Flu in Children: Symptoms, Causes, Diagnosis, Treatment, and Prevention

Aditya Children’s Hospital, Dr. V. Adithya Kiran

What is Flu in Children?

Flu in children is a common illness caused by the influenza virus. Many parents worry about childhood influenza, especially during flu season. The flu spreads easily among kids, often leading to missed school days. Although most children recover, some can get very sick. Therefore, knowing the signs and how to prevent flu in children is important for every parent and caregiver.

Common Symptoms of Flu in Children

Children with the flu may show different symptoms than adults. Sometimes, the signs can appear quickly. For example, your child might feel fine in the morning but develop a fever by afternoon. Common flu symptoms in kids include:

  • High fever (often above 101°F or 38.3°C)
  • Chills or shivering
  • Cough and sore throat
  • Runny or stuffy nose
  • Body aches or headaches
  • Fatigue or feeling very tired
  • Loss of appetite
  • Sometimes, vomiting or diarrhea (more common in children than adults)
  • However, not all children will have every symptom. Some may only have a cough or mild fever. If your child seems unwell, it is wise to watch for these signs.

    Causes and How the Flu Spreads Among Children

    The flu is caused by the influenza virus. It spreads easily, especially in places like schools or daycare centers. When a sick child coughs or sneezes, tiny droplets with the virus can land on surfaces or in the air. Other children can catch the flu by breathing in these droplets or touching contaminated surfaces and then touching their mouth, nose, or eyes. Because children often play close together, the flu can spread quickly among them. Good hygiene helps reduce the risk, but the virus is very contagious.

    Diagnosis: How Doctors Identify Flu in Children

    Doctors usually diagnose flu in children by looking at their symptoms and asking about recent contact with others who have the flu. Sometimes, a doctor may use a quick test called a rapid influenza diagnostic test. This test uses a swab from the nose or throat and gives results in about 15 minutes. However, not all children need this test. If your child has typical symptoms during flu season, the doctor may diagnose flu without testing. Still, if your child is very young, has a weak immune system, or has severe symptoms, testing may help guide treatment.

    Treatment Options for Children with Flu

    Most children with flu get better at home with rest and fluids. However, some may need medicine. Doctors sometimes prescribe antiviral drugs, such as oseltamivir (Tamiflu), for children at high risk of complications. These medicines work best if started within two days of symptoms. Over-the-counter medicines can help with fever or pain, but always check with your doctor before giving any medicine to your child. Never give aspirin to children with flu, as it can cause a rare but serious illness called Reye’s syndrome.

    Home Care and Lifestyle Tips for Recovery

    While your child recovers from the flu, there are several things you can do at home to help:

  • Encourage plenty of rest
  • Offer fluids like water, soup, or clear juices to prevent dehydration
  • Use a cool-mist humidifier to ease breathing
  • Give fever-reducing medicine if needed, but only as directed by your doctor
  • Keep your child home from school or daycare until they are fever-free for at least 24 hours
  • Additionally, make sure your child eats small, healthy meals if they feel up to it. If symptoms get worse or your child has trouble breathing, call your doctor right away.

    Prevention: How to Protect Children from the Flu

    Preventing flu in children is possible with a few simple steps. The best way is to get your child a yearly flu vaccine. The CDC recommends flu shots for everyone over six months old. Besides vaccination, you can help protect your child by:

  • Teaching them to wash hands often with soap and water
  • Reminding them to cover their mouth and nose when coughing or sneezing
  • Keeping them away from people who are sick
  • Cleaning toys and surfaces often
  • Encouraging healthy habits like eating well and getting enough sleep
  • Even with these steps, some children may still get the flu. However, these actions can lower the risk and help keep your family healthy.

    When to See a Doctor

    Most children recover from the flu without problems. However, you should call your doctor if your child:

  • Has trouble breathing or fast breathing
  • Has a high fever that does not go down
  • Looks very sleepy or hard to wake up
  • Has chest pain or severe headache
  • Shows signs of dehydration, such as no tears when crying or not urinating
  • Has a seizure
  • Early medical care can help prevent serious complications. If you are unsure, it is always better to ask your pediatrician.

    Consult a pediatrician for personalized advice if your child shows flu symptoms.