What is the recommended treatment for a viral upper respiratory infection?

• A. Antibiotics and steroids
• B. Symptomatic relief using rest, hydration, and over-the-counter medications
• C. Hospitalization
• D. Immediate surgery

Answer: (B)

Viral upper respiratory infections are managed with supportive care, since the illness is typically self-limited. The best approach is symptomatic relief through rest, plenty of fluids, and over-the-counter medications to ease fever, aches, congestion, and throat irritation. Medications like acetaminophen or ibuprofen can help with fever and pain, while saline nasal sprays, humidified air, and throat lozenges can comfort nasal and throat symptoms.

Antibiotics don’t help viruses and aren’t indicated for a routine viral URI; using them unnecessarily can cause side effects and promote antibiotic resistance. Steroids aren’t routinely used for uncomplicated viral URIs. Hospitalization is reserved for severe illness or complications such as dehydration or pneumonia, and immediate surgery has no role in treating a typical viral URI.

If symptoms persist beyond about a week or worsen, or you have risk factors like very young or elderly age, chronic lung disease, or a compromised immune system, seek medical advice.