Does the Flu Cause Diarrhea? Yes, Here’s Why It Happens
Understanding the Flu and Its SymptomsThe flu, or influenza, is a contagious respiratory illness caused by influenza viruses. It primarily affects the nose, throat, and [...]
Read MoreMedically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on December 30th, 2025.
The flu, or influenza, is a contagious respiratory illness caused by influenza viruses. It primarily affects the nose, throat, and lungs. Typical symptoms include fever, cough, sore throat, body aches, and fatigue. However, flu symptoms can vary widely from person to person.
While respiratory symptoms dominate, some people experience gastrointestinal issues like nausea, vomiting, and diarrhea. This can be confusing because diarrhea is more commonly linked to stomach viruses than the flu.
Diarrhea is not the most common symptom of the flu, but it does occur, especially in children. According to research, up to one-third of children with influenza may experience diarrhea or vomiting. Adults are less likely to have these symptoms, but it is still possible.
This overlap can sometimes make it difficult to distinguish between flu and other infections like norovirus or food poisoning, which primarily affect the digestive system. The presence of gastrointestinal symptoms in the flu can lead to dehydration, particularly in young children and older adults, who may already be at higher risk for complications. It’s essential for caregivers and parents to monitor fluid intake and be vigilant for signs of dehydration, such as dry mouth, decreased urination, or dizziness.
In addition to understanding the symptoms, it is crucial to recognize the importance of vaccination as a preventive measure. The flu vaccine is designed to protect against the most common strains of the virus circulating each flu season. While the vaccine may not provide complete immunity, it can significantly reduce the severity of symptoms and the risk of complications, including hospitalizations. Public health officials recommend annual flu shots, especially for high-risk populations, to help curb the spread of the virus and protect vulnerable individuals in the community.
Understanding why the flu causes diarrhea involves looking at how the virus interacts with the body beyond the respiratory tract.
When the flu virus infects the body, the immune system launches a strong response to fight it off. This immune activation releases chemicals called cytokines, which can affect various organs, including the digestive tract.
These cytokines may disrupt normal gut function, leading to symptoms such as diarrhea. This reaction is part of the body’s effort to clear the virus, but it can cause uncomfortable side effects. In addition to diarrhea, the immune response can also lead to other gastrointestinal symptoms, such as nausea and vomiting, which can further complicate the overall experience of illness. The interplay between the immune system and the gut is complex, as the gut is home to a vast community of microorganisms that play a crucial role in digestion and immune regulation. When the flu virus alters this delicate balance, it can lead to a cascade of digestive issues.
Some strains of the influenza virus can infect cells in the gastrointestinal tract directly. This is more common in certain types of flu viruses, particularly those that cause more severe illness.
When the virus invades the gut lining, it