Fever Changes with Influenza A: What You Need to Know - Internal Medicine

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Questions about fever related to Influenza A?


Hello, doctor.
The clinic's rapid test showed that I have influenza type A.
I am currently taking antiviral medication and isolating at home.
I would like to ask if a temperature reading of 37.8 degrees Celsius from an ear thermometer indicates that I no longer have a fever.
I am worried about having a persistent high fever, as it would be quite troublesome.
Thank you.

Niming, 20~29 year old female. Ask Date: 2017/09/04

Dr. Liao Zhongxin reply Internal Medicine


Dear readers:
1.
Since the rapid test has confirmed a positive result for Influenza A, please ensure adherence to medication, wear a mask while coughing, and avoid further spreading the virus.

2.
An ear temperature above 37.5 degrees Celsius is considered a fever, and above 38.3 degrees Celsius is classified as a high fever, at which point you should see a doctor to determine the cause.

Thank you!

Reply Date: 2017/09/04

More Info


When dealing with fever, especially in the context of Influenza A, it's important to understand how body temperature regulation works and what changes in temperature can indicate about your health status. Fever is a common response to infection, including viral infections like Influenza A, and it serves as a part of the body's immune response.
In your case, you mentioned that your ear thermometer recorded a temperature drop from over 38 degrees Celsius to 37.8 degrees Celsius. While this change may seem minor, it can be a positive sign indicating that your body is responding to the antiviral medication (like oseltamivir, commonly known as Tamiflu) and that the fever may be subsiding. However, it is crucial to understand that a temperature of 37.8 degrees Celsius is still considered a low-grade fever.
Fever is generally defined as a body temperature above the normal range, which is typically around 36.1 to 37.2 degrees Celsius (97 to 99 degrees Fahrenheit). Therefore, while you are experiencing a slight decrease in temperature, you are not yet completely afebrile (fever-free). It's also important to note that fluctuations in body temperature can occur, especially when the body is fighting an infection.
In the context of Influenza A, it is common for patients to experience fever along with other symptoms such as body aches, fatigue, cough, and sore throat. The fever can fluctuate as the body responds to the infection and the treatment. It is also worth noting that the presence of fever does not necessarily correlate with the severity of the illness. Some individuals may experience high fevers while others may have milder symptoms.

If you are concerned about persistent high fever or if your symptoms worsen, it is advisable to consult with your healthcare provider. They may recommend monitoring your symptoms closely and possibly conducting further tests to ensure that there are no complications arising from the influenza infection.
In addition to monitoring your temperature, it is essential to stay hydrated, rest, and follow the treatment plan prescribed by your doctor. If your fever persists above 38 degrees Celsius for more than a few days, or if you experience other concerning symptoms such as difficulty breathing, chest pain, or confusion, seek medical attention promptly.

In summary, while a decrease in temperature is a good sign, you are still experiencing a low-grade fever. Continue to monitor your symptoms, adhere to your treatment regimen, and do not hesitate to reach out to your healthcare provider if you have any concerns about your condition. Your health and safety are paramount, and staying informed about your symptoms is key to managing your recovery effectively.

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