Understanding Chills: Recommended Blood Tests and Their Importance

Learn which blood tests can help identify the cause of chills and when to consult a doctor.

Sep 20, 2026 3 min read

Chills are sensations of coldness that can occur with or without a fever. They often accompany infections or other medical conditions. Understanding which blood tests can help identify the underlying cause of chills is crucial for effective management and treatment.

What are chills and why do they occur?

Chills are often described as a feeling of coldness accompanied by shivering. They can occur when the body is exposed to a cold environment or as a response to certain medical conditions. Chills are commonly associated with fever, as the body attempts to raise its temperature to fight off infections. However, they can also occur without fever due to various other reasons, such as anxiety, exposure to cold, or certain medications.

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Blood tests to consider for chills

When experiencing chills, especially if they are recurrent or severe, several blood tests may be recommended to help identify the cause:

  • Complete Blood Count (CBC): This test measures different components of your blood, such as red blood cells, white blood cells, and platelets. An elevated white blood cell count can indicate an infection or inflammation, which might be causing the chills.

  • C-Reactive Protein (CRP): CRP is a substance produced by the liver in response to inflammation. A high CRP level can suggest the presence of inflammation or infection in the body.

  • Erythrocyte Sedimentation Rate (ESR): This test measures how quickly red blood cells settle at the bottom of a test tube. A faster-than-normal rate may indicate inflammation in the body.

  • Blood Cultures: These tests check for the presence of bacteria or fungi in the blood, which can indicate a systemic infection that might be causing the chills.

  • Thyroid Function Tests: Since thyroid disorders can lead to temperature regulation issues, testing for thyroid hormones can help determine if a thyroid problem is contributing to the chills.

Why these tests matter

Identifying the cause of chills is important because it can help guide treatment decisions. For example, if an infection is causing the chills, antibiotics or other medications may be necessary. If a thyroid disorder is identified, appropriate hormonal treatments can be prescribed. Understanding the underlying cause can also help prevent potential complications.

Frequently asked questions

What if my chills are not accompanied by a fever?
Chills without fever can still indicate an underlying issue, such as anxiety, exposure to cold, or certain medications. It's important to discuss your symptoms with a healthcare provider to determine the cause.

Can dehydration cause chills?
Yes, dehydration can lead to chills as it affects the body's ability to regulate temperature. Ensuring adequate fluid intake is important.

Are chills always a sign of infection?
Not necessarily. While chills often accompany infections, they can also result from other conditions such as thyroid disorders, anxiety, or exposure to cold.

Can stress cause chills?
Yes, stress and anxiety can cause chills as part of the body's "fight or flight" response.

How long should chills last before seeking medical attention?
If chills persist for more than a few days, recur frequently, or are accompanied by other concerning symptoms, it is advisable to seek medical attention.

When to see a doctor

If you experience persistent or severe chills, especially if they are accompanied by other symptoms such as high fever, confusion, or chest pain, it is important to consult a healthcare provider. These symptoms could indicate a more serious underlying condition that requires prompt medical attention.

Decisions about your health should always be made in consultation with your healthcare provider.

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