diagnosis.

Your body temperature is regulated by several different systems. A part of the brain called the hypothalamus acts as the body’s thermostat to regulate your body temperature. It sends messages to the body that regulate heat production or ways to cool down.

The hypothalamus also directs the thyroid gland to increase or decrease your body’s metabolism. The thyroid is a crucial part of this regulation. It has to be functioning properly to burn calories in the body to create heat and fuel.

Your blood flow, which helps spread the heat, and your body fat, which helps to maintain it, are also important. Cold intolerance can be the result of problems with one or a combination of these processes.

Cold intolerance may also be due to poor overall health, or it could be a symptom of a variety of health conditions, including:

  • Anemia. This condition develops when you have a lack of healthy red blood cells.
  • Anorexia. This eating disorder leads to loss of body fat.
  • Hypothyroidism. This disorder occurs when the thyroid does not make enough thyroid hormones.
  • Blood vessel (vascular) problems. These disorders (such as Raynaud’s phenomenon) restrict blood flow to your extremities.
  • Disorders of the hypothalamus. This area of the brain produces hormones that control body temperature.
  • Fibromyalgia. This chronic condition causes body-wide pain and discomfort.

Skin that has been previously injured, such as by frostbite, may remain sensitive to cold even after the injury has healed.

If this is a new symptom, and it’s not getting better, you should make an appointment for a complete medical examination. Your doctor will take a medical history and ask you some questions, such as the following:

  • Do you have any previously diagnosed conditions?
  • Do you take prescription or over-the-counter medications or supplements?
  • When did you begin to experience cold intolerance?
  • Are your symptoms getting worse?
  • Are there times you complain of being cold when others around you don’t?
  • Do you have any other symptoms?
  • Are you eating well and exercising regularly?

Depending on the outcome of a physical exam, your doctor may order additional tests, including blood tests and hormone level tests, to determine if you have any underlying diseases.

You can connect to a physician in your area using the Healthline FindCare tool.

Cold intolerance isn’t an illness, it’s a symptom of an underlying condition. Your treatment will depend entirely on the diagnosis you receive from your doctor. Causes of cold intolerance that you may be treated for include:

Anemia

If you have anemia, treatment will be based on the cause of the anemia. This may include taking iron supplements.

Find iron supplements online.

Anorexia

Treating anorexia is a long-term process.

Medications may be used to address specific symptoms. The support of a complete medical team, including nutrition and healthy lifestyle experts, is generally needed. It’s also recommended that you work with psychological counselors and support groups.

Hypothyroidism

Hypothyroidism is treated with oral synthetic hormones that are taken daily. Treatment is usually lifelong, but dosages may be adjusted from time to time.

Vascular problems

Vascular problems can be treated in a variety of ways, depending on the cause. Surgery and medication may be used in severe cases.

Disorders of the hypothalamus

Disorders of the hypothalamus will be treated based on the specific cause. Treatment includes surgery or radiation for tumors, hormone replacement, or procedures to stop bleeding or infection.

Fibromyalgia

Treatment for fibromyalgia is generally targeted toward relieving your symptoms. Options include medications for pain, physical therapy, and cognitive behavioral therapy. Support groups are recommended.

If you suffer from cold intolerance, make sure to dress appropriately during cold weather. Wear warm layers and keep those areas that are most sensitive covered up to prevent cold exposure. On extremely cold days, stay inside as much as possible.

If you think that you could be suffering from cold intolerance or another medical condition, call your doctor. They can figure out if you have an underlying medical problem and start you on treatment.

What Causes Cold Intolerance? (2024)

FAQs

What Causes Cold Intolerance? ›

Cold intolerance has been reported in many conditions including upper extremity injuries and surgeries, fibromyalgia, anemia, hypothyroidism, atherosclerosis, Raynaud's disease, diabetes, low body weight, vitamin B12 deficiency, Fabry disease, side effects of medications, hypothalamus diseases, paroxysmal cold ...

