How is the flu transmitted?

Written by Yuan Qing
Pulmonology
Updated on January 31, 2025
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Influenza, also known as the flu, typically occurs when the human body is infected by influenza viruses, leading to associated symptoms. The symptoms of influenza can vary depending on the type of infecting pathogen or virus. Influenza is primarily transmitted from person to person or through contact with livestock and poultry. The main route of transmission is through droplets, such as when one comes into contact with droplets from a sneeze or cough of an infected person. Another possibility is through contact with birds or livestock, such as being infected by secretions or excretions from pigs, which is also a mode of transmission.

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Written by Yuan Qing
Pulmonology
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Can the flu cause diarrhea?

Influenza can cause diarrhea, but this is a minority occurrence. Influenza is a disease that appears after the respiratory system of a human body gets infected with the influenza virus. After infecting the human body, influenza primarily manifests symptoms like coughing, sore throat, and fever. However, some patients may develop gastrointestinal symptoms such as diarrhea, nausea, and vomiting after being infected with influenza. This situation is related to viral infection, not the commonly thought stomach flu or food poisoning. Some patients may also experience joint pain and a decrease in appetite. If a patient experiences diarrhea accompanied by respiratory infection symptoms and has tested positive for influenza antibodies, it is necessary to promptly use antiviral drugs for influenza. However, many doctors who do not have such experience in diagnosing influenza might mistake the nausea and diarrhea caused by influenza for gastroenteritis, leading to a delay in proper treatment. Therefore, if one has respiratory symptoms accompanied by gastrointestinal symptoms, the possibility of influenza should be considered.

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Written by Li Jian Wu
Pulmonology
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Can the flu cause recurring fever?

Influenza can cause recurrent fever as a symptom. Epidemic influenza, also caused by influenza or parainfluenza virus infection, is a type of acute respiratory infectious disease. The presence of the virus in the body can stimulate the body's temperature regulation center, which may cause recurrent episodes of fever, typically lasting about three to five days, and the fever should not persist beyond seven days, so there is no need for excessive worry. It is advised to drink plenty of water, rest adequately, and take appropriate antipyretic medication to manage the fever when it occurs. Additionally, antiviral medications like Qingkailing or antiviral oral solutions can be used for antiviral treatment. (Specific medications should be taken under the guidance of a physician.)

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Written by Li Fang Xiao
Internal Medicine
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How to get a flu vaccine?

Influenza vaccines are mainly produced to prevent epidemic influenza and are currently available in three main types: Type A, B, and C. The target population for influenza vaccine administration primarily includes the elderly, preschool children, and patients with chronic underlying diseases, who are more suitable for vaccination. For children under three years old, the influenza vaccine should be administered twice, as it is administered via muscle injection and cannot be used intravenously. For this age group, the two doses should be spaced at least four weeks apart. For children over three years old and adults, an annual vaccination is sufficient. The optimal time for influenza vaccination is usually in September and October, as influenza tends to outbreak in winter and spring, so vaccinating during these months can greatly prevent influenza.

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Written by Yuan Qing
Pulmonology
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Why is there a low fever after the flu?

Influenza, also known as the flu, is primarily due to an infection of the flu virus in our upper respiratory tract, leading to symptoms such as sore throat, cough, and fever. After the influenza virus enters the human body, it replicates repeatedly. Post replication, the body's immune cells attempt to eliminate it. However, it is usually challenging for immune cells to completely clear the virus in one go. Therefore, many patients experience a prolonged period of low-grade fever or persistent abnormal body temperature after the flu. Generally, the course of the flu is about 10-14 days, and recovery is typically achievable, often with a complete resolution of fever. Thus, there is no need for excessive worry. Treatment can be effectively enhanced by using a combination of antiviral Chinese and Western medicines.

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Written by Yuan Lin Yan
Infectious Disease
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How is avian flu treated?

First, patients suspected or confirmed with avian influenza should be isolated and treated as early as possible. Second, antiviral medications such as oseltamivir and zanamivir should be taken within forty-eight hours of onset, the sooner the better. Third, physical cooling or antipyretic drugs should be administered during high fever, and medications like Compound Licorice Tablets and Ambroxol Hydrochloride can be used to relieve severe cough and phlegm. Oxygen therapy using nasal cannulas or masks may be administered depending on the degree of hypoxia. Fourth, strengthen supportive treatment, maintain internal environment stability, and prevent complications.