Influenza (Flu)
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Influenza (flu) is a widespread seasonal respiratory virus. While most people recover within one to two weeks, it can cause serious or life-threatening illness in children, older adults, and those with certain medical conditions or weakened immune systems.
The flu is contagious and spreads easily from person to person by droplets from coughing, sneezing, or talking. You can also catch the flu from touching your mouth, nose, or eyes after touching something with the virus on it.
Flu symptoms
Symptoms of the flu can start anywhere from 1 to 4 days after exposure to the virus. Common symptoms in children and adults include:
- Fever
- Runny or stuffy nose
- Cough
- Headache
- Body aches
- Fatigue
- Chills
- Sneezing
- Sore throat
- Nausea, vomiting, and diarrhea
- Loss of appetite
The flu has the potential to cause more serious illness, especially for those considered high risk for complications. Severe symptoms include:
- Trouble breathing
- Chest pain
- Bluish or grayish skin
- Not drinking enough fluids to stay hydrated
- Confusion
- Dizziness
- Trouble staying awake
- Irritability in children, including refusing to be held
When to seek care
Most of the time, the flu goes away on its own in seven to 10 days, but the cough can linger for a few weeks. However, if your symptoms aren’t improving or you have an existing medical condition that could increase your risk for complications, contact your primary care provider.
If you’re experiencing severe symptoms, seek emergency care right away.
People at risk for complications
The flu is very common, and serious flu-like complications can happen to anyone at any age. However, some people have a higher risk of developing severe flu-related symptoms. Risk factors include:
- Being over the age of 65
- Being under 5 years of age
- Obesity
- Pregnancy
- People living in long-term care facilities
- People with weakened immune systems
- People with underlying medical conditions, such as:
- Moderate or severe asthma
- Heart disease
- Sickle-cell disease
- Chronic kidney, liver, or lung disease
- Diabetes
- Neurologic and neurodevelopmental conditions
- Cancer
Flu diagnosis
The flu can often be diagnosed based on your symptoms and a physical exam. Home antigen tests (similar to COVID-19 home tests) are also available over-the-counter and can help confirm a flu diagnosis. If further evaluation is needed, your provider can assess you at a Quick Care or Urgent Care location, or through our telehealth services. We also offer on-site molecular testing for fast and accurate results.
Flu treatment
The flu is caused by a virus, so antibiotics are not effective.
Most adults and children recover at home within one to two weeks with plenty of rest and fluids. Over-the-counter medications – such as pain relievers, fever reducers, decongestants, and cough suppressants – can help manage symptoms. However, caregivers should always check with a child’s primary care provider before giving any medications.
For people who have a higher risk for complications or severe flu disease, a health care provider may prescribe an antiviral medication to help shorten illness and reduce the risk of serious outcomes.
Antiviral medications can also be used to help prevent flu infection in higher-risk patients who have been exposed to the flu.
Flu prevention
Flu season typically occurs between October and May, but you can get sick at any time of the year. You can protect yourself and others from getting influenza by:
- Getting a yearly flu vaccine. This is the most important step to protect yourself, as a new vaccine is developed each year to match the strains most likely to circulate.
- Staying home when sick. Stay home until your symptoms are improving, and you have been fever-free for at least 24 hours without fever-reducing medication.
- Washing your hands frequently with soap and water or hand sanitizer.
- Covering your coughs and sneezes with a tissue or your elbow. Dispose of tissues promptly and wash your hands. Wearing a face mask when you’re feeling unwell can also help reduce spread.
- Disinfecting high-touch surfaces. Keep surfaces such as doorknobs, light switches, and countertops clean to help kill germs that can spread illness.
Flu vaccines
Each year, a new flu vaccine is developed to match the strains most likely to circulate that season. Getting your flu shot every year protects both you and those around you.
- Everyone who is 6 months of age and older
- People age 65 and older (who are recommended to receive a higher-dose or adjuvanted vaccine)
- People who are pregnant
- People with chronic health conditions such as asthma, diabetes, or heart and lung disease
- Other people who are at high risk for serious flu complications, including those with weakened immune systems
The Centers for Disease Control and Prevention (CDC) recommends getting vaccinated in September or October. Getting vaccinated too early (for example, in July or August) may mean reduced protection later in the season. Children aged 6 months through 8 years who have not previously received at least two doses of flu vaccine need two doses, given at least four weeks apart, and should start the vaccination process sooner so both doses can be completed by the end of October.
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