Flu Symptoms: When to Seek Medical Advice - Influenza

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Influenza Issues


Hello, doctor.
I started experiencing a scratchy throat and cough on October 8, along with body aches, but I was still able to move around a bit.
On October 9, I continued to feel body aches (which improved slightly after noon compared to the previous day), the cough decreased, but I began to have a runny nose with clear mucus, not thick.
When I moved my head, I felt a headache.
After taking some over-the-counter medication, my symptoms improved somewhat, but I still felt very warm, with my temperature not exceeding 38 degrees Celsius.
On the morning of October 10, I woke up with a severe headache and felt very warm, with a bit of yellow nasal discharge, but that was only right after waking up.
My temperature still did not exceed 38 degrees Celsius, and I continued to have mild body aches, occasional coughs, and a runny nose, which remained clear.
Over these three days, I sometimes felt cold and sometimes hot, occasionally sweating from the heat.
My energy levels fluctuated; on the morning of the 10th, the headache was so severe that I couldn't move, but at other times, while uncomfortable, I was not confined to bed rest.
I would like to ask the doctor if these symptoms could indicate influenza? Should I see a doctor immediately? Also, when measuring temperature with an ear thermometer, where should it be positioned in the ear for accuracy? I've noticed that the temperatures on either side can sometimes differ by more than 0.5 degrees, and I'm unsure if I'm using it incorrectly.
Thank you again for taking the time to answer my questions!

Nìmíng, 20~29 year old female. Ask Date: 2023/10/10

Dr. Chen Mingong reply Influenza


Hello: Feeling unwell intermittently for three days, it is advisable to see a doctor.
The principle of an ear thermometer is to use infrared technology to measure the temperature of the tympanic membrane inside the external ear canal.
Therefore, when measuring, you should pull the auricle backward and outward as much as possible to allow the ear thermometer to penetrate more easily into the external ear canal to measure the tympanic membrane.
A difference in temperature between the left and right ears is inevitable, so use the "higher" reading as the reference.

Reply Date: 2023/10/10

More Info


When experiencing flu-like symptoms, it can be challenging to determine when to seek medical advice. Based on the symptoms you've described, it appears you are dealing with a common viral infection, possibly the flu or a cold. Symptoms such as a sore throat, body aches, cough, nasal congestion, and headaches are typical of these illnesses. However, there are specific indicators that can help you decide whether to consult a healthcare professional.


Symptoms to Monitor
1. Fever: While you mentioned that your temperature has not exceeded 38 degrees Celsius (100.4 degrees Fahrenheit), persistent fever can be a sign of a more severe infection. If your fever rises above this threshold or persists for more than a few days, it may warrant a visit to the doctor.

2. Severe Headaches: You noted experiencing significant headaches, especially on the morning of the 10th. If these headaches become severe or are accompanied by other symptoms such as visual disturbances, confusion, or neck stiffness, it is essential to seek medical attention.

3. Respiratory Symptoms: The presence of yellow nasal discharge can indicate a secondary bacterial infection, especially if it persists or worsens. If you develop difficulty breathing, chest pain, or a persistent cough that produces discolored mucus, you should see a doctor.

4. Duration of Symptoms: If your symptoms do not improve after a few days or worsen, it is advisable to consult a healthcare provider. Viral infections typically improve within a week, while bacterial infections may require antibiotics.

5. Overall Health: If you have underlying health conditions, such as asthma, diabetes, or a weakened immune system, you should be more vigilant and consider seeking medical advice sooner.


When to Seek Medical Attention
You should seek medical advice if you experience any of the following:
- Difficulty breathing or shortness of breath
- Persistent chest pain or pressure
- Confusion or inability to stay awake
- Severe or persistent vomiting
- Symptoms that improve but then return with fever and worse cough

Measuring Temperature Accurately
Regarding the use of an ear thermometer, it is crucial to place the thermometer correctly to obtain an accurate reading. The probe should be inserted gently into the ear canal, aiming towards the opposite shoulder. Ensure that the ear is free of wax, as this can affect the reading. If you notice a significant temperature difference between the two ears, it may be beneficial to take multiple readings and average them for a more accurate assessment.


Conclusion
In summary, while your symptoms may suggest a mild viral infection, it is essential to monitor them closely. If you experience any concerning symptoms or if your condition does not improve, do not hesitate to contact a healthcare professional. They can provide a thorough evaluation and determine if further treatment is necessary. Remember, it’s always better to err on the side of caution when it comes to your health. Stay hydrated, rest, and take over-the-counter medications as needed to alleviate your symptoms.

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