Description

Influenza, commonly known as the flu, is a contagious respiratory infection caused by influenza viruses. It mainly affects the nose, throat, and lungs and can range from a mild illness to a serious infection requiring medical care. Influenza is different from the common cold because flu symptoms often begin more suddenly and may cause stronger fever, body aches, fatigue, and weakness.

Influenza viruses spread easily from person to person, particularly during seasonal outbreaks. The virus can spread through respiratory particles released when an infected person coughs, sneezes, talks, or breathes. People can also become infected after touching contaminated surfaces and then touching their mouth, nose, or eyes.

There are several types of influenza viruses, but influenza A and influenza B are the main types responsible for seasonal flu in humans. Influenza viruses can change over time, which is one reason seasonal flu vaccines are updated regularly.

Common symptoms of influenza include fever, chills, cough, sore throat, headache, muscle aches, tiredness, and weakness. Some people, especially children, may also experience nausea, vomiting, or diarrhea.

Most healthy people recover from influenza within several days to around two weeks, although tiredness and coughing can sometimes continue for longer. However, influenza can lead to complications such as pneumonia, dehydration, worsening of asthma or other chronic conditions, and, in severe cases, hospitalization.

Certain groups have a higher risk of complications, including older adults, young children, pregnant women, and people with certain chronic medical conditions or weakened immune systems.

Diagnosis is often based on symptoms and medical history. Rapid influenza tests and molecular tests may be used when confirmation is important, especially in healthcare settings or for people at higher risk.

Treatment usually focuses on rest, fluids, and relief of fever and other symptoms. Antiviral medicines may be recommended for people at higher risk of complications or those with severe illness, particularly when treatment is started early.

Annual influenza vaccination is one of the most important ways to reduce the risk of flu and its complications.

Causes

Influenza is caused by infection with influenza viruses. Influenza A and influenza B viruses are the main causes of seasonal flu outbreaks in humans.

The virus spreads primarily through respiratory particles released when an infected person coughs, sneezes, talks, or breathes.

People nearby can inhale these particles and become infected. Transmission can be more likely in crowded indoor environments where people are in close contact.

A person can also spread influenza by touching surfaces contaminated with respiratory secretions and then touching the mouth, nose, or eyes. However, respiratory transmission is considered an important route of spread.

Influenza is highly contagious. People may spread the virus before they realize they are sick and are generally most contagious during the early days of illness.

Children can spread influenza efficiently because they often have close contact with other children in schools and childcare settings.

The flu is more common during seasonal outbreaks, which is why it is often called seasonal influenza.

Influenza viruses change over time through genetic changes. These changes can affect how well existing immunity protects against infection.

This is one reason seasonal influenza vaccines are reviewed and updated regularly.

Certain people have a higher risk of severe influenza. These include young children, older adults, pregnant women, people with weakened immune systems, and people with chronic medical conditions.

Smoking and exposure to tobacco smoke can also affect respiratory health and may increase the risk of complications from respiratory infections.

Poor general health and inadequate nutrition may make recovery more difficult, although healthy people can also develop severe influenza.

Influenza is not caused by cold weather itself. However, seasonal conditions may encourage more indoor crowding and close contact, which can facilitate respiratory virus transmission.

Symptoms

Influenza symptoms often develop suddenly. A person may feel relatively well and then become noticeably sick within a short period.

Fever is a common symptom, although not everyone with influenza develops a fever. Chills and sweating may occur along with changes in body temperature.

A persistent cough is another common flu symptom. It may be dry and irritating and can sometimes continue after other symptoms have improved.

A sore throat may occur and can make swallowing uncomfortable.

Headache is common, particularly during the early stages of influenza.

Many people experience significant muscle and body aches. These aches can be stronger than those commonly associated with an ordinary cold.

Extreme tiredness and weakness are also common. Some people may need several days of rest before they feel able to return to normal activities.

Nasal congestion or a runny nose may occur, although these symptoms can be more prominent in colds.

Some people experience eye discomfort or sensitivity to light.

Children may develop nausea, vomiting, or diarrhea more often than adults with influenza.

Appetite may decrease because of fever, fatigue, or general illness.

Symptoms usually improve gradually, but coughing and tiredness can sometimes remain for a few weeks.

Influenza can occasionally cause serious complications. Warning signs in adults include difficulty breathing, persistent chest pain or pressure, severe dizziness, confusion, seizures, severe weakness, or symptoms that improve and then suddenly become worse.

In children, emergency warning signs can include rapid or difficult breathing, bluish lips or face, dehydration, severe weakness, inability to wake normally, seizures, or symptoms that improve and then return with fever and worsening cough.

People with chronic conditions such as asthma, diabetes, heart disease, or chronic lung disease may experience worsening of their underlying condition during influenza.

Because flu symptoms can overlap with COVID-19 and other respiratory infections, testing may sometimes be useful.

Prevention

The most effective way to reduce the risk of seasonal influenza is annual flu vaccination. Influenza vaccines are updated periodically to better match viruses expected to circulate during the upcoming season.

Vaccination is especially important for people at increased risk of serious complications, including older adults, young children, pregnant women, and people with certain chronic medical conditions.

Good hand hygiene can also reduce the spread of influenza. Hands should be washed regularly with soap and water, particularly after coughing, sneezing, using the bathroom, and before eating.

When soap and water are not available, an appropriate alcohol-based hand sanitizer can be useful.

Covering the mouth and nose when coughing or sneezing helps prevent respiratory particles from spreading.

People who are sick should avoid close contact with others as much as practical, particularly with older adults, infants, pregnant people, and individuals with weakened immune systems.

Staying home when experiencing significant flu symptoms can reduce transmission to coworkers, classmates, family members, and other people.

Improving indoor ventilation can help reduce the concentration of respiratory particles in enclosed spaces.

Avoiding smoking and secondhand smoke can support healthier lungs and reduce the risk of respiratory complications.

Regular physical activity, adequate sleep, a balanced diet, and proper management of chronic medical conditions can support overall health.

Frequently touched surfaces can be cleaned regularly, particularly when someone in the household has influenza.

People who develop flu-like symptoms should avoid sharing cups, utensils, towels, and other personal items when possible.

Seasonal influenza can sometimes cause serious illness even in people who were previously healthy. Early recognition of severe symptoms and timely medical care can reduce the risk of complications.

Emergency medical attention is necessary for severe breathing difficulty, chest pain, confusion, fainting, seizures, severe dehydration, or rapidly worsening symptoms.

Influenza is common and highly contagious, but vaccination, good hygiene, appropriate respiratory precautions, and timely treatment can significantly reduce its impact. For people at higher risk, early contact with a healthcare professional is particularly important because antiviral treatment may be most effective when started early.

Medical Information Trust
Evidence-Based Information
Last Updated: October 28, 2026
YMYL Compliant

Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider. In an emergency, call emergency services immediately.