flu symptoms without a fever

  • 6 min read
  • Des 01, 2019

Examining How the Flu Progresses Day After Day
Examining How the Flu Progresses Day After Day

By Michael Hochman, Michael Wang, and Katy Butler

March 20, 2020

If you have a cough, fever, or shortness of breath, how can you know if you ‘got Covid -19, normal flu, the common cold, or worse case concerns? If you get tested? When should you seek medical care-and when should you just stay home?

Two of us (MH and MW) are primary care physicians who have received a lot of calls from concerned patients with symptoms such as cough, fever, or shortness of breath. The calls prompted us – with the help of some colleagues – to develop simple to help people decide when to treat their symptoms with a safe at home and when to seek medical help. One of the most important things we each can do during a pandemic lasts is to free medical providers to concentrate on seriously ill

First the good news :. Most – perhaps 80% or more – of the people who came down with Covid-19, especially those under 50, will suffer symptoms no more serious than a bad cold or mild flu and will be better in two weeks time. No need to seek testing or go to the doctor’s office. The test results will not change your medical care because there is no current treatment other than the usual recommendation for any cold or flu: drink plenty of fluids, rest homes, and try over-the-counter medications. (The test will, however, warning you to be extra careful not to others infect.)


In some people, though, Covid-19 is a more serious disease, especially among the elderly and those with chronic conditions. That is why the current outbreak should be taken so seriously.

Our team in GEHR Family Health Center for Science and Innovation Systems at the Keck School of Medicine of USC, in partnership with the Akido Labs, developing a triage tool to help guide patients. It’s for anyone to use. This tool will help the most people effectively manage the symptoms of mild and moderate of Covid-19 at home.


We also developed general advice and tips for self-care at home below.

Although the news reports about Covid 19th alarming reports from China, Italy, the United States and elsewhere shows that for most people, infection with the new coronavirus is the equivalent of getting the flu. These steps can help you if you require formal medical care and, if not, how to care for themselves safely at home.

Know when to seek medical care. The reason to seek immediate treatment is no different today than they were before Covid the 19th plague. Severe symptoms listed in the table below shows that you need medical attention. Otherwise, if you have a fever and cough or other symptoms of a cold or flu, but healthy, aged under 60, do not have trouble breathing, and did not feel ill, you better take care of yourself at home.

severe symptoms that suggest the need for medical attention (please note that this is not intended to be an exhaustive list, but it gives a general guide)

Do not go directly to the office physician or urgent care. Start by calling the medical advice line or telemedicine selection instead. These days it is wise to stay away from crowded places, and it included emergency departments, hospitals, doctor’s offices, urgent care centers, and clinics – unless you are seriously ill. This is the place where you can take a coronavirus if you do not have it, or you batch spread to others.

Many health plans have 800 numbers with a nurse or doctor on call to answer questions over the phone, as well as some doctor’s offices. Look at your insurance card and make calls. Some clinics are conducting video visits, also known as telemedicine. If you contact the advice line first, you can often get the guidance you need without spreading the infection or unnecessary exhausting yourself.

Save testing for those who are sick enough to need hospital. Testing for Covid-19 will not change your medical care because no treatment is available or required for mild symptoms. (People with serious symptoms, such as difficulty breathing, should receive supportive care in the hospital.) Tests are in short supply and are prioritized for those who have severe symptoms or who have been exposed to someone diagnosed with Covid-19. If you do not fall into one of two categories, refrain from testing request unless public health officials urge you to get tested for trace purpose. (We knew when we wrote this that the indications for testing may loosen in the days ahead as increased supply testing.)

The practice of self-care. Viral infections are dehydrated. Drink plenty of fluids. Pedialyte and soup containing salt helps, such as water, tea, juice, and soda. Drink enough so that your urine is pale normal and you produce more urine because usually extinguish. Note: Do not urinate usually a sign you may need medical attention. If you have special dietary restrictions due to diabetes, kidney disease, heart failure, or other conditions, medical advice over the phone or email about it is the best fluid for you.

Some over-the-counter may help. As anyone who has had a cold knows, over-the-counter medications tend to provide only limited help, and some may have side effects such as dry mouth, sleepiness, and increased blood pressure. Try rinsing your nose and sinuses with saline solution. Fever-reducer and pain medications such as Tylenol (acetaminophen) could help, and honey can be an effective cough remedy. There is a non-steroidal anti-inflammatory such as ibuprofen or naproxen can make Covid-19 is worse, though more research is needed.

If you have one or more chronic medical conditions, seek telephone advice from an expert to ensure you choose the treatment that is safe for you.

Do not ask for antibiotics. Antibiotics do not work for viral diseases such as Covid-19. They also often cause side effects such as nausea, diarrhea, and rash.

Get plenty of rest. Infection of the body’s stress. Plenty of rest – including sleep – will help maintain a strong immune system so that it can devote themselves to rid your body of the virus

Set yourself apart from the others to prevent the spread of the virus .. If you have a cold or flu symptoms , play it safe and act as if you have Covid-19. Wearing face masks when in a room with other people and if you have to leave the house. Avoid close interaction with other people for 14 days.

Follow the advice of public health authorities. Even for those who are not sick, social distance will avoid triggering the pandemic. Please heed the advice of local officials.

This is a scary moment in history. No one should be blamed for feeling anxious. Most people with viral illnesses – including Covid-19 – can be treated effectively in their own homes without seeking formal medical treatment and would recover within two weeks. But it’s also important to know when to seek expert care.

We expect that a simple tool for self-triage and general advice and tips for self-care at home can reduce some of the anxiety. and help you take the best care of yourself and your loved ones without putting yourself or others at unnecessary risk.

Michael Hochman, MD, is a primary care physician, professor of clinical medicine at USC’s Keck School of Medicine, and director of the Keck. Michael D. Wang, M.D., is a professor of clinical medicine at the Keck and inpatient program director for the Department of Medical school. Katy Butler is a journalist, essayist, and author who writes extensively about health topics. The authors acknowledge the important contribution of Arek Jibilian, MD, Carolyn Kaloostian, MD, Anjali Mahoney, MD, Rishi Mehta, MD, Pieter Cohen, MD, and Chris Hendel to review this matter and help develop a triage tool.

I have been advised by my primary physician and Austin Regional Clinic PA to go to the emergency room after the call tele / video. I’ve been coughing for 7 days and as yesterday began experiencing shortness of breath that have increased in severity during the last 24 hours. I myself quarantined from my husband and three small children in my bedroom.
I’m not ready to go to the hospital yet, despite my bags packed. I listen to my body and it will go away when / if absolutely necessary. I do not have a fever and feel good besides a pretty intense chest pain while breathing. I’m 46 and healthy. I was scared but quiet and do not want to go to the full germs, really ill equipped, hospital screwed up.

You can not get tested unless you are an NBA player.

From what I have gathered from all the medical professionals I have spoken with, is that they will not offer the test because it is very possible I have Covid-19 and the day will not wait for the results to help my SymptoMiss. If it gets worse I had to seek medical attention and if managed, I should stay at home and self-care. I totally understand and that’s what I did.
I’d rather be at home taking care of themselves rather than take up space and interfere with medical personnel of high-risk patients who are in a more critical condition.

We are strong and we will get through this. Stay strong everyone and nurture yourself and your loved ones.

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