Woman resting in bed and checking her temperature with tea and tissues nearby

Do I Have the Flu? Common Influenza Symptoms Explained

shutterstock_153866126I’ve seen quite a few patients this year who have tested positive for influenza.  Many people have questions about whether they should get the flu shot, or how to treat the infection. Influenza is also called the flu, and is highly contagious.  It occurs in both children and adults.  It is more common in the winter during “Flu Season” which is generally from about November through March but in 2012 we have seen many flu cases in April. Spread: Flu is spread from person to person by coughing, sneezing or touching things that an infected person has previously touched. More than 200,000 people are hospitalized each year in the United States due to influenza.  Serious illness is more likely in the very young and in older adults, pregnant women or individuals who have chronic medical problems. Symptoms:  These vary from person to person but some common characteristics are: 1)   Temperature higher than 100 degrees F 2)   Fatigue 3)   Cough and sore throat 4)   Headache and/or muscle aches The fever usually lasts from 2-5 days.  In most other respiratory infections that cause fever, the fever resolves within 24-48 hours.  Most people who get the flu feel worse than when they have a common cold although the symptoms can be similar.  Usually the fever and aches/chills are the symptoms that cause the most discomfort. Complications of flu:  Pneumonia is the most common complication.  This is a serious infection of the lungs as is more likely in people over age 65 or individuals who live in long term care facilities (nursing homes) or those with other illnesses such as diabetes or chronic lung or heart problems. Diagnosis:  We can usually diagnose the influenza in the office by a special Q-tip (swab) that it inserted into the nose and then tests for influenza virus. Treatment:  Influenza is a virus and the body is able to fight off the virus even without medications in the majority of cases.  The symptoms can be miserable however and many patients are given medications for fever, sore throat, cough or nausea.  Sometimes antiviral medications such as Tamiflu, Relenza, Flumadine or Amantadine can be effective, but this medicine is not very helpful if the symptoms have been present for more than 48 hours.  Antibiotics are not useful for treating influenza because they only work against bacteria. H1N1 (Swine flu):  A new strain of H1N1 influenza that contains parts of swine, avian and human influenza viruses was first noted in humans in March of 2009 in Mexico.  There were human infections noted around the world until August 2010 and the symptoms of the Swine H1N1 flu virus and treatment for it were generally similar to those of seasonal flu. Avian (Bird flu):  A strain of influenza virus that originally infected birds such as chickens, ducks and geese has spread to humans and caused several deaths to date, mostly in Asia.  Avian flu has mostly been spread from bird-to-bird and much less from bird-to-human.  Human-to-Human transmission of the bird flu has only rarely occurred.  Most people who have been infected with bird flu have had direct contact with sick or dead birds or recently visited a live poultry market.  No human cases of avian influenza have been found in the US or anywhere else in North America to date. A great resource for more information on influenza, and about up to date flu activity and surveillance is the Centers for Disease Control: http://www.cdc.gov/flu/index.htm   I hope that you have found this information useful.  Wishing you the best of health,

Scott Rennie, D.O.
Board Certified in Obesity Medicine and Family Medicine

This blog is for educational purposes only and does not constitute individual medical advice. Always consult your own physician before making changes to your health, medications, or treatment plan.

Globe with small virus icons scattered

Seasonal and H1N1 Swine Flu: A 2011 Update and Overview

By , About.com Guide

Updated February 05, 2011

If you’re feeling like you have the worst cold you ever had, or worse, like you’ve been hit by a truck, then you may have the flu.

Seasonal Flu 2010 – 2011

The CDC expects 2011 to be an average flu year, although it’s getting a foothold in the United States later than in recent years. According to the CDC, flu seasons are generally unpredictable, although epidemics happen every year. An average of 200,000 Americans are hospitalized due to seasonal flu annually. Between 1976 and 2006, the fewest Americans who died from the flu was 3,000 in one year. The most deaths from flu in that same time period were 49,000 in one year. Most of those who died were either infants, elderly, or people who had compromised immune systems due to another medical problem. Flu symptoms are upper respiratory in nature: cough, sore throat, runny or stuffy nose, muscle or body aches, headaches, and fatigue. Some flu patients will run a fever, and some may get diarrhea. Note that these symptoms are not gastrointestinal. “Stomach flu” is very different — in fact, it’s not really influenza at all. (Learn about the difference between flu and “stomach flu”.) If you are interested in following the advent of flu across the United States, the CDC provides a flu mapthat is updated once a week. The CDC also maintains a Global Flu Activity Report, which it updates weekly, too. Google provides a global flu trends map, which shows the spread of flu based on the location of the people who use Google to search for flu information — like you might have done to find this article.

