When adults get hit with the flu, there's no mistaking it. You're feverish, your head feels stuffed up, and you ache everywhere. But with kids, the signs aren't always as easy to detect. Young children with the flu can run the whole gamut of symptoms," says Dr. Martha Snyder, a pediatrician and assistant professor of pediatrics at Duke University School of Medicine."Some children have the mildest of mild symptoms, while for others, symptoms are very severe.”

Below is your guide to spotting flu symptoms no matter what your child's age, and ways to bring relief.

Infants Under Six Months
Babies in the first six months of life are at the greatest risk of complications from the flu, says Snyder, because their immune system is not fully mature yet and their very small airway makes it easy for them to experience respiratory distress.

If your infant has a fever, call your doctor and watch for other signs of illness, such as dehydration. "When babies this age don't feel good, they usually don't want to drink," she adds. Provide plenty of water to keep an infant hydrated.

 

Children Six Months to 2 Years
Kids under the age of 2 who come down with the flu often have respiratory symptoms (cough, runny nose, sneezing), high fevers (sometimes as high as 104 F), diarrhea and vomiting."But while many kids have all of these symptoms, others may only have one," says Snyder.

Recognizing the early signs in toddlers is especially important, she says, because they can also get dangerously dehydrated very quickly. In addition, because of their smaller airways, babies can quickly progress to having wheezing and labored breath, which requires medication. Signs that a child's breathing is compromised include wheezing, fast breathing or shortness of breath, and nose flaring.

Children 2 to 4 Years
A child who can't talk yet (or can't talk well) obviously can't tell you that his body aches all over, so you need to be alert for behavioral changes, says Snyder. For instance, in many cases, children with the flu will have shaking chills and refuse to walk, because their legs are very achy.

With kids under the age of 4, you really have to watch them to see how they're acting. Respond to anything that seems out of the ordinary," adds Snyder. "Young kids often have a limp look to them. Or they're so uncomfortable they just want to be held."

Children 4 to 6
Once kids can tell you how they feel, listen for complaints similar to an adult's. But be aware that if your child is under the age of 6, oral over-the-counter cold and flu medications are not recommended. "You should never give children this age decongestants, cough suppressants and other OTC cold remedies, because of the side effects," says Snyder.

But there are other things you can do. "It's OK to give your child acetaminophen or ibuprofen for fever or pain reduction," adds Snyder. It's also safe to apply topical soothers to help relieve symptoms. And some children don't mind saline nasal sprays for stuffy noses but be careful not to use them too often (more than six times a day), since overuse can cause swelling of a child's nasal passages.

Other beneficial non-drug treatments for colds and flu include chamomile tea with honey, and a cool mist humidifier. Just be sure to use one that has a humidity gauge and to keep the level at no higher than around 50 percent to avoid a mold problem.

Children Over 6
For children over the age of 6, symptoms are essentially the same as adults'. And at this point, OTC decongestants and cough suppressants are generally safe, although they're not recommended for children with certain health conditions. For instance, if your child is taking medication for ADHD, ask your doctor before giving your kid a decongestant, since the combination of the two drugs has been shown to cause heart problems.

In addition, kids with asthma or any kind of respiratory problem should stay away from cough suppressants, says Snyder, because these products may make it harder for them to clear secretions from their lungs, which can lead to pneumonia.

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For many families, battling the flu is a seasonal rite of passage: Up to one in five children will suffer through a bout this year, according to the Centers for Disease Control and Prevention. "But it can be a scary experience for any mom," says Dr. Kelly Orringer, a clinical professor of pediatrics at the University of Michigan. "Your child can get very sick, very fast."

To help ease your worries, we asked the experts to spell out what day-by-day flu symptoms to expect, how you should treat them, and when to call your pediatrician. By arming yourself with the flu facts, you can stop fretting -- and start taking charge!

Day 1: Initial Flu Symptoms Appear
The first signs of flu are a runny nose, chills and body aches," says Dr. Stanley Grogg, a professor of pediatrics at Oklahoma State University and a spokesman for the American Osteopathic Association. "A child will feel pretty miserable within a 24-hour span.” To prepare for the next few days, stock up on blankets and soft tissues that won’t irritate the area around your child’s nose and increase discomfort.

Be sure to call your pediatrician too: Your little one is already contagious, says Grogg, so if you have a family member who is at risk for complications of the flu -- for example, an infant under the age of 6 months, or a senior citizen older than 65 -- an antiviral medication may be necessary. The course of two pills, which prevent the spread of flu, is most effective within 48 hours of the onset of your child's symptoms.

