Well, I was going to be put on a different medication back in November, but I told my rheumatologist I'd been having temperature swings. He said I'd have to get with my regular doctor and be checked out. Nothing was found, and my temp still swung from 97.1 to 100.5 in a 24 hour period. (My GP said it looked like the stock he invested in.)
Now I have a chest cold and it seems to top out at 99.5 or so in the evenings before bed. It stays below normal while I'm at work, most of the time. I'm going to start the tracker over and include activities, food, etc. like Lene Anderson suggested and see if I come up with a pattern.
Some days I am fine with just the stuff I'm taking. Sometimes I have to have some over-the-counter pain meds to get through the day or night. Sometimes I sleep like a rock, other times some painful body part will keep me awake half the night--a knee, a hip, an elbow, a wrist. Or all at once.
My older daughter bought me a couch cane. I had sent her the link for it, then discovered how expensive it was and asked her not to bother. It came last week and it is good for that minute just after standing when the legs don't know if they are going to collapse or not. My husband gets me up when the cane can't do the job.
I can't step over my cat anymore. If he is flopped out in a doorway or the hall I end up prodding him with a foot until he moves (or grabs my leg out of annoyance!) so I can proceed. One Saturday I was feeling really good and was going about the house doing the laundry, dusting, sweeping, emptying trash, not sitting down. Poor cat was going nuts because Grandma usually perches in one spot or another most of the day and he followed me everywhere waiting for me to take root. >He< slept like a rock that night!



I have had problems with low-grade temperatures for years due to my RA. It does not respond to Motrin, Aleve or Tylenol- prednisone is the only medication that will keep it down. I find that it is actually a pretty good barometer of how well my RA is controlled. If my high temperature for the day is 99.2, I am doing really well. A bad day finds me crashed on the couch with my temperature bouncing up to 100.4 again and again. I find that I feel the worst when the temperature is climbing- I just want to curl up and sleep under an electric blanket. I feel better when my temperature drops and I get the sweats. Inflammation (like from RA) can cause temperatures up to 100.4 or so. Anything higher is most likely due to infection, and it should be checked out.
I went through a strange period of about 6 or 8 weeks where i had the same bouncing temp after I started on methotrexate oral. It was accompanied by a flush on the face and ranged from 96.4 to 101.5 (97.6 is my baseline). All of my physcians were stumped but said to track it, take Tylenol and we'd see what happened. For the most part, it's gone now. On days where I am really tired, I might feel the familiar "hot-flush" (I'm almost always flushed to some degree these days, which might be a side from the medrol) and find I'm up around 100, but it is getting less and less frequent.
I wish I could tell you what caused this, but I (and my physcians) still have no idea.
Thanks for all the comments! I'm still just on Plaquenil and a low dose of prednisone, no changes other than changes at work and no infections were found through blood work. Of course, now I have a chest cold that I have to get over. I will presume any elevated temp to belong to the cold at this point!
I am glad that I am not the only one who stumps the doctors!