Behavior
Breastfeeding
CPR
Immunizations
Medical Conditions
   Abdominal Pain, Recurrent
   Acne
   Acute Lymphoblastic Leukemia
   Acute Otitis Media
   Acute Strep Throat
   Addison
   AIDS/HIV
   Anxiety
   Appendicitis
   Atopic Dermatitis (Eczema)
   Attention-Deficit Hyperactivity Disorder
   Attention-Deficit Hyperactivity Disorder (ADHD)
   Breast Enlargement, Premature
   Breath-Holding Spells
   Bronchiolitis
   Care of the Premature Infant
   Celiac Disease
   Chickenpox
   Chickenpox Immunization
   Coarctation of the Aorta
   Congenital Hip Dysplasia
   Coxsackie A16
   Cyclic Vomiting Syndrome (CVS)
   Depression
   Developmental Dysplasia of the Hip
   Diabetic Mother, Infant of
   Ear Infection
   Eating Disorders
   Eczema
   Enlarged Lymph Nodes
   Erythema Multiforme
   Eye Problems Related to Headache
   Febrile Seizure
   Fetal Alcohol Syndrome
   Fifth Disease (Erythema Infectiosum)
   Flu
   Food Born Illnesses
   Fragile X Syndrome
   Gastroenteritis, Viral
   Gastroesophageal Reflux
   Giardiasis
   Hand Foot and Mouth
   Head Lice
   Headache Related to Eye Problems
   Hemangioma
   Hepatitis A
   Hepatitis A Immunization
   Hepatitis B
   Hepatitis B Immunization
   Hepatitis C
   Hib Immunization
   High Blood Pressure
   HIV/AIDS
   Hyperactivity
   Hypertension
   Hypothyroidism
   Immunization
   Infant of a Diabetic Mother
   Infectious Mononucleosis
   Influenza Immunization
   Influenza-Seasonal
   Kawasaki Syndrome
   Language Development in Young Children
   Lead Poisoning
   Leukemia
   Lung Hypoplasia
   Lyme Disease
   Lymphadenopathy
   Measles
   Mental Health
   MMR Immunization
   Mumps
   Obesity in Childhood
   Otitis Media, Acute
   Pneumococcal Conjugate Immunization
   Polio Immunization
   Premature Thelarche
   Prematurity
   Prematurity, Retinopathy of
   Pulmonary Hypertension
   Pulmonary Hypertension (PPH & SPH)
   Retinopathy of Prematurity
   Rheumatic Fever, Acute
   Ringworm (Tinea)
   Roseola
   Rotavirus
   Rubella (German Measles)
   Scabies
   Separation Anxiety
   Sinusitis
   Smoking
   Speech Development in Young Children
   Stevens-Johnson Syndrome
   Strep Throat-Acute
   Strep Throat-Recurrent
   Stuttering and the Young Child
   Swine Flu
   Swine Flu (H1N1) FAQ
   Swine Flu (H1N1) Vaccine
   Swollen Glands
   Tattoos
   Tear Duct, Blocked
   Tetralogy of Fallot
   Thyroid Problems
   Tinea (ringworm infection)
   Toxic Shock Syndrome
   Toxoplasmosis
   Turner Syndrome
   Underdeveloped Lungs
   Urinary Tract Infection
   Varicella or Chickenpox
   Varivax Immunization
   Vesicoureteral Reflux
   Wheezing-Infant
   Wilson Disease
Newborns
New Parents
Parenting
Special Needs
Teens
Web Links
What's Going Around?
Visual Symptom Checker
Practice News

Resources

Medical Conditions

Swine Flu (H1N1) FAQ

Marc Avner, M.D., Greenwood Pediatrics

My child has a cough and fever is this the Swine Flu?

The symptoms of the Swine (H1N1) Flu have been very similar to those of seasonal flu and include cough, fever, runny nose, sore throat, headaches, chills and body aches. Thus far in the US and Canada, cases of the Swine Flu have been mild to moderate in severity. Like many other viral upper respiratory tract illnesses or colds, the Swine Flu tends to be self-limited and resolves on its own without the use of any medication. Fever may last up to 3 days; runny nose 1-2 weeks; cough2-3 weeks.

top

Does my child need medication?

Most children and adults who have the Swine Flu do not need specific treatment other than symptomatic care. The anti-viral medications used to treat seasonal flu and Swine Flu, at best, shorten the duration of the illness by one to one and a half days. They do not cure the illness. Furthermore, these medications have been linked to GI and behavioral side effects. At this time, antiviral medications such as Tamiflu are being reserved for hospitalized patients and those in high risk categories, including children under two years and those with chronic illness such as asthma, heart disease, diabetes and immune system disorders. As with the overuse of other antibiotics, the overuse of Tamiflu can select out resistant organisms and render it ineffective for those who most need it.

top

Does my child need a test to see if it is the Swine Flu?

Even the most sensitive rapid flu tests miss positive cases about 30% of the time (almost one in three patients with Swine Flu will have a negative test). Given that Swine Flu tends to be self resolving and that most healthy children do not need antiviral medication, a positive flu test does not change the course of action for most children and adults

top

Does my child need to be seen?

Most seasonal flu and Swine Flu is self-resolving, and healthy children with mild to moderate symptoms are best treated with symptomatic care. However, some children may need to be seen by a medical provider, including those in high risk groups, as well as those with more severe symptoms or worrisome appearance. In some cases, secondary bacterial infection may occur. Signs of a secondary bacterial infection which would indicate the need to be seen include: difficulty breathing, ear pain, a fever that resolves for a few days and returns, acutely worsening symptoms after three days of illness, or persistent symptoms without improvement after 10 days.

top

How long does my child need to stay home from school?

If your child has flu-like symptoms, she should stay home from school until she has no fever for 24 hours without the use of anti-fever medications such as Tylenol or Ibuprofen.

Copyright 2012 Marc Avner, M.D., All Rights Reserved

Health Center

Select from over 100 symptoms to learn about managing your child's illness.