Certain underlying conditions, like thyroid issues or anemia, can make some people feel cold all the time. But if you’re only noticing a chill in your hands and fingers, it might be a condition called Raynaud phenomenon, or Raynaud’s (via MedlinePlus). With Raynaud’s, the blood vessels in the hands constrict excessively, limiting the flow of blood and oxygen. Then, the hands become cold to the touch, and you might notice a blue tint under the nail beds. In some cases, fingers may even turn white and go numb. Once the hands regain circulation, they might turn bright red and feel burning hot.

According to Mayo Clinic, Raynaud phenomenon can be genetic, but there are several other causes to consider. This condition is often just one sign of another disease or condition, such as lupus or rheumatoid arthritis. Other times, Raynaud’s may be triggered by chronic stress or spending too much time in frigid temperatures.

It can be difficult to pinpoint the cause all on your own. If your hands are always cold, be sure to visit your doctor to rule out other health issues that may be causing them. And until then, continue bundling up, staying active, and finding healthy ways to bust stress.

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