To Flu or Not to Flu

“I have the flu…”

Influenza strikes every year and leaves much to be discussed.  The flu statistics reveal that the highest risk groups are those 65+ years of age followed by those 0-4 years of age.  The other high risk groups include pregnant women and those with chronic respiratory illness or those with weakened immune systems.

Seasonal influenza is typically the following with rapid onset:

Symptoms of Influenza

• fever
• chills
• profound fatigue
• headaches
• joint pain
• runny nose
• cough
• sore throat

 

Seasonal influenza is not typically:

• nausea
• vomiting
• diarrhea

Diagnosis

The only absolute is a positive influenza swab.  Unfortunately the test can be inaccurate.  Some studies suggest the influenza swab is only 30% accurate while others suggest 70% accuracy. The best case scenario it misses 3 out of 10 individuals with influenza.  This makes clinical suspicion and evaluation by your physician key in diagnosis.

Treatment

Tamiflu or other antivirals are the only prescription form of treatment but have their limitations.  They need to be started within 48-72 hours of onset of symptoms. Antivirals when started early in the course of the illness can decrease the severity of symptoms and length of course but are not a cure. Large families or those with high risk individuals may opt to take antivirals as preventive or prophylactic care when a known influenza carrier has been diagnosed.

Supportive care is the true mainstay of care for anyone with influenza:

• fluids
• rest
• acetaminophen

Flu Vaccine

There are always lots of opinions regarding vaccination.  While it is not a perfect vaccine as far as guaranteed coverage for influenza, it is safe.

The CDC recommends annual vaccination for everyone 6 months of age and older.

Vaccination is one way to protect yourself from influenza and can reduce the severity of illness if contracted and prevent hospitalizations in addition to doctor visits and time off work.

Common questions:

• Does the flu shot cause the flu?

            No but can cause a flu-like response with mild headache, joint pains, and fever

• How long until I am covered after receiving the vaccination?

           2 weeks

Common Sense Prevails

• avoid contact with those with symptoms
• wash your hands
• eat healthy
• exercise
• rest

Stay well!

 

Ann Riggs, DO

Patient-Driven Affordable Healthcare