If your hands and feet always seem to be cold, try these simple measures to keep warm:
� Wear warm clothes
This will keep your whole body warm and help maintain circu-lation to your hands and feet. Layer clothing for indoor as well as outdoor wear. Try wearing a long-sleeved, silk camisole or shirt under a blouse or sweater, topped by a wool jacket for in-door dress. Use warmth-conserving fabrics such as silk, wool or down, or synthetic fabrics such as polypropylene or Thinsulate.
During activity, small, surface blood vessels dilate and more warm blood flows to your hands and feet. The effect can last for several hours.
� Avoid nicotine and limit caffeine
Both are vasoconstrictors that narrow blood vessels and reduce blood flow to small, surface vessels.
� Avoid certain medications
Certain migraine medications with ergot derivatives and beta blockers such as propranolol act as vasoconstrictors and may cause cold hands and feet. If you suspect that a medication might be causing such symptoms, talk with your doctor, but don't make changes to your medication regimen without your doctor's advice.
� Reduce stress
Tense, high-strung people seem more likely to have cold hands. Chronic stress and anxiety can cause your nervous system to continually pump out adrenaline. This hormone also acts as a vasoconstrictor.