In addition, Grogg says you should take your child to the doctor if, at any point during the duration of the flu, your child runs a fever higher than 105 F, experiences painful, labored breathing, or stops drinking. Moms have good instincts about their kids, so if something feels really wrong, trust your gut and call your pediatrician.

Day 2: Your Child Runs a Fever
On the second day, a child usually starts running a high fever," says Grogg. "She'll also experience fatigue and a wet cough." He advises bringing down her fever and easing aches with acetaminophen or ibuprofen -- but avoid aspirin."Giving a feverish child aspirin has been linked to a rare, but dangerous, condition called Reye's syndrome," he says.

To prevent dehydration, Grogg recommends making sure that your child is drinking enough: Place a water bottle next to her bed and give her ice pops made with 100-percent fruit juice. And because most children also lose their appetite, he also suggests feeding her calorie-dense treats, like chocolate milk and smoothies.

Days 3 to 5: Symptoms Worsen
Is your child super-sick? That's normal. "This is when flu symptoms are at their worst," explains Orringer. Your kid may also start experiencing gastrointestinal problems, like vomiting and diarrhea; continue giving your child plenty of fluids and ibuprofen or acetaminophen, says Orringer. "For children older than 6, over-the-counter oral medications can provide relief." Other methods she recommends to ease the suffering:

• Brewing tea with honey (can help soothe a sore throat and cough)
• Using a saline spray and running a humidifier (can lessen congestion
• Applying a topical cough-relief rub (can help your child sleep better)

Days 6 to 10: Recuperation Begins
At last -- your child should start feeling better. But if he's not showing improvement, call your pediatrician, says Grogg.

Your kid is also less contagious during this time, says Grogg, so it's safe to let him play with his siblings and friends again. Once your child's temperature is below 100 F for 24 hours (without the aid of acetaminophen or ibuprofen) and he no longer has an uncontrollable cough, Grogg recommends sending him back to school.

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Maybe your son suddenly developed a stomachache on the day of the big quiz. Or your daughter has a mysterious cough after playing back-to-back soccer games yesterday. For whatever reason, you're not sure if your child is really sick -- or just sick of school. In my experience as a school nurse, I've found that there are a few ways you can tell the difference. Be on the lookout for these telltale signs for when a child is faking sick:

• Inconsistent complaints. If your daughter complains of a stuffy nose one minute, followed by a stomachache and then a headache the next, it may be a sign she's pretending.
• Disappearing symptoms. In my office, I have a rule that I don't see non-emergency cases for the first hour of school. That's because when kids become engaged with activities and friends, they forget all about being "sick." So take note if you notice that your child's cough vanishes when he's playing with his brother. Kids who are under-the-weather also tend to doze off throughout the day, so be wary if your son seems completely alert while watching television or playing computer games.
• Sudden recovery. If a child seems fine after you decide to keep her home from school, that's a surefire red flag!

So should you let him stay home? My rule: If a child doesn't have a fever, hasn't vomited or doesn't have any obvious symptoms (such as diarrhea), I would send him to school. But don't discount his complaints: If he keeps mentioning a symptom, like a headache or stuffy nose, schedule an appointment with your pediatrician to rule out any illnesses or other health issues.

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Far too many of us treat our cars like second homes: We eat, drink, spill things and create piles of clutter inside.

But stop and think about it. When was the last time you really gave your car a thorough cleaning on the inside? And think back to the last time you hopped into your car with a bad cold and sneezed, spreading germs throughout your car's cabin. Did you bother to wipe down surfaces afterwards? Didn't think so.

Germs run rampant all around us, including in our automobiles. Fortunately, there's much you can do to keep those pesky little microbes in check. Here are some tips from the country's leading germ experts on how to sanitize your ride's interior.

Daily Wipe-down
When you and your kids get in your car, you inevitably come into contact with surfaces that are covered with germs," says Donna Duberg, assistant professor of clinical laboratory science at Saint Louis University's Doisy College of Health Sciences."Then you touch your eyes, nose and mouth. That's how little germies from unclean surfaces make their way into our bodies."

Stay healthy by wiping down the frequently touched areas with a disinfectant (e.g., a sanitizing or disinfecting wipe) that kills viruses and bacteria. (You may have to read the fine print on the label to be sure.) Look for a wipe that does not contain bleach -- some are labeled as being "bleach-free" -- so you can use them to clean hard, nonporous surfaces like steering wheels, dashboards, knobs, chrome accents, door handles and even mirrors.

Make wiping down the interior of your vehicle part of a daily routine, especially when someone in your family has been sick.

