RSV vs. The Flu: Signs, Symptoms, and When to See a Doctor

Recognizing flu and RSV in babies helps parents closely monitor their baby’s temperature and vital signs.

If you’ve been hearing about respiratory syncytial virus (RSV) and the flu making the rounds, you’re not alone. It’s that time of year when every sniffle or sneeze can make parents wonder, “Is it just a cold, or could it be something more serious?” 

With so many children and adults catching these respiratory illnesses, it’s easy to feel overwhelmed trying to distinguish them. RSV and the flu share many symptoms—like cough, congestion, and fatigue—which can make it tricky to tell them apart. Plus, they tend to circulate at the same time, especially during fall and winter. 

Knowing what to look for is key. Understanding the patterns between flu and RSV in babies and kids can help you be more prepared. Whether learning what to watch for or deciding when to call your doctor, having a clear plan can make it easier to protect your kids from respiratory infections this season.

Need Advice on Baby Flu or RSV?

RSV vs. Flu: How Are They Different?

Understanding the basic differences between RSV and the flu can help you decide when to seek medical attention, ensuring your family’s health during this busy season. 

To help you easily identify symptoms and make informed decisions, here’s a simplified comparison:

Symptom

RSV

Flu

FeverLow-grade fever or noneHigh fever (above 101°F), often sudden onset 
CoughPersistent, wet, or wheezy coughDry, hacking cough that may become more severe
CongestionSignificant nasal congestion Mild nasal congestion, less prominent than RSV
FatigueMild tiredness due to breathing difficultySudden and severe fatigue, making movement hard

 

Respiratory syncytial virus primarily affects the lungs by causing inflammation in the small airways, known as bronchiolitis. This leads to symptoms such as wheezing, difficulty breathing, and chest congestion. Infants and young children are especially vulnerable because their smaller airways can easily become blocked.

Influenza, or flu, is a systemic illness that affects the entire body. In addition to respiratory symptoms, it often leads to body aches, chills, and high fever due to the virus spreading through the bloodstream. The rapid onset and wide-ranging symptoms of the flu distinguish it from RSV, which primarily targets the respiratory system.

Key Symptoms of RSV

Recognizing the symptoms of RSV is crucial, as this common virus can lead to serious respiratory complications, especially in infants and young children.

Common Signs of RSV

  • Difficulty Breathing: RSV often causes labored breathing, with visible chest movements or retractions (ribs pulling in with each breath).
  • Wheezing: A high-pitched whistling sound, especially when exhaling, is a hallmark of RSV.
  • Persistent Cough: A deep, wet-sounding cough may linger as the virus irritates the airways.
  • Runny Nose or Nasal Congestion: Early RSV symptoms can resemble a cold, with a stuffy or runny nose.
  • Fever: Low-grade fever is common but may not occur in all cases.
  • Decreased Appetite: Infants and children may eat less due to difficulty breathing.

How Symptoms Differ by Age

In Infants: Symptoms may be subtle at first, such as irritability, decreased activity, or difficulty feeding. As the virus progresses, your baby may start showing breathing issues, wheezing, and a noticeable struggle to breathe.

In Older Children: RSV often looks like a mild cold with a cough, runny nose, and mild fever. However, wheezing and labored breathing can still occur, especially in children with underlying health conditions or asthma.

Key Symptoms of the Flu

Unsure about the symptoms of RSV or the flu, a mother turns to her pediatrician for guidance.

One of the flu’s defining characteristics is its sudden onset. Flu symptoms tend to hit all at once, making it easy to differentiate it from RSV in babies, which usually develops gradually.

While the flu spreads quickly, knowing what to look for and how it differs from illnesses like RSV can make a big difference in getting the care your little one needs.

