Mini Med Blog #10: What to Do When You Have a Cold or Flu

The common Cold and the Flu are viral upper respiratory infections. Since both are caused by viruses, neither can be treated with antibiotics. Rest and proper hydration are the mainstays of treatment. Tylenol and Advil can be taken to manage fever and body aches. Short course of nasal sprays can be used to help with problematic nasal congestion. Your pharmacist can help make sure the above medications are appropriate for you and your family based on your personal medical history.

When to See a Doctor
You do not need to see the doctor for routine symptoms of the Cold and Flu such as fever, cough, and nasal congestion.
However, you do need to seek medical attention if you have any of the following signs or symptoms:

• Dehydration (no urine for 8 hours)
• Breathing Difficulties (Labored or rapid breathing)
• Chest Pain (Particularly chest pain that worsens with deep breaths)
• Severe weakness or unsteadiness
• Seizures, confusion, or inability to stay awake
The above list is not exhaustive and you should always feel comfortable to seek help if there are symptoms that worry you. It is also important to note that certain patients suffering from immunosuppression or chronic lung diseases also require early medical assessment.

Fever
Fever is a temperature of 38 ℃ taken orally. It is a normal physiological response of the body to an infection. It is not a sign of infection severity or a risk for complications. It can be treated with Advil (Ibuprofen) or Tylenol (Acetaminophen). While fever itself is not a concern, certain fever presentations should lead to prompt medical assessment:

• Fever in newborns less than 12 weeks
• Fever that lasts more than 4 days
• Fever that initially improves but then returns
• Fever accompanying any of the concerning symptoms listed above

Hopefully this blog was educational. Ironically, every year many patients end up getting another viral illness while sitting in crowded waiting rooms for what are ultimately unnecessary clinic visits. I wish everyone good luck this cold and flu season. For those not so lucky: Tylenol, rest and plenty of fluids will do the trick!

Keep It Healthy,
Dr. Matin

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