What causes cold intolerance? ›

Cold intolerance has been reported in many conditions including upper extremity injuries and surgeries, fibromyalgia, anemia, hypothyroidism, atherosclerosis, Raynaud's disease, diabetes, low body weight, vitamin B12 deficiency, Fabry disease, side effects of medications, hypothalamus diseases, paroxysmal cold ...

What condition makes you sensitive to cold? ›

Chronic conditions: Cold hypersensitivity is a common symptom for people with chronic inflammatory diseases, such as lupus or fibromyalgia. Individuals with diabetes can have kidney and circulation problems that cause sensitivity to cold.

What causes feeling cold all the time? ›

If a person's body always feels cold, this may be due to a medical condition, such as hypothyroidism, Raynayd's phenomenon, or anemia. Treating the condition can help the body to feel less cold, as well as reducing the risk of complications associated with the underlying condition.

What is the syndrome of cold intolerance? ›

Cold intolerance is a hypersensitivity to cold, and it may cause many different symptoms, including pain, numbness, and shivering. Health conditions, such as anemia, anorexia, and hypothyroidism, may cause cold intolerance.

Which deficiency causes cold intolerance? ›

However, with so many potential culprits, it can be hard to know what vitamin deficiency causes you to feel cold. Typically, it's a lack of vitamin B12 or iron. Iron deficiency can slow down thyroid function, which can lead to a condition called hypothyroidism, making you feel cold.

What autoimmune disease causes cold intolerance? ›

Cold agglutinin disease (CAD) is a condition that makes your body's immune system attack your red blood cells and destroy them. It's triggered by cold temperatures, and it can cause problems that range from dizziness to heart failure. It's also called cold antibody hemolytic anemia.

What am I lacking if I feel cold all the time? ›

Without the right amount of this nutrient, you can get "iron-deficiency anemia," which can make you cold. It may be caused by blood loss, a poor diet, or because your body can't absorb it well. The best source is red meat, but it's also in poultry, pork, and fish.

How can I stop feeling cold all the time? ›

Ways to Warm Up if You're Always Cold
  1. Toss Your Clothes Into the Dryer. 1/13. ...
  2. Get Your Calories. 2/13. ...
  3. Wear Socks to Bed. 3/13. ...
  4. Pick Your PJs With Care. 4/13. ...
  5. Get Your Iron and Vitamin B12. 5/13. ...
  6. Dress in Layers. 6/13. ...
  7. Heat Your Mattress. 7/13. ...
  8. Spice Up Your Life. 8/13.
Nov 30, 2022

What causes the inability to regulate body temperature? ›

Some health disorders affect the body's ability to regulate body temperature. Examples include an underactive thyroid, also called hypothyroidism; poor nutrition or anorexia nervosa; diabetes; stroke; severe arthritis; Parkinson's disease; trauma; and spinal cord injuries.

How do you stop cold intolerance? ›

If your healthcare provider identifies a condition, they can treat that appropriately, which should help regulate your temperature. You can also make lifestyle changes to help manage cold intolerance, including: Avoid cold environments, when possible. Wear extra layers.

How do you live with cold intolerance? ›

Try the following to help with cold intolerance:

Your body is the warmest when you wake up, so make sure to keep yourself warm from the start. Put on thick socks to keep the heat in your body, and wear three individual layers (Wearing layers will create more warmth than wearing one heavy sweater or shirt).

Why am I so tolerant to cold? ›

Some people just aren't bothered by the cold, no matter how low the temperature dips. And the reason for this may be in a person's genes. Our new research shows that a common genetic variant in the skeletal muscle gene, ACTN3, makes people more resilient to cold temperatures.

What is the disease where you get cold easily? ›

An underactive thyroid (hypothyroidism).

Feeling cold is a common symptom. A simple blood test for TSH (thyroid-stimulating hormone) can determine if you have this problem.

Is cold intolerance a symptom of hypothyroidism? ›

Hypothyroidism can slow down metabolism, leading to a drop in core body temperature. As such, some people with low levels of thyroid hormones may feel cold all the time or have a low tolerance to the cold. This feeling of coldness can persist, even when in a warm room or during the summer months.

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