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Is It COVID, Flu, or RSV?

Medically Reviewed on 11/30/2022
Is It COVID, Flu, or RSV?
Experts are concerned about a tripledemic or tridemic this winter, due to the convergence of influenza, RSV, and coronavirus.

Coronavirus, respiratory syncytial virus (RSV), and influenza (flu) cause viral respiratory infections.

Anyone can contract COVID-19, flu, or RSV, but infants, older people, and people with compromised immune systems are most vulnerable. They all have similar symptoms, which makes the diagnosis of these infections challenging.

The most dangerous symptom of all three infections is trouble breathing. If you have trouble breathing, seek emergency medical assistance regardless of the cause.

Combined test for COVID-19, flu, and RSV

Consult your doctor to determine which respiratory infection you may have. COVID-19, influenza, or RSV can be diagnosed using a combination of blood, nasal swabs, and breathing tests. The diagnosis is crucial to treat the virus and reduce its transmission to others.

  • A combined swab test for COVID-19, flu, and RSV is available at most testing centers.
  • This test minimizes the need for several other tests or medical visits and can help you get treated faster.
  • During the peak flu season, the co-testing strategy increases testing capacity and shortens the time to a diagnosis.

What are the symptoms of COVID-19, flu, or RSV?

Respiratory infections affect the respiratory system, which includes the nose, sinuses, throat, airways, and lungs. They can be caused by viruses, bacteria, or fungi. Symptoms of viral infections, such as COVID-19, flu, or respiratory syncytial virus (RSV) could be mild but may be severe if not treated or managed promptly.

Influenza symptoms

The flu is a respiratory infection caused by one of the four major influenza virus strains (A, B, C, and D). It causes the following symptoms:

Treatment and management of flu symptoms

  • Healthy people should get enough rest, drink optimal fluids and be physically active.
  • Those with underlying health conditions or who are older than 60 years may require further medical attention. Some symptoms can be relieved with over-the-counter drugs.
  • Studies report that flu vaccinations can help avoid severe symptoms and protect against certain strains and slow the transmission of the virus to others.

Do the following to avoid getting the flu:

  • Wear a mask
  • Get vaccinated
  • Wash hands often
  • Adopt social distancing

RSV symptoms

RSV infects the lungs and airways. Almost 90 percent of children are infected with RSV before they turn two years old. RSV generally causes upper respiratory infection and mild cold-like symptoms in most people.

RSV can cause serious, life-threatening lower respiratory infections, such as pneumonia or bronchiolitis. Older people, infants, and individuals with compromised immune systems are at a higher risk of severe RSV infection.

RSV is more likely to cause serious infections in infants, especially those born prematurely or with lung or heart disorders. Common RSV symptoms include:

Treatment, management, and prevention of RSV symptoms

  • With plenty of rest and hydration, the immune system should be able to combat RSV. However, in the event of a serious illness, doctors can prescribe an authorized treatment.
  • RSV spreads by airborne droplets breathed from an infected individual. The transmission of RSV can be minimized by using masks, washing hands frequently, and avoiding close contact.
  • There is no RSV vaccine is presently available.

Coronavirus (COVID-19) symptoms

SARS-CoV-2, which gained widespread attention in late 2019 and early 2020, is the cause of the COVID-19 pandemic. Other coronavirus strains have triggered lesser outbreaks in recent years. In each of those situations, the diseases were serious and extremely infectious, necessitating the involvement of government entities and specialists.

Usually, coronaviruses cause mild, common colds in less-known situations. Because each coronavirus strain seems unique, generalizing those symptoms might be challenging.

The most common COVID-19 symptoms include:

Some people get severely unwell, whereas others have moderate or no symptoms. Although most people develop symptoms within a week of exposure to the virus, symptoms might appear 2 to 14 days later. COVID-19, unlike other viruses, can cause symptoms in systems other than the lungs and lead to long-term problems (rare).

Treatment, management, and prevention for COVID-19 symptoms

  • In mild to severe cases, resting, drinking fluids, and treating symptoms will help your body fight the infection. However, if breathing gets difficult, seek medical attention.
  • Keeping up to date with COVID-19 vaccinations. According to research, in addition to reducing COVID-19 infection and reinfection, authorized vaccinations can help prevent severe illness.

The infection may get serious, necessitating hospitalization. Timely diagnosis of symptoms is crucial.

How can you tell if it’s RSV, flu, or COVID-19?

Table 1. How to differentiate symptoms of COVID-19, flu, or RSV
Signs or symptoms RSV Flu COVID-19
Chills Yes Yes Sometimes
Cough Yes Yes Yes
Decreased appetite Yes Yes Not common
Diarrhea or vomiting Not common Yes Yes
Difficulty breathing Yes Not common Yes
Fatigue Yes Yes Yes
Fever Not common Yes Yes
Headache Not common Yes Yes
Loss of taste or smell Not common Yes Yes
Muscle or body aches Not common Yes Yes
Runny nose or congestion Yes Yes Sometimes
Sneezing Yes Sometimes Not common
Sore throat Yes Sometimes Sometimes
Wheezing Yes Not common Not common
Irritability Yes Yes Not common
Severity of symptoms Get worse over several days Sudden onset Variable
May last up to Usually, two to three weeks Usually, 10 to 14 days Usually, 10 to 14 days

Both flu and COVID-19 have similar symptoms, making it difficult to distinguish between them. The distinguishing feature is that a person develops COVID-19 symptoms after a few days of infection (could be about 14 days). This period is significantly longer than the flu and RSV virus.

Influenza symptoms appear one to four days after exposure. Furthermore, when a person has COVID-19, their sense of smell and taste is temporarily compromised. This is a distinct sign of COVID infection. The person’s cough may worsen and feel shortness of breath.

RSV is especially harmful to newborns and older people. Keep an eye out for more serious signs in the newborn, such as fatigue, rapid breathing, and blue fingernails.

Should I be worried about tripledemic or tridemic?

There is no scientific basis for the terms tripledemic or tridemic. It simply refers to a possible outbreak of respiratory syncytial virus (RSV), flu, and COVID-19 in hospital emergency rooms.

Health experts predict an increase in respiratory diseases around festivals because more people travel and assemble. Experts are concerned about the convergence of influenza, RSV, and coronavirus, predicting a tripledemic or tridemic. Health experts advise individuals to get vaccinated and take measures before the forthcoming holidays.

Doctors in the United States are warning that an increase in RSV infections is coinciding with a spike in COVID-19 transmission and an earlier-than-usual flu season, indicating the prospect of a tripledemic of respiratory diseases this winter.

The Centers for Disease Control and Prevention urges doctors to do the following:

  • Administer people with flu and COVID-19 vaccinations
  • Utilize diagnostics to help manage people
  • Start treatments as soon as possible

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Medically Reviewed on 11/30/2022
References
Image Source: iStock image

What’s the Difference between RSV, the Flu and COVID-19? https://health.clevelandclinic.org/rsv-vs-covid-vs-flu/

Symptoms as Clues: Is It RSV, COVID, the Flu or a Common Cold? https://www.webmd.com/lung/copd/news/20221117/is-it-rsv-covid-flu-or-common-cold

COVID-19, Influenza & RSV. https://www.idsociety.org/covid-19-real-time-learning-network/disease-manifestations--complications/covid-19-influenza--rsv/

How to weather the tripledemic: When COVID-19, flu and RSV collide. https://www.mdanderson.org/cancerwise/tripledemic-insights--when-covid-19--flu-and-rsv-collide.h00-159544479.html