Health Info

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General Health - Influenza

Flu

The flu is a serious respiratory infection that affects millions of people each year and spreads easily through the respiratory droplets of an infected person. Although recovery may take several days, most people recover from the flu (including H1N1 flu) with rest and proper self-care strategies.

UHS does not give class excuses for the flu.

Symptoms of the Flu

Fever (usually 100 degrees or greater) and cough and/or sore throat

Other symptoms may include: body aches, chills, mild headache, runny nose and /or nasal congestion, and occasionally vomiting or diarrhea.

What should I do if I’ve been diagnosed with the flu or have influenza-like symptoms?

People who are pregnant, have a chronic medical condition (such as asthma, diabetes, cystic fibrosis, or heart disease), or are immunocompromised, are at greater risk for developing severe illness from the flu. If you, or anyone you have been in close contact with while ill, have these conditions, contact UHS or a healthcare provider as soon as possible.

Treatment recommendations

Following these basic guidelines can help ease your discomfort and speed your recovery.

Fever, Chills, and Body Aches

For fever, chills, and body aches, use an NSAID (non- steroidal anti-inflammatory medication, like ibuprofen (generic Motrin or Advil) or naproxen (generic Aleve). The major side effect of NSAIDs is irritation of the stomach, occasionally leading to gastrointestinal ulceration and bleeding. Stop the medication if you have stomach upset or pain. Consider taking acetaminophen (Tylenol), instead, for fever and pain if you have stomach upset.

DO NOT TAKE ASPIRIN.

Stuffy Nose and Congestion

For stuffy nose and congestion use a decongestant. The only effective oral decongestant currently available is pseudoephedrine. You must ask the pharmacist for this medication (regulated because of illegal use to make methamphetamine), although no prescription is required. Decongestants purchased off the shelf contain phenylephrine and are much less effective. Oral decongestants may produce rapid heart rate, blood pressure elevation, nervous stimulation, and restlessness which may interfere with sleep.

An alternative to the oral medication is a decongestant nose spray oxymetazoline hydrochloride (generic Afrin). This can rapidly relieve nasal obstruction. When the decongestant effect of the drug wears off, nasal obstruction rapidly returns. Therefore, this can be very effective, but limit use to 3 days (if used twice daily) or 5-6 nights (if only used at bedtime). Overuse by just a few days can result in “rebound” obstruction and mucosal damage.

Runny Nose, Sneezing, and Cough

For runny nose, sneezing, and cough, try an antihistamine.  The most effective antihistamines are first generation, although they tend to cause drowsiness. Examples of first generation antihistamines are brompheniramine (generic for DimeTapp), chlorpheniramine (generic for Chlor- Trimeton and Singlet), diphenhydramine (generic for Benadryl), and doxylamine (generic for NyQuil and Alka- Seltzer Plus Night-Time Cold Medicine).

The newer (non-sedating) antihistamines do not appear to have the same degree of effectiveness for treating colds. Examples are Loratadine (Claritin), Fexofenadine (Allegra – prescription required), and Certirizine (Zyrtec).

Cough

For cough you can try a cough suppressant. Cough suppressants are natural narcotics, like codeine, and synthetic narcotics, like dextromethorphan (DM). They act on the brain to depress the cough reflex center. Their effectiveness in patients with chronic cough has been demonstrated in controlled studies but there is little published information on their effectiveness in coughs associated with colds. Cough suppressants can produce gastrointestinal discomfort but otherwise have few side effects. In normal healthy people with good cough reflexes, cough suppressants are safe.

Drug interactions may occur with DM and certain anti-depressants.  If you are on an anti-depressant, discuss this with your provider.

Sore Throat and Nasal Congestion

For sore throat and nasal congestion, consider using a saline rinse. Various nasal saline rinse kits are available commercially or you can make your own saline by mixing ½ teaspoon of salt and 8 ounces of warm water in a clean container:

For the nose: Place the above mixture in a reusable sinus rinse bottle or draw up into a nasal bulb syringe. The most convenient way to perform a sinus rinse is in the shower or over a sink.

For the throat: Swish and spit

Keeping a throat lozenge, cough drop, or hard candy in your mouth will stimulate your saliva and help soothe your throat.

When to Seek Medical Evaluation

If you have the flu or viral illness and any of the following symptoms or conditions you need to seek medical evaluation as soon as possible.

Emergencies

In an emergency, go to Mount Nittany Medical Center or call 911 for an ambulance.

Test Results and Advice Nurse

Please call the nurse for test results and advice: 863-4463

Appointments

Appointments can be made online via the UHS website, by phone or in person. If you are unable to keep your appointment, please call

and cancel. Otherwise you will be charged for the visit.

To schedule or cancel appointments call 863-0774 or schedule your appointment online through the UHS website

This content is reviewed periodically and is subject to change as new health information becomes available. This information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.


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