Flu-Like Symptoms & Loss of Smell: Is It COVID or Just the Flu?

by Dr Natalie Singh - Health Editor
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COVID-19, Flu, and RSV: How to Tell the Difference Between Respiratory Infections

As we move through the fall and winter months, respiratory infections develop into more common. Understanding the differences between these illnesses – COVID-19, influenza (flu), and respiratory syncytial virus (RSV) – is crucial for protecting your health and the health of those around you. These viruses share similar symptoms, making diagnosis challenging without testing.

What are COVID-19, Flu, and RSV?

COVID-19, flu, and RSV are all contagious respiratory infections caused by different viruses. COVID-19 is caused by the SARS-CoV-2 virus, the flu is caused by influenza viruses, and RSV is caused by the respiratory syncytial virus 1. It’s possible to be infected with more than one virus at the same time.

What Causes the Flu?

The flu is caused by the influenza virus and spreads easily during the winter months when people spend more time indoors. There are many strains of the influenza virus, and the virus changes from year to year, which is why an annual flu vaccine is recommended 1.

Symptoms: How Do They Compare?

The symptoms of COVID-19, flu, and RSV can overlap, making it difficult to distinguish between them based on symptoms alone. However, some key differences can help guide your assessment:

  • COVID-19: Common symptoms include fever, cough, fatigue, and loss of taste or smell 1.
  • Flu: Typical symptoms include fever, cough, headache, muscle aches, and fatigue 1.
  • RSV: Often causes mild, cold-like symptoms, such as a runny nose, cough, and fever. However, it can be more serious in infants and older adults 1.

Recent reports indicate substantial activity of both RSV and the flu across much of the country, with COVID-19 similarly circulating 3.

Testing and Diagnosis

Due to the overlapping symptoms, laboratory testing is often necessary to confirm a diagnosis. COVID-19, flu, and RSV tests are available to help identify the specific virus causing the infection. Labcorp offers a combined test for these three viruses 1.

Prevention

Several steps can be taken to prevent the spread of these respiratory infections:

  • Vaccination: Get vaccinated against the flu and COVID-19.
  • Hygiene: Practice good hand hygiene by washing your hands frequently with soap, and water.
  • Respiratory Etiquette: Cover your coughs and sneezes with a tissue or your elbow.
  • Stay Home: If you are sick, stay home to avoid spreading the illness to others.

Looking Ahead

Staying informed about the latest trends in respiratory illnesses and taking preventative measures are essential for protecting your health. As viruses continue to evolve, ongoing vigilance and adherence to public health recommendations are crucial.

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