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RSV Infection

2026-03-01

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Is this your symptom?

  • Cold symptoms (congestion, cough, sore throat, mild fever) thought to be caused by a virus called RSV (respiratory syncytial virus)
  • You wonder if you need to be seen

The RSV Virus

  • RSV infection is usually mild in healthy young adults, but can be more serious in older adults and infants.
  • RSV is one of the many causes of the common cold in adults. Symptoms include congestion, cough, sore throat and mild fever.
  • It spreads the most in the fall and winter seasons, like most colds.
  • It can cause a
    • bronchiolitis or
    • bronchitis or
    • common nasal cold.
  • RSV infection can be more serious in adults with underlying health issues, smokers and pregnant women.
  • There are now vaccines available for older adults, pregnant women and young children.

When to Call for RSV Infection

When to Call for RSV Infection

Call 911 Now

  • Severe trouble breathing (struggling for each breath, can barely speak or cry)
  • Passed out or stopped breathing
  • Lips or face are bluish when not coughing
  • You think you have a life-threatening emergency

Go to ER Now

  • Not alert when awake ("out of it")

Call Doctor or Seek Care Now

  • Trouble breathing but not severe
  • Lips or face have turned bluish during coughing
  • Harsh sound with breathing in or wheezing when breathing out
  • Breathing is much faster than normal
  • High-risk patient (such as cystic fibrosis, chronic lung disease, asthma or heart disease)
  • Weak immune system. Examples are: diabetes, sickle cell disease, HIV, Cancer, organ transplant, and taking oral steroids
  • You are pregnant
  • Fever higher than 104° F (40° C)
  • You feel weak or very sick
  • You think you need to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

  • Nonstop coughing spells
  • Earache or ear drainage
  • Fever lasts more than 3 days
  • Fever returns after being gone for more than 24 hours
  • You think you need to be seen, but the problem is not urgent

Contact Doctor During Office Hours

  • Mild wheezing lasts more than 7 days
  • Sinus pain (not just congestion) around cheekbones or eyes
  • Cough lasts more than 3 weeks
  • You have other questions or concerns

Self Care at Home

  • Mild cold symptoms with no other problems

Call 911 Now

  • Severe trouble breathing (struggling for each breath, can barely speak or cry)
  • Passed out or stopped breathing
  • Lips or face are bluish when not coughing
  • You think you have a life-threatening emergency

Go to ER Now

  • Not alert when awake ("out of it")

Call Doctor or Seek Care Now

  • Trouble breathing but not severe
  • Lips or face have turned bluish during coughing
  • Harsh sound with breathing in or wheezing when breathing out
  • Breathing is much faster than normal
  • High-risk patient (such as cystic fibrosis, chronic lung disease, asthma or heart disease)
  • Weak immune system. Examples are: diabetes, sickle cell disease, HIV, Cancer, organ transplant, and taking oral steroids
  • You are pregnant
  • Fever higher than 104° F (40° C)
  • You feel weak or very sick
  • You think you need to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

  • Nonstop coughing spells
  • Earache or ear drainage
  • Fever lasts more than 3 days
  • Fever returns after being gone for more than 24 hours
  • You think you need to be seen, but the problem is not urgent

Contact Doctor During Office Hours

  • Mild wheezing lasts more than 7 days
  • Sinus pain (not just congestion) around cheekbones or eyes
  • Cough lasts more than 3 weeks
  • You have other questions or concerns

Self Care at Home

  • Mild cold symptoms with no other problems

Care Advice for RSV

What You Should Know about RSV:

  • Adults may get colds more than once per year. This is because there are so many viruses, like RSV, that cause colds. With each new cold, your body builds up immunity to that virus.
  • As with most colds, you don't need to call or see your doctor unless you develop a complication. Examples are an earache or if the symptoms last too long.
  • The normal cold lasts about 2 weeks. There are no drugs to make it go away sooner. But, there are good ways to ease many of the symptoms.
  • With most colds, the starting symptom is a runny nose. This is followed in 3 or 4 days by a stuffy nose. The treatment for each symptom is different.
  • Here is some care advice that should help.

For a Runny Nose: Blow the Nose

  • The mucus and discharge is washing germs out of the nose and sinuses.
  • Blowing the nose is all that's needed.
  • Put petroleum jelly on the skin under the nose. Wash the skin first with warm water and gently dry. This will help to protect the nostrils from any redness.

Nasal Saline to Open a Blocked Nose:

  • Use saline (salt water) nose spray to loosen up the dried mucus. If you don't have saline, you can use a few drops of water. Use distilled water, bottled water or boiled tap water (let it cool first).
    • Step 1: put 3 drops in each nostril.

    • Step 2: blow each nostril out while closing off the other nostril. Then, do the other side.

    • Step 3: repeat nose drops and blowing until the discharge is clear.

  • How Often. Do nasal saline rinses when you can't breathe through the nose.
  • Saline nose drops or spray can be bought in any drugstore. No prescription is needed.
  • Saline nose drops can also be made at home. Use ½ teaspoon (2 mL) of table salt. Stir the salt into 1 cup (8 ounces or 240 mL) of warm water. Use bottled water or cooled boiled water to make saline nose drops.
  • Reason for nose drops: blowing alone can't remove dried or sticky mucus.
  • Other option: use a warm shower to loosen mucus. Breathe in the moist air, then blow each nostril.

Drink Fluids:

  • Drink lots of fluids
  • Goal: keep yourself well-hydrated.
  • It helps thin out the mucus from the nose
  • It also loosens up any phlegm in the lungs. Then it's easier to cough up.

Humidifier:

  • If the air in your home is dry, use a humidifier.
  • Reason: dry air makes nasal mucus thicker.

Medicines for RSV (same as with Colds):

  • Cold Medicines. Most over-the-counter cold medicines are not helpful. Decongestants may help you breathe better by reducing the amount of drainage (runny nose and/or postnasal drip). You can buy these as pills or as a nasal spray.
  • Allergy Medicines. They are not helpful, unless you also have nasal allergies. They can help an allergic cough.
  • No Antibiotics. Antibiotics are not helpful for colds. Antibiotics may be used if you get an ear or sinus infection.

Other Symptoms of RSV - Treatment:

  • Pain or Fever. Use acetaminophen (such as Tylenol) to treat muscle aches, sore throat or headaches. Another choice is an ibuprofen product (such as Advil). You can also use these meds for fever above 102° F (39° C).
  • Use as needed but do not take more than the maximum recommended dosage as stated on the package.
  • Sore Throat. You can suck on hard candy or sip warm fluids (tea, chicken broth). Some people prefer cold foods, such as popsicles or ice cream.
  • Cough. You can swallow a teaspoon (5 mL) of honey or use cough drops.

Return to Work:

  • You can go back to work after the fever is gone. You should also feel well enough to do normal activities.
  • For practical purposes, the spread of colds can't be prevented.

What to Expect:

  • Fever can last 2-3 days
  • Runny nose can last 7-14 days.
  • Cough can last 2-3 weeks.

Call Your Doctor If:

  • Trouble breathing occurs
  • Earache occurs
  • Wheezing gets worse (becomes tight)
  • Fever lasts more than 3 days
  • You think you need to be seen

Copyright 2026 Schmitt Decision Logic LLC Date Updated: 2026-03-01T09:03:11.142Z Version 0.1

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