Common Flu Symptoms

  • High Fever: A sudden, sharp increase in body temperature, often above 101°F, is one of the hallmark symptoms of the flu.
  • Body Aches: Flu sufferers commonly experience widespread muscle and joint pain, often described as a deep, achy discomfort.
  • Chills: Flu symptoms sometimes start with chills, leaving your child feeling cold and uncomfortable, even without a fever.
  • Fatigue: Extreme tiredness can set in quickly and linger, making everyday tasks feel exhausting.
  • Dry Cough and Sore Throat: These symptoms often accompany the flu and can worsen as the illness progresses.
  • Runny or Stuffy Nose: Nasal congestion can appear but is typically less prominent than in RSV.
  • Headache: A persistent or severe headache is a frequent complaint in flu cases.

When to Seek Medical Care

Knowing when to seek urgent medical attention is key for parents of kids showing signs of RSV or the flu. While some symptoms seem mild, respiratory virus complications can escalate quickly in children, especially those at higher risk. 

According to CDC guidelines, be on the lookout for the following warning signs of RSV and flu:

  • Fast or troubled breathing
  • Bluish color around the lips or face
  • Ribs pulling in with each breath
  • Pain in the chest
  • Severe muscle pain or refusal to walk
  • Signs of dehydration (no urine for 8 hours, dry mouth, no tears when crying)
  • Lack of alertness or difficulty staying awake
  • Seizures
  • Fever above 104°F that doesn’t respond to medication
  • Fever in babies younger than 12 weeks
  • Fever or cough that comes back or gets worse

Early intervention for RSV and the flu is crucial for high-risk children, particularly in underserved Hispanic communities (where healthcare access can be limited). These children, often dealing with factors like preexisting health conditions, crowded living conditions, and lack of access to timely medical care, face a higher risk of severe complications from respiratory illnesses.

Expert Pediatric Care That Honors Your Language Preferences

If you’re concerned about your child’s health and need culturally sensitive care, we’re here to help. Our Spanish-speaking specialists provide bilingual services to ensure your child gets exactly what they need. 

Call us today at (559) 455-1500 to schedule an appointment and get timely care. 

Prevention Tips for Both RSV and the Flu

Preventing both RSV and the flu starts with simple, proactive steps in your daily routine, including vaccinations and good hygiene.

1. Secure Your Kid’s First Line of Defense

  • The flu vaccine is recommended annually for children 6 months and older, individuals with chronic health conditions, and older adults. Getting the flu vaccine helps protect against the most common strains circulating each year.
  • Health officials recommend the RSV vaccine for several high-risk groups, including:
    • Pregnant women in their 32nd to 36th week of pregnancy, particularly during flu season (September to January)
    • Infants under 8 months old and children 8 to 19 months old who are at high risk

2. Practice Good Hygiene

  • Wash Hands Frequently: Remind everyone to wash their hands with soap and water (for at least 20 seconds), especially after coughing, sneezing, or before meals.
  • Cover Coughs and Sneezes: Cover your mouth and nose when coughing or sneezing to limit the spread of germs.
  • Avoid Close Contact: Stay away from people who appear or are sick, and keep your child away from crowded places, particularly during flu and RSV season.
  • Clean Surfaces: Regularly disinfect commonly touched surfaces, such as doorknobs, light switches, and phones.

CMCFresno: Your Partner in Navigating RSV and Flu Season

Alert parents remind their kids to use elbows as handshakes and wear a mask when people showing warning signs of RSV are nearby.

It’s natural to feel uncertain when your child is sick, but knowing the differences between RSV and the flu can make a big difference. RSV often impacts breathing, while the flu typically causes symptoms like fever and exhaustion. 

Recognizing these signs early allows you to take the best steps to ensure your child’s health. Remember, you don’t have to navigate this alone—we’re here to help.

If you’re unsure whether your child has RSV, the flu, or another illness, don’t hesitate to reach out for guidance. Call Children’s Medical Centers of Fresno at (559) 455-1500 to speak with our team or ask about our telemedicine options for convenient care from home. 

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