Sneeze on Wheels
We are becoming a nation of families eating on the go -- most often in our cars. Inevitably, food particles end up on the vehicle's upholstery, floor, seat belts, steering wheel and knobs. These crumbs are a breeding ground for bacteria, which love a warm, dark and moist environment.

What's more, during allergy season you're also likely tracking irritating outdoor allergens into your car, exacerbating those sniffles and sneezes.

Vacuum what you can with a handheld portable vac after returning home from any outing during which you or the kids were eating in the car. "Then wipe down surfaces with a disinfectant wipe and dry them completely to eliminate any lingering moisture," says Philip Tierno, M.D., Ph.D., director of clinical microbiology and immunology at New York University Langone Medical Center and the author of The Secret Life of Germs: Observations and Lessons From a Microbe Hunter. "Failing to do so allows organisms like mold to grow, which can make you and your children sick," warns Tierno.

And even if your family doesn't eat in the car, make a regular habit of vacuuming the floor and seats to pick up pollen and other sneeze-inducers you might have inadvertently welcomed into your car.

Sanitizer at the Ready
Once you get into the habit of wiping surfaces and vacuuming food spills in your car, why not attack germs' main entry point into your car: your hands?

Hand sanitizers should be kept in every single vehicle, advises Duberg. After you use the handle at the gas pump or press the buttons on the ATM, your hands are covered with germs from the people who touched these surfaces before you.

After touching commonly used surfaces, apply a hand sanitizer to avoid passing germs onto the surfaces inside your car. Go with sanitizers that contain at least 60 percent alcohol concentration. Look at the list of active ingredients for ethyl alcohol, ethanol, isopropanol or another variation. Apply to all parts of the hands (i.e., palms, nails, knuckles) and continue to rub your hands together until they are completely dry.  

Car Seat Care
Little ones can equal big messes in the car -- bottle spills, leaky diapers, unidentifiable crumbs. Luckily, the majority of child safety seats are made from fabric that can be removed and washed. A recent study conducted by Charles P. Gerba, Ph.D., professor of environmental microbiology at the University of Arizona and a leading authority on germs, found that car seats often have bacteria on them -- and enough to make a child sick with an ear infection or strep throat.

And that's not all. They also typically have some mold growth, which can be particularly worrisome if you or your child suffers from allergies or asthma. Gerba suggests washing your child safety seat cover a few times per month.

He also recommends wiping down the plastic shell and harness of the child safety seat with water and a mild soap on a weekly basis -- or more often if your child is sick. Between washings, be sure to vacuum or shake out the car seat as often as possible to remove food droppings.

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Search “cold remedies” online, and more than 35 million results pop up. But it turns out that one of the most effective ways to beat the sniffles is also the simplest: Get moving! According to a recent study published in the Annals of Family Medicine, people who walk for 40 minutes a day take half as many sick days as their sedentary counterparts. That’s because exercise bolsters the immune system, which helps you fight off viruses, say experts.

But when you finally succumb to those sneezes and coughs, is it smarter to soldier on or toss in the sweat towel? To help you decide, here’s what the experts have to say about staying healthy: 

Cold tip No. 1: Do a neck check.
If you have symptoms below the neck, such as chest congestion, diarrhea or body aches, or if you have a fever, stay home to rest. Your body needs all of its energy to recover.

But if you just have a head cold (runny nose, sneezing and a sore throat) and you’ve been fever-free for 24 hours, go ahead and exercise if you feel up for it. But dial down the intensity: Instead of your usual run or group cycling class, opt for yoga or a restorative walk. And stash a few tissues in your pocket in case you need to wipe your nose mid-workout.

Cold tip No. 2: Wipe down the gym equipment.
A study of fitness centers published in Clinical Journal of Sports Medicine revealed that 51 percent of aerobic machines and 73 percent of strength-training equipment were infected with cold viruses. Before you hop onto that elliptical or grab those dumbbells, wipe it down with an antibacterial wipe. Don’t have one on hand? Ask the gym staff to spritz some cleaner on a few tissues, and use a towel to cover benches and mats.

Also wash your hands thoroughly before and afterwards, and make a conscious effort to avoid touching your face during your workout.

Cold tip No. 3: Ease back into your routine.
Once you start feeling better, it’s tempting to try to make up for lost time at the gym. But working out full-force may lead to a relapse: Scientists from Canada’s McMaster University found that intense exercise can actually impair immune function, which can prolong your cold and leave you vulnerable to another one.

A smarter move: Start out with moderate workouts to give your body a chance to readjust. If you begin to feel worn down or tired again, stay home to fully recuperate – it could be exactly what the doctor ordered.

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