Influenza (seasonal flu)

About Influenza (seasonal flu)

A common, viral respiratory infection. It is contagious with an incubation period of 24 to 48 hours after exposure. There are three main types of influenza (A, B, C). Only type A can change its structure from year to year giving it the ability to produce widespread outbreaks. Because the strains causing outbreaks vary from year to year, vaccinations are required yearly. The disease is usually self-limited (resolves without treatment), but can be fatal in the very young, very old, or if there is a coexisting depression of the immune system. It is difficult to tell the difference between a cold and the flu based on symptoms alone. Special tests must be done within the first few days of illness to determine if you have the flu. In general the flu is worse than the common cold and symptoms such as fever (usually over 101F) and body aches are more severe with the flu.

Symptoms

Fever, headache, tiredness (fatigue), chills, dry cough, sore throat, stuffy and congested nose, muscle aches and stiffness. The fever in influenza tends to be higher (> 101 F or 38.3 C) than in other viral upper respiratory infections (URIs) such as the common cold. The muscle aches and fatigue tend to be more severe as well.

Tests & Diagnostics

A history and physical exam will be performed. A nasopharyngeal swab to detect the viral antigen may be performed. A chest X-ray may be performed to rule out pneumonia.

Common tests: Complete blood count (CBC), X-ray.

Path 2 — Over-the-Counter Options

OTC sleep aids and supportive treatments

Path 3 — Prescription Options

Prescription medications

Conventional treatment summary

Rest and medications to reverse the fever such as acetaminophen(Tylenol) and/or ibuprofen (Motrin, Advil) are administered to reduce the symptoms. Patients are encouraged to drink plenty of fluids. Antiviral medications can be given but should be started within 40 hours of symptoms. Each year the effectiveness of these drugs changes and selection is based on the type of influenza and the resistance of the virus. The two antivirals recommended by the CDC are oseltamivir (Tamiflu) and zanamivir (Relenza). These medications can also be given to prevent the disease after an exposure (prophylaxis). Yearly flu vaccine is the most important step in protecting against the flu viruses. Use our provider search function to find the closest available location near you. For more information: http://www.flu.gov

Medical specialties

Internal Medicine · Pediatrics · Family Practice

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Influenza (seasonal flu).