The News Herald (Willoughby, OH)

Consistent­ly lower than ‘normal’ temperatur­e may be just fine

- Keith Roach — J.R.T. Contact Dr. Roach at ToYourGood­Health@med. cornell.edu.

I am a healthy 79-year-old male. My doctor tells me my blood pressure and pulse are better than most men half my age. I feel good.

I have been taking my temperatur­e about three times a day, using both digital and mercury thermomete­rs, careful to wait at least an hour after eating or drinking. My temperatur­e is consistent­ly two to four degrees below the 98.6 “normal” standard even after activity. Are my temps normal for someone my age? Are there age-related temperatur­e charts for men and for women? Does 98.6 indicate a lowgrade fever for me? On a cold day I walk with my hat, gloves and jacket, but I see kids running around with just a Tshirt and shorts. At what temperatur­e point should I be concerned?

Older adults have lower body temperatur­es than younger adults or children. Further,

the average temperatur­e seems to have been falling over the past hundred years, and the new normal being closer to 97.5 degrees — but some people can have a “normal” that is quite different from even the new normal of 97.5. That being said, four degrees is at the far end of the range of normal variabilit­y, even for older adults.

While this may be just your normal, it is worth considerin­g whether your numbers are due to a condition that can cause an abnormally low body temperatur­e, such as low thyroid or low cortisone. If those are normal, you can continue wearing clothing that keeps you comfortabl­e, regardless of what others wear.

Finally, because your body temperatur­e is low, and because people nearing or in their 80s often show less or no fever even with infection, take a lowgrade fever seriously. Also, be aware of other symptoms besides fever that indicate infection — for example, cough and confusion might indicate pneumonia.

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