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Influenza (flu)

Overview

The flu is a highly contagious respiratory infection caused by the influenza virus. Unlike the common cold, the flu has a sudden onset and is characterized by high fever and severe muscle aches.

Most healthy adults recover within 1-2 weeks. However, it can lead to serious complications such as pneumonia in children, the elderly, pregnant women, and people with chronic conditions.

Symptoms

Symptoms begin suddenly 1-4 days after exposure to the virus:

  • High fever (38-40 °C)
  • Severe muscle and joint aches
  • Chills, shivering
  • Extreme fatigue and weakness
  • Headache
  • Dry cough
  • Sore throat
  • Runny or stuffy nose
  • Sometimes nausea, vomiting, diarrhea (especially in children)

Causes

The flu is caused by influenza A and B viruses. The virus spreads:

  • Through droplets released during coughing and sneezing
  • By touching contaminated surfaces
  • Rapidly in closed, crowded environments

The flu virus mutates constantly, so new strains emerge each year.

Risk Factors

  • Being over 65
  • Children under 5 (especially under 2)
  • Pregnancy
  • Chronic conditions (asthma, COPD, heart, diabetes, kidney disease)
  • Weakened immune system
  • Severe obesity
  • Healthcare workers

Complications

  • Pneumonia (most common and serious complication)
  • Bronchitis
  • Sinusitis, middle ear infection
  • Worsening of asthma or heart disease
  • Myocarditis (inflammation of the heart muscle)
  • Encephalitis (brain inflammation, rare)

When to See a Doctor

Seek immediate care for:

  • Shortness of breath or rapid breathing
  • Chest pain or pressure
  • Persistent vomiting
  • Sudden dizziness, confusion
  • Fever above 39.5 °C lasting more than 3 days
  • Bluish color or retractions in a child

Diagnosis and Treatment

Diagnosis is usually based on symptoms. Rapid flu tests may be done when needed.

Treatment:

  • Plenty of fluids and rest
  • Fever-reducing medicines (paracetamol, ibuprofen)
  • Antivirals (such as oseltamivir) in high-risk groups; effective within the first 48 hours
  • Antibiotics are only used when bacterial complications develop

Prevention

  • Get the flu vaccine every year (especially if over 65, pregnant, or chronically ill)
  • Wash your hands often
  • Stay away from sick people
  • Stay home when you are sick
  • Cover your mouth with your elbow when coughing
  • Maintain a strong immune system (sleep, nutrition, exercise)