Fever and Chills in Influenza B: Causes and Remedies - Family Medicine

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Influenza B chills


You have been experiencing influenza B symptoms for two days, and you are only taking the antiviral medication in the morning and evening.
After the medication wears off, you feel chills again.
What could be the reason for this? Thank you.

Nǚshì, 60~69 year old female. Ask Date: 2021/12/08

Dr. Liao Yaopan reply Family Medicine


In the past couple of years, the number of influenza cases has indeed been significantly lower than in previous years.
If diagnosed with influenza, antiviral medications are crucial in addition to symptomatic relief medications, as the effects of the antiviral drugs take some time to manifest.
During the treatment period, it is essential to closely monitor the trends in body temperature changes.
If the severity and frequency of fever gradually decrease, it is expected that the condition is improving.
However, if symptoms worsen, it is advisable to return to the original treating physician for further evaluation.
Online consultations do not equate to in-person medical visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about your well-being.

Reply Date: 2021/12/08

More Info


Fever and chills are common symptoms associated with influenza, including Influenza B. When you experience these symptoms, it indicates that your body is responding to an infection. The fever is a natural defense mechanism, as it helps to create an environment that is less favorable for the virus to thrive. Chills often accompany fever as your body tries to regulate its temperature.
In the case of Influenza B, the virus can cause a range of symptoms, including fever, chills, body aches, fatigue, cough, sore throat, and sometimes gastrointestinal symptoms. The fever typically arises as the immune system responds to the viral infection, and chills can occur as your body temperature fluctuates. The chills you experience when the medication wears off may be due to the body’s attempt to raise its temperature back to a feverish state to fight off the virus.

The antiviral medications prescribed for influenza, such as oseltamivir (Tamiflu), are most effective when taken within the first 48 hours of symptom onset. They work by inhibiting the virus's ability to replicate, thus shortening the duration of the illness and alleviating symptoms. However, these medications do not eliminate the virus immediately, and it is common to still experience symptoms, including fever and chills, even after starting treatment.
It is important to stay hydrated and rest as your body fights off the infection. Over-the-counter medications like acetaminophen (Tylenol) or ibuprofen can help manage fever and body aches, but they may not completely eliminate chills if the underlying infection is still present.
If you find that your fever persists or worsens, or if you experience difficulty breathing, chest pain, or other severe symptoms, it is crucial to seek medical attention. In some cases, secondary bacterial infections can develop following influenza, which may require additional treatment with antibiotics.

In summary, the chills you are experiencing after taking your flu medication may be due to the ongoing viral infection and the body's response to it. Continue to monitor your symptoms, stay hydrated, and rest. If your symptoms do not improve or if you have concerns, consult your healthcare provider for further evaluation and management.

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