Q: My child has cold symptoms without a fever, but there's a flu outbreak at kindergarten. Should we get a flu test?

Medically reviewed by Sang Hyun Ahn, MD

Content edited by Myeongchan Kim, MD

This post is a dramatization of a question and answer session experienced by our actual medical reviewers. Please note that this content is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.

Question:

There seems to be a flu outbreak in my child's kindergarten class. My child is currently experiencing cold symptoms, including a cough and a runny nose, but does not have a fever. The nasal congestion is bad enough that it wakes them up at night because they have trouble breathing. They are also currently taking antibiotics. Given the flu outbreak at school, should we get tested for the flu?

Answer:

It is completely understandable that you are worried, especially with a known flu outbreak at the kindergarten. When a child cannot sleep due to a stuffy nose, it is exhausting for the whole family.

It is important to know that the flu can sometimes present without a fever. Children, in particular, can show different symptom patterns compared to adults.

Considerations for a Flu Test:

• Recommendation: Given the known exposure at kindergarten and your child's current symptoms, a flu test is recommended.

• Timing: The test is most accurate when done within 48 hours of symptom onset.

• Treatment: If the test is positive, antiviral medication (such as Tamiflu) can be prescribed. These medications are most effective when started within the first 48 hours of symptoms.

Things You Can Do Right Now for Comfort:

1. Relieve nasal congestion: Use a humidifier in the room and elevate your child's head slightly while they sleep.

2. Nasal wash: Use a sterile saline spray or wash to clear the nasal passages, which is especially helpful right before bedtime.

3. Hydration: Ensure your child is drinking plenty of fluids.

⚠️ Seek Immediate Medical Attention If You Notice:

• Difficulty breathing or chest pain.

• Severe headaches or vomiting.

• Symptoms that suddenly worsen.

Please keep in mind that antibiotics are only effective against bacterial infections and do not work against viruses like the flu. I highly recommend visiting your pediatrician in the morning to get a flu test and to have the doctor evaluate your child to determine if the current antibiotics are still necessary.

For extra peace of mind and clear guidance when tracking your child's symptoms, the FeverCoach app is always there to help.

fevercoach.us

Apple App Store

Google Play

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