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RSV, Flu or COVID? How Parents in Alberta Can Tell the Difference

Confused about your child's cough or fever? Learn how to tell the difference between RSV, flu, and COVID, and when to call your doctor.

Cold and flu season is here again, and if you’re a parent in Alberta, you’ve likely noticed sniffles, coughs, and fevers making their rounds through schools and daycares. But when your child starts coughing or spiking a fever, how can you tell if it’s RSV, the flu, or COVID-19?

 

These illnesses can look similar at first, but understanding their key differences helps you know when to monitor, when to rest, and when it’s time to call your doctor.

 

At PulseAir Heart & Lung Centre, we work closely with families across Alberta to support respiratory health, from diagnosing chronic lung conditions to helping children recover from viral infections safely.

 

Disclaimer: This blog is for informational purposes only and does not replace medical advice. If your child is having trouble breathing, persistent fever, or appears very unwell, call your doctor or 911 immediately.

Why It Matters

RSV, flu, and COVID are all viral infections that affect the lungs and airways. For most children, symptoms are mild, but for some, especially infants, toddlers, and kids with asthma or heart conditions, these viruses can cause serious complications.

 

Understanding which illness your child might have can help you take the right precautions, protect vulnerable family members, and get timely care if needed.

Symptom Comparison: RSV vs. Flu vs. COVID

Each illness affects children a bit differently. Here’s a simple way to spot some common patterns:

 

Illness

Typical Symptoms

How It Starts

Who’s Most at Risk

RSV (Respiratory Syncytial Virus)

Runny nose, congestion, cough, wheezing, laboured breathing, poor feeding

Gradual onset

Babies, toddlers, and children with lung or heart conditions

Flu (Influenza)

High fever, chills, sore throat, cough, body aches, fatigue

Sudden onset

Children under 5, especially with chronic conditions

COVID-19

Fever, cough, sore throat, loss of taste/smell, fatigue, possible stomach upset

Varies — sometimes gradual

All ages; risk higher in unvaccinated or immune-compromised kids

 

Tip: If your child’s symptoms appear very quickly (especially with high fever and aches), it’s more likely to be the flu. If they have wheezing or difficulty feeding, it could be RSV. And if symptoms seem mild or unpredictable, but linger or come with loss of smell/taste, it could be COVID-19.

When to Call a Doctor or Seek Medical Help

While most respiratory infections can be managed at home, there are times when it’s important to seek care, especially if your child has an existing respiratory or cardiac condition.

 

Call your doctor or visit an urgent care clinic if your child:

 

  • Is breathing fast or appears to be working hard to breathe (nostrils flaring, ribs visible)
  • Has blue or pale lips or fingertips
  • Is too tired to eat, drink, or play
  • Has a fever lasting more than 4–5 days or one that doesn’t respond to medication
  • Is under 6 months old with a cough, wheezing, or fever
  • Has a chronic lung or heart condition and seems to be worsening


When in doubt, always call your child’s healthcare provider. It’s better to check early than wait for symptoms to get worse.

Keeping Your Family Healthy This Season

You can’t prevent every cough or sniffle, but a few proactive habits go a long way toward protecting your family’s health this winter.

1. Stay Up to Date on Vaccines

Make sure your family’s flu shots and COVID boosters are current. They help reduce the risk of serious illness, especially for kids with chronic respiratory or cardiac conditions.

2. Practise Good Hygiene

Teach kids to wash their hands often, cover their coughs, and use tissues instead of sleeves. Encourage them to stay home when they’re sick to prevent spreading germs.

3. Keep the Air Clean

During Alberta’s long indoor months, air quality matters. Use HEPA filters, avoid indoor smoke, and keep humidity levels comfortable to reduce airborne irritants.

4. Support Strong Lungs

If your child has asthma, COPD, or another chronic condition, follow their care plan closely. Keep inhalers, spacers, or prescribed medications handy, and have an updated action plan with your healthcare provider.

5. Prioritize Rest and Nutrition

Sleep, hydration, and balanced meals help strengthen your child’s immune system so their body can fight infections effectively.

How PulseAir Heart & Lung Centre Can Help

If your child’s cough lingers or their breathing seems off, it may be time for a respiratory assessment.

 

At PulseAir Heart & Lung Centre, our team provides:

 

  • Respiratory consultations for children and adults
  • Pulmonary function testing (to measure lung performance)
  • Heart and lung evaluations for persistent symptoms
  • Asthma and COPD management plans for ongoing care

We’re proud to serve families across Alberta with advanced diagnostics, compassionate care, and a team that understands local challenges, from dry winter air to wildfire smoke.

 

Let’s work together to help your family breathe easier this season.

 

Book a Respiratory Consultation

Help Your Child Breathe Easier This Winter

It can be tough to tell RSV, flu, and COVID apart, even for experienced parents. What matters most is watching your child closely, trusting your instincts, and reaching out for medical help when something doesn’t feel right.

This winter, stay informed, stay proactive, and remember that PulseAir is here to support your family’s heart and lung health every step of the way. Got a referral from your doctor?

 

Contact Us to Schedule an Appointment

 

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Pulse Air Heart and Lung Centre

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Located at the 'Square on 23rd'

Building 9136 - 23 Avenue NW

Edmonton, Alberta

T6N 1H9


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Monday to Friday,

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Telephone: 780-784-2177

Fax: 780-784-2182

Call toll free: 1-780-666-9722

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