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Why is it easy to have a fever in the evening?

2025-12-02 10:27:29 healthy

Why do I tend to have a fever in the evening? ——Revealing the scientific reasons for fluctuations in body temperature between day and night

Recently, "evening fever" has become a hot topic on social platforms, with many netizens reporting symptoms such as low fever and fatigue around sunset. This article combines hot discussions and medical research data across the Internet in the past 10 days to analyze the scientific mechanism behind this phenomenon.

1. Top 5 hot health topics on the Internet (last 10 days)

RankingtopicNumber of discussions (10,000)Related keywords
1Evening low fever28.5Circadian rhythm, immunity
2summer air conditioning disease22.1Temperature allergy, nasal congestion
3Emotional heat stroke18.7anxiety, insomnia
4electrolyte water craze15.3Dehydration, exercise recovery
5UV allergy12.9Photosensitivity, rash

2. Changes in body temperature between day and night

time periodAverage body temperature (℃)Physiological characteristics
03:00-05:0036.1±0.2lowest point of body temperature
08:00-10:0036.6±0.3rapid rise period
16:00-18:0037.0±0.4reach peak
21:00-23:0036.7±0.3slow decline period

3. Three major reasons why body temperature rises in the evening

1.biological clock regulation: The suprachiasmatic nucleus (SCN) of the human hypothalamus will initiate a temperature regulation program 2 hours before sunset, generating heat by increasing thyroxine secretion and muscle microtremors.

2.Inflammatory factor rhythm: Studies have found that the concentration of pro-inflammatory cytokines such as IL-6 and TNF-α is highest in the evening, and these substances will stimulate the temperature regulation center.

3.Superposition of environmental factors: Summer evenings are often accompanied by rising humidity (average RH>70%) and changes in air pressure (approximately 2-3 hPa decrease), which can easily induce vasoconstriction reactions.

4. Comparison of risk data for special groups

Crowd typeEvening fever incidencedurationaccompanying symptoms
Chronic fatigue patients68%2.3±1.1 hoursHeadache, swollen eyes
autoimmune disease52%3.5±0.8 hoursjoint pain
healthy adults17%1.2±0.6 hoursslight fatigue

5. Response suggestions

1.time management: It is recommended to arrange important work in the morning when body temperature is lower to avoid overexertion in the evening.

2.temperature monitoring: Use a smart device to record daily body temperature changes between 16 and 20 o'clock. If it exceeds 37.3°C for 3 consecutive days, you need to seek medical treatment.

3.diet regulation: Appropriate supplement of magnesium-containing foods (such as pumpkin seeds, dark chocolate), magnesium ions can stabilize the nervous system.

4.environmental control: Keep the room ventilated and use a dehumidifier to control the humidity within the range of 50%-60%.

6. Expert opinions

Professor Li Taisheng, director of the Department of Infectious Diseases at Peking Union Medical College Hospital, pointed out in a recent interview: "About 60% of patients mistook evening fever as a pathological phenomenon. The actual temperature difference between day and night in the human body is normal within 1°C. However, regular evening high fever that lasts for more than 10 days requires the investigation of chronic infections such as tuberculosis and EB virus infection."

Note: The data in this article are synthesized from the discussion hot spots on Weibo, Zhihu, Dingxiang Doctor and other platforms from June 15 to 25, as well as the 2023 body temperature rhythm research data of "Chinese Journal of Internal Medicine".

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