Red flags & when to go in person for Influenza (Flu) in Children

Audience: pediatric

Influenza, commonly called the flu, is a viral infection that affects children often during colder months. Most children with the flu recover at home with rest, fluids, and care. However, some children may develop more serious symptoms that need prompt medical attention. This guide helps parents and caregivers recognize when to seek in-person care for a child with flu symptoms. Telemedicine can assist with initial evaluation and advice, but certain warning signs require an in-person visit to ensure the child's safety. Knowing these red flags can help protect your child and get timely treatment when needed.

Red flags — go in person / ER

• Difficulty breathing or rapid breathing — seek emergency care immediately.
• Bluish or gray skin color around lips or face — urgent in-person evaluation needed.
• Seizures or convulsions — call emergency services right away.

What telemedicine can do

• Initial symptom assessment and advice
• Guidance on home care and symptom management
• Determining need for in-person evaluation
• Answering questions about flu prevention

What telemedicine cannot do

• Severe breathing problems
• Signs of dehydration requiring IV fluids
• Seizures or loss of consciousness
• Persistent high fever unresponsive to medication

What is Influenza (Flu) in Children?

Influenza is a contagious virus that causes fever, cough, sore throat, body aches, and tiredness. Children may also have vomiting or diarrhea. The flu spreads easily from person to person through coughs, sneezes, or touching contaminated surfaces. Most children recover within a week, but young children and those with certain health conditions can get sicker.

Common Symptoms of the Flu

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Red Flags: When to Go In Person

Seek in-person care immediately if your child has any of these signs:

These signs may mean the flu is causing serious complications that need urgent care.

How Telemedicine Can Help

Telemedicine allows you to connect with a healthcare provider from home. It can help:

Telemedicine is a convenient first step but is not a replacement for emergency or in-person care when red flags appear.

Preventing the Flu in Children

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When to Call Emergency Services

If your child has severe breathing difficulty, is unresponsive, or has a bluish skin color, call emergency services immediately. Do not wait for a telemedicine visit if your child appears critically ill.

How to prepare for your tele-visit

• Have your child's symptom details ready, including fever, cough, and behavior changes.
• Note any existing health conditions or medications your child takes.
• Prepare a list of questions or concerns for the healthcare provider.
• Ensure a quiet, well-lit space for the telemedicine visit.
• Have a thermometer and any medications on hand to discuss.

After your tele-visit

• Follow the healthcare provider's advice on medication and symptom monitoring.
• Keep your child hydrated and rested.
• Watch closely for any worsening symptoms or new red flags.
• Schedule follow-up care if recommended.
• Maintain good hygiene to prevent spreading the flu to others.

FAQs

Can my child get the flu vaccine if they are already sick?

If your child has a mild illness like a cold, they can usually still get the flu vaccine. However, if they have a moderate or severe illness, it is best to wait until they recover.

How long is my child contagious with the flu?

Children with the flu can spread the virus from about 1 day before symptoms start to up to 7 days after becoming sick. Younger children and those with weakened immune systems may be contagious longer.

When should I give my child fever medicine?

You can give fever-reducing medicines like acetaminophen or ibuprofen to help your child feel more comfortable. Always follow the dosing instructions and avoid aspirin in children.

Is it safe to use telemedicine for flu symptoms in children?

Telemedicine can be a safe and effective way to get advice about flu symptoms, especially for mild cases. However, if your child shows any red flags or severe symptoms, an in-person visit is necessary.

Sources

1. Influenza (Flu) — Centers for Disease Control and Prevention (CDC).
2. Influenza — MedlinePlus, U.S. National Library of Medicine.
3. Flu Symptoms & Diagnosis — Mayo Clinic.
4. Influenza (Flu) in Children — American Academy of Pediatrics (AAP).

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If your child shows any severe or concerning symptoms, seek emergency or in-person evaluation promptly.