Prolonged flu symptoms: What to do when flu won't go away?

Summary: Flu symptoms typically last 5 to 7 days, but persistent or worsening symptoms may indicate underlying conditions like bacterial infections, weakened immunity, or chronic health issues. If flu symptoms don’t improve, seeking medical care is crucial to prevent complications.

Influenza, commonly known as the flu, is a highly infectious respiratory illness that typically lasts about one to two weeks. As of February 2025, recent statistics show that there have been 13,451 notifications of laboratory-confirmed influenza cases reported to the National Notifiable Diseases Surveillance System (NNDSS). Generally, most people recover within a few days to weeks with rest and over-the-counter medications. However, in some cases, flu symptoms may endure more than anticipated, leading to a prolonged illness that can be frustrating and concerning. When the flu persists, it is essential to understand why and what steps should be taken for proper care. 

Health problems can be associated with persistent flu-like symptoms

Persistent flu-like symptoms may indicate underlying health problems, including: 

• Pneumonia
• Bronchitis
• Asthma
• Chronic sinusitis
• Heart complications
• Kidney complications
• Neurological complications 
• Weak immune system

If flu-like symptoms last longer than usual or intensify, it’s important to seek medical attention to detect and resolve any underlying health problems. 

Also read: What is usually the first symptom of the flu?

What causes flu that doesn't go away?

A flu that doesn’t go away can be caused by various factors, including:  

• Bacterial infections: Following the flu, bacterial infections can infect the airways, resulting in conditions like pneumonia, sinusitis, or bronchitis, which can prolong symptoms like fever, coughing, and congestion. 
• Weakened immune system: A compromised immune system, due to aging, ongoing health conditions, or medication, can impair the body’s ability to resist the virus, causing prolonged symptoms.
• Chronic health conditions: Conditions like chronic obstructive pulmonary disorder (COPD), asthma, or cardiovascular disease can make flu recovery more challenging and cause lingering symptoms. 
• Complications from the flu: Serious flu cases can result in complications like viral pneumonia, aggravating flu symptoms and extending their persistence. 
• Incorrect or delayed treatment: If flu symptoms are not addressed correctly or antiviral medications are not administered within 48 hours of onset, the flu can escalate or result in enduring symptoms. 
• Post-viral fatigue syndrome: Some people experience ongoing fatigue and other flu-like symptoms once the initial infection has passed. This condition can persist for weeks or months. 

Also read: Preparing for influenza: A doctor's recommended home care kit - Hola Health

How long am I contagious with the flu?

If someone has the flu, they are normally infectious one day before symptoms appear and can continue to transmit the virus for 5 to 7 days after being ill. Individuals with a weakened immune system or a severe illness, on the other hand, may be contagious for a long time.  Children and others with weak immune systems may occasionally spread the flu for more than a week. To reduce the risk of transmitting the flu, stay home until you have been fever-free for at least 24 hours (without using fever-reducing substances), practice appropriate hygiene, and wear a mask if required. 

Summary: Flu is contagious 1 day before symptoms appear and up to 7 days after, with longer infectious periods for high-risk individuals.

How long does the flu typically last?

The flu normally lasts 5 to 7 days, but some symptoms, such as exhaustion and coughing, can last for two weeks or longer.  This is a general timeline of flu symptoms: 

• Days 1-3: High fever, chills, muscle pain, sore throat, dry cough, and exhaustion.
• Days 4-7: Symptoms gradually improve, although congestion, cough, and body aches may continue.
• Week 2 and beyond: Some people may still feel weary, and a persistent cough can endure for weeks.

Most individuals recover without consequences, but if symptoms increase or continue, particularly difficulty in breathing, chest pain, or a high fever, it's important to get medical attention. 

Summary: The flu usually lasts 5 to 7 days, but fatigue and cough can persist for weeks.

Treatment options for flu that won't go away

If your flu symptoms won't go away or seem to be lingering beyond the typical recovery period, here are some treatment options to help you recover: 

Medical treatments:

Antiviral medications, such as Tamiflu, are most effective when administered within 48 hours of symptom onset and may also help lessen the intensity and duration of symptoms. Not everyone is recommended to have Tamiflu – your doctor can advise if Tamiflu is appropriate for you. Over-the-counter pain and fever relievers include Paracetamol and Ibuprofen. Cough suppressants and expectorants aid with dry and chesty coughs, respectively, while decongestants relieve congestion and runny noses.

Home remedies and lifestyle adjustments:

Getting plenty of rest and staying hydrated with water, herbal teas, and broths will help avoid dehydration and promote recovery. Steam inhalation helps to release mucus and relieve nasal congestion. Honey and ginger are natural medicines that help ease a sore throat and a persistent cough. Gargle with salt water to alleviate throat discomfort and eliminate bacteria. Using a humidifier moistens the air, preventing dryness, which can exacerbate symptoms.

When to consult a doctor?

Consult a doctor if flu symptoms continue for more than 10 days, intensify, or recur after an initial recovery. Seek emergency medical assistance if you have a temperature higher than 103°F (39.4°C), trouble breathing, chest discomfort, severe dehydration, or disorientation. A persistent cough for more than three weeks may signal problems such as bronchitis or pneumonia. If symptoms worsen for people with chronic diseases including asthma, diabetes, or heart disease, they should consult a doctor. Infants, the elderly, and those with compromised immune systems are especially vulnerable, and they should seek medical attention as soon as their flu symptoms escalate. 

Can an online GP help?

Yes, an online GP may assist with flu symptoms by providing treatment choices, prescribing medications such as antivirals or painkillers, and recommending additional medical attention. They can evaluate your symptoms, provide home treatments, and monitor your status. If you experience severe symptoms such as trouble breathing, chest discomfort, or a high temperature, you may need to see a doctor or go to the emergency room. Online GPs are good for mild to moderate symptoms, particularly for individuals who are unable to visit a physical clinic. However, they cannot substitute urgent or hands-on medical care when required. 

Hola Health’s telehealth service provides a convenient way to manage flu symptoms quickly and effectively: 

• Telehealth consultations: Connect with a doctor 24/7 for an assessment of your flu or fever symptoms and tailored treatment advice.
• Instant scripts: Receive electronic scripts for covid oral antivirals or other medications, ready for local pharmacy pickup or same day delivery.
• Dr referrals: If further care is needed, your doctor can provide specialist referrals.
• Online Dr certificates: Easily obtain a medical certificate if the seasonal allergies impact your ability to work or study. 

In conclusion, prolonged flu symptoms can be annoying, but seeking medical advice, staying hydrated, resting, and managing symptoms are essential for recovery. If signs continue, it’s important to consult a healthcare provider to eliminate complications. Preventive measures, such as vaccination and proper hygiene can help lower the chances of prolonged illness.