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Influenza

Flu – symptoms, treatment, vaccination

 


Influenza (the flu) is a viral infection of the respiratory tract that spreads easily and quickly from person to person. Symptoms include fever, muscle aches and pains, and tiredness. Treatment for flu is mainly to lessen symptoms and provide comfort. Vaccination is the best means of prevention. People with immature or weakened immune systems are at a higher risk of developing serious complications from flu, such as pneumonia and bronchitis. 

In New Zealand, approximately one in four people are infected with flu each year.  Although many of these people will not develop symptoms, they can still pass on the flu to other people, which is why vaccination is important.    

What is flu?

The flu is an infectious disease of the respiratory tract – the nose, throat, and lungs.  Flu is caused by different strains (variations) of influenza viruses.  The main virus strains undergo genetic change (mutation) allowing them to evade our immune systems, which is why people need to get a new vaccination every year to have immunity. The annual flu strains that circulate every winter generally do not cause widespread illness. Sometimes, however, flu outbreaks occur in which many people are affected at the same time. These outbreaks are called epidemics if they occur in one location; while worldwide outbreaks are called pandemics.

What is the difference between a cold and flu?

Colds and flu are both respiratory diseases and share some of the same symptoms (e.g. coughing, sore throat, runny nose) so it can be difficult to tell the difference. The main distinction is that flu is a more serious illness, resulting in symptoms being felt with greater intensity and carrying greater risk of serious complications and sometimes death.   Duration of the illness is a further point of difference: cold symptoms can make you feel ill for a few days, while flu symptoms can make you feel unwell for a few days to two weeks.  And, unlike flu, there is no vaccine to protect against the common cold and no anti-viral drugs have been developed to effectively treat the common cold.

Symptoms and diagnosis

Symptoms of flu, which can come on suddenly, include the following:   

  • Fever and chills
  • Cough, sore throat, and a runny or stuffy nose
  • Laryngitis
  • Headache
  • Earache
  • Body aches and pain
  • Weakness and tiredness, sometimes severe
  • Irritated watering eyes.

Nausea, vomiting, and diarrhoea may also occur during a flu infection, especially in children. The majority of people who get the flu have symptoms for one to two weeks and then recover without any problems. However, people with weakened immune systems can develop serious and potentially life-threatening complications, such as pneumonia and bronchitis.

Diagnosis of flu is based on symptoms and a person’s association with other people known to have the disease. A rapid diagnostic test, by taking a swab sample from the upper part of the throat, can be done in a doctor’s office to determine the particular influenza strain.

Treatment

Treatment for flu is mainly focused on alleviating symptoms and making the person as comfortable as possible. This includes getting plenty of bed rest at home (away from other people) and drinking plenty of fluids, using a damp cloth on the forehead to reduce fever, and taking paracetamol to relieve muscle aches and fever. 

People at higher risk - the elderly, young children, pregnant women, and those with existing chronic medical conditions (including asthmadiabetes, and kidney disease) - should see their doctor early, to find out if they need treatment.  Antiviral drugs are available on prescription to reduce the severity of symptoms and prevent complications. They work best when taken within the first two days of symptoms appearing.  

Medical advice should also be sought early if you have concerns that the illness could be a more serious condition, such as meningococcal meningitis which is similar to flu in its early stages.

Vaccination

The illness and death caused by seasonal influenza can be prevented by getting an annual influenza vaccination (the ‘flu jab’). Seasonal vaccination is especially recommended for those people who are in an at-risk group. 

If you develop flu symptoms you should follow basic hygiene practices to avoid spreading the disease to other people, including:

  • Washing your hands regularly and thoroughly or use an alcohol-based hand rub
  • Avoiding touching your eyes, nose, and mouth
  • Not sharing eating or drinking utensils
  • Staying away from work or school for as long as you have symptoms.

Further information

Healthline
Freephone (24 hours): 0800 611 116

National Influenza Specialist Group
Email: influenza@auckland.ac.nz
Phone: (09) 373 7599
Website: www.influenza.org.nz

References

Centers for Disease Control and Prevention (2016). Cold versus flu (Web Page). Atlanta, GA: Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases. https://www.cdc.gov/flu/about/qa/coldflu.htm [Accessed 27/01/18] 
Immunisation Advisory Centre (Year not stated). Flu can be anywhere (Brochure). Auckland: Immunisation Advisory Centre. https://www.influenza.org.nz/sites/default/files/2017%20Flu%20Brochure%20Update.pdf 
Ministry of Health (2017). Influenza (Web Page). Wellington: New Zealand Government Ministry of Health. https://www.health.govt.nz/your-health/conditions-and-treatments/diseases-and-illnesses/influenza [Accessed 27/01/18] 
Nguyen, H.H. (2018). Influenza (Web Page). Medscape Drugs and Diseases. New York, NY: WebMD LLC. https://emedicine.medscape.com/article/219557-overview [Accessed: 27/01/18] 
O’Toole, M.T. (Ed.) (2013). Influenza. Mosby’s Dictionary of Medicine, Nursing & Health Professions (9th ed.). St Louis. MI: Elsevier Mosby. 

Swallowing difficulties (dysphagia)

Causes of swallowing difficulties

Swallowing difficulties can happen at any age. There are a wide range of causes for them, including:

  • some medicines, such as antipsychotics
  • heartburn and acid reflux
  • cancer, such as mouth or throat cancers
  • nervous system or brain disorders
  • muscle disorders
  • blockages or structural issues with your mouth, throat or oesophagus.

Symptoms of swallowing difficulties

Symptoms of swallowing difficulties may include:

  • coughing or choking when eating or drinking
  • bringing food back up, may be through your nose
  • the feeling that food is stuck in your throat
  • having issues chewing your food
  • problems with dribbling.

Swallowing difficulties can cause weight loss, dehydration and chest infections.

Diagnosing swallowing difficulties

Let your healthcare provider know if you have swallowing difficulties. They will ask you about your symptoms and check if any other health conditions you have may be the cause.

Your healthcare provider may refer you to a specialist for tests. These may include a:

  • gastroscopy—a camera is passed down through your mouth to look at your throat and stomach
  • swallowing study—your throat and stomach are x-rayed as you swallow small amounts of food.

Treating swallowing difficulties

How your swallowing difficulties are treated depends on the cause and how severe it is. Treatments may include:

  • medicines to treat acid reflux
  • swallowing therapy with a speech and language therapist
  • making changes to what you eat and drink, such as softer foods and using thickener in drinks
  • using special spoons, plates and cups
  • surgery to widen your oesophagus.
  • using special medication lubricants eg Gloup to help make it easier to swallow tablets etc. For more information click here.

Self care for swallowing difficulties

As well as seeing your healthcare provider, the following tips may help you to get food or liquids into your stomach.

  • Sit upright in a chair—at a table is best.
  • Have regular small meals instead of the main large meals.
  • Eat or drink small mouthfuls at a time.
  • If your voice is gurgly when you eat or drink, give a small cough to make sure your airway is clear.
  • Wet food will be easier to swallow as dry food can catch in your throat.
  • If your food has 2 consistencies, such as fruit in juice and cereal in milk, try to mix it into 1 consistency, or eat the solid and liquid portions separately.
  • Concentrate on eating and avoid talking.
  • Hot, ice-cold or fizzy liquids are easier to swallow than room temperature liquids.
  • If you are told to have thickened liquids, avoid ice-cream and jelly as they thin before swallowing.
  • Drink from the top half of you cup to avoid tipping your head back.

 

Have a look at our range of Gloup medication lubricants here which can help with difficulties swallowing tablets... 

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