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Medically Approved

When is the flu an emergency?

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Medically reviewed by Helen Chen MCMSc, PA-C
Written by Lily Frew
Updated on

In most cases, the flu will go away on its own without the need to see a doctor. But if you have severe flu symptoms or are at risk of serious complications, it’s usually a good idea to seek medical attention. This includes if you are one of the following groups:

  • older adults
  • young children
  • pregnant people
  • people with chronic conditions (e.g., asthma, diabetes, heart disease)
  • people who are immunocompromised

In otherwise healthy people, flu symptoms should last around 7 to 10 days. If your symptoms don’t improve within this time, or seem to be getting worse, this is also a signal that you should seek medical attention.

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When to call a doctor vs. when it’s an emergency

For otherwise healthy adults, the following table can help you determine whether to call your doctor, go to urgent care, or seek emergency attention.

Manage at homeCall your doctorGo to urgent careCall 911
mild fevermild fever that isn’t improvingfever of up to 103°F that isn’t improving with medicationfever over 104°F
runny or stuffy noseear painsevere sore throattrouble breathing
mild coughpersistent coughsevere ear painseizures
sore throatpersistent nausea and vomitingpersistent cough with chest painchest pain or pressure that won’t go away
headachelingering symptomsshortness of breath when moving or coughingblue or gray lips or face
body achesvomitingvomiting or diarrhea lasting more than 24 hoursconfusion
fatiguetrouble keeping fluids downsevere weakness
mild nauseaworsening symptomsdehydration
Note: Guidance may differ for people at higher risk of complications, such as young children. If in doubt, seek medical advice.

When can online care help?

In many cases, the flu is managed with home remedies like plenty of rest, hydration, and over-the-counter medications like ibuprofen (Advil) to reduce your fever. However, in some cases, doctors might prescribe medications that fight the virus, known as antivirals. There are 4 antiviral medications used for the flu:

Online care services, including Optum Perks Online Care, may make getting treatment easier. With these services, you can submit an online form answering a few questions about your symptoms, and a US-licensed healthcare professional will respond soon after to prescribe a treatment plan.

Online care may be a good option if you:

  • need advice on symptom management
  • want to ask about antiviral medication
  • need a doctor’s note for school or work
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Next steps

If you’re at risk, don’t wait — call your doctor early. Otherwise, consider home management for your symptoms. If symptoms don’t improve or get worse, seek medical attention.

The best way to prevent getting the flu or reduce the risk of complications is to get a yearly flu vaccine.

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Article resources

  • Boktor SW, et al. (2023). Influenza. https://www.ncbi.nlm.nih.gov/books/NBK459363/