Health Library · Respiratory & Infection

RSV symptoms

Also called: respiratory syncytial virus

Overview

RSV is a common respiratory virus that causes cold-like symptoms in most adults but can be severe in older adults, immunocompromised patients, and those with COPD or asthma. It circulates in fall/winter and often causes wheezing and lower airway irritation.

Symptoms to watch for

  • Runny nose and congestion
  • Cough, often wheezy
  • Low-grade fever
  • Sore throat
  • Fatigue
  • Wheezing or shortness of breath (more common in adults with asthma/COPD)

What else could this be?

  • Flu — higher fever, more body aches
  • COVID — testable, similar profile
  • Bronchitis — cough is dominant symptom
  • Asthma exacerbation — chronic history

How it's diagnosed

PCR nasal swab identifies RSV; some clinics run combined flu/COVID/RSV panels. Diagnosis is often clinical during peak season.

Treatment

No antiviral for adults — supportive care: fluids, rest, acetaminophen/ibuprofen, inhalers if wheezing. An RSV vaccine is available for adults 60+ and pregnant patients.

When to book a visit

Book if you have COPD, asthma, or are over 60 with worsening cough or shortness of breath.

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Frequently asked

Is RSV dangerous for adults?

Usually mild, but risky for adults over 60, immunocompromised, or with chronic lung disease. Vaccination is recommended for those groups.

How long does RSV last?

1–2 weeks. Cough can linger longer.

Should I get the RSV vaccine?

CDC recommends it for adults 60+ and pregnant patients between 32–36 weeks. Discuss with a clinician.