Fibromyalgia & Chronic Pain LIFE Winter 2014, Issue 10 | Page 13

Research Update The AV Shunts Help Balance Our Body Temperature and Metabolism T he circulatory system of our body works much the same way to regulate our body temperature. For us, it is extremely important to maintain a constant internal (core) body temperature (98.6o) for our most delicate organs to work properly. A sustained decrease (hypothermia) or increase (hyperthermia and fevers) of just a few degrees can permanently damage the brain, kidneys and liver. So how do we maintain our core body temperature? F or starters, our blood is the coolant and our heart is the pump. So where is the engine? The engine is mostly our muscles. For the most part, our organs such as the kidney, liver and brain don’t generate a lot of heat, but our muscles do through physical exertion. S o here is the challenge to the proper functioning of our body. Just like a properly functioning car, we need to maintain a safe temperature depending upon whether the air temperature is hot causing us to absorb heat from our environment and become overheated (hyperthermia), or whether it is cold causing us to lose heat and risk hypothermia. At the same time we have to balance this with the heat that builds up within our muscles when we exercise. B ut, we are also a lot more complicated than a car. Our blood is not only our coolant, it is also our source of nutrition. So, when we wake up and become active, we need to increase blood flow to provide more nutrition to our muscles, but when heat starts to build up in the muscles we need to shift more blood flow to our hands and feet to get rid of the excess heat. So we have to find just the right balancing act to provide sufficient nutrition without building up too much heat. Wow! So blood flow has to be constantly shifted between the muscles and the skin to achieve the right balance. Our delicate organs are caught in the middle. F ortunately, unlike delicate internal organs, the muscles and skin can withstand wide fluctuations in temperature and blood flow, so maintaining a constant core body temperature mostly involves balancing the blood flow between our muscles and skin. The skin can heat up by diverting blood flow from the muscles to get rid of heat, or skin can cool down to divert blood flow to the muscles to conserve heat. S o we can see the parallels between our cooling system and that of our car. We have accoun ѕ