Swine / H1N1 Pandemic Flu 2011

In 2009, the talk and fear of seasonal flu was eclipsed in a big way by the fear instilled when H1N1, earlier known as “swine flu,” began reaching across the globe, eventually killing almost 14,000 people. Described as pandemic by the World Health Organization, H1N1 eventually seemed to fade away by early 2010. By August 2010, the WHO declared H1N1 swine flu was “post-pandemic“, the last phase of any pandemic. However, H1N1 flu is still making people sick, even killing some patients in random areas of the world, and is expected to do so for years to come. According to the World Health Organizationand various news reports, cases of H1N1 were reported as late as December 2010 and January 2011 in England, Ireland, Germany, Sri Lanka, Korea, New Zealand and India.

The 2011 Flu Vaccine

Because new virus strains constantly evolve, and are therefore different from previous strains, we are not immune to the new strains. Once we are exposed to those new strains, our lack of immunity may mean we get that flu. In order to gain immunity, then, we must get flu vaccinations, and we must get them more than two weeks before we are exposed to the flu. As long as the vaccine was developed accurately (meaning, the flu experts accurately predicted what flu strains might make the rounds and built the new vaccine accordingly), we will likely escape getting the flu. The flu vaccine developed for the 2011 flu season seems to have been accurate, thereby rendering the vaccine very effective toward warding off the 2010-2011 flu viruses in those who have been vaccinated. Included in the 2010-2011 flu vaccine is protection from H1N1 swine flu. The CDC recommends that even if you were vaccinated against H1N1 in 2009 or 2010, you should still plan to get the most current flu vaccination because you’ll need the protection from the newer identified virus strains.

How Should You Protect Yourself from Flu?

There are several steps you can take to prevent flu from making you sick. The most effective way to prevent flu is to get the latest flu vaccine. The recommendations for those who should receive flu vaccinations changed in 2010 and now include anyone who is 6 months of age or older. This creates “herd immunity,” which is about protecting other, at-risk people around us. There are some people who should not get the vaccine; the CDC publishes guidelines for determining whether you should be vaccinated, and whether you are a candidate for the inhaled version of the vaccine, called FluMist. Check with your doctor to make an appointment to get the flu vaccine, or use this flu vaccine finder to find a source for the flu shot in your community. Whether or not you get a flu shot (or get the inhaled version of the vaccine), you should keep your hands washed (to rid them of flu virus you may have picked up by touching something), avoid contact with others who are sick, and take the usual healthy steps of eating right and getting enough sleep, in order to keep your immunity at its strongest.

What Should You Do If You Get the Flu?

If you are otherwise healthy and you begin to feel the symptoms of flu (see above), then contact your doctor’s office and ask whether you should make an appointment. Most patients do not need to be seen by a doctor, even if they are sure they have the flu. You’ll need to stay home from work or school, and take care of yourself by keeping yourself hydrated, eating right, and getting plenty of sleep. If you cough or sneeze, cover your mouth with the inside of your elbow or the sleeve of your shirt or sweater — not your hand. Flu, or any bacteria or virus, passes easily by touching, so the cleaner your hands, the less chance you’ll pass it to someone else. If you recognize your symptoms early, within two days of feeling symptomatic, then contact your doctor to determine whether you can benefit from taking one of the anti-viral drugs that fight the flu. These drugs, Tamilflu (oseltamivir) and Relenza (zanamivir), are approved by the FDA and cited by the CDC as effective against influenza. They may shorten the number of days you are actually sick with symptoms. The CDC publishes more information about anti-viral medicines. Sources: CDC 2010-2011 Flu Season Information CDC Seasonal Influenza Q&A CDC Information about Flu Symptoms, Severity, and Deaths WHO recommendations for the post-pandemic period (H1N1)

Scott Rennie, D.O.
Board Certified in Obesity Medicine and Family Medicine

This blog is for educational purposes only and does not constitute individual medical advice. Always consult your own physician before making changes to your health, medications, or treatment plan.