Does H1N1 Always Cause Fever? Symptoms and Concerns - Otolaryngology

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Is fever always present with H1N1?


I have a headache, runny nose, cough with phlegm, sore throat, and body aches, but I don't have a fever.
Two days ago, I had diarrhea.
I have allergic rhinitis and often have a runny nose.
Does this mean I can rule out H1N1? I saw a doctor who told me that since I don't have a fever, it probably isn't H1N1, and to return if I develop a fever.
Isn't that a bit scary? What if I am the type that doesn't develop a fever?

MAY, 20~29 year old female. Ask Date: 2009/08/29

Dr. Jian Huangqi reply Otolaryngology


A rapid test for H1N1 can be performed using a nasopharyngeal swab.
If symptoms are severe, Oseltamivir (75 mg per capsule) can be administered twice daily for a total of five days.

Reply Date: 2009/08/29

More Info


H1N1, also known as swine flu, is a subtype of the influenza virus that can cause a range of symptoms, including fever, cough, sore throat, body aches, headaches, chills, fatigue, and sometimes gastrointestinal symptoms like diarrhea or vomiting. However, it is important to note that not everyone infected with H1N1 will exhibit all of these symptoms, and fever is not always present.

In your case, you mentioned experiencing symptoms such as headaches, runny nose, cough with phlegm, sore throat, body aches, and diarrhea, but you did not have a fever. While fever is a common symptom of H1N1, its absence does not definitively rule out the possibility of an H1N1 infection. Some individuals, particularly those with certain underlying health conditions or those who have received vaccinations, may experience milder forms of the illness without fever.

Your history of allergic rhinitis (allergic nasal congestion) could also contribute to some of your symptoms, such as a runny nose and cough. Allergies can cause nasal congestion and post-nasal drip, which might lead to a cough and throat irritation. However, the presence of gastrointestinal symptoms like diarrhea is less common in typical allergic reactions and could suggest a viral infection or another underlying issue.

It is also worth noting that the flu can present differently in different individuals. Some people may have a more severe response to the virus, while others may have a milder illness. The absence of fever does not necessarily mean that you are not experiencing a viral infection; it could simply mean that your body is responding differently.

If you are concerned about your symptoms, especially given the context of recent flu outbreaks, it is advisable to consult with a healthcare professional. They may recommend testing for influenza or other respiratory viruses, especially if your symptoms persist or worsen. Additionally, if you develop a fever or other concerning symptoms, it is important to seek medical attention promptly.

In summary, while fever is a common symptom of H1N1, its absence does not rule out the possibility of infection. Your symptoms could be due to a variety of causes, including allergies or other viral infections. Monitoring your symptoms and consulting with a healthcare provider will help determine the best course of action for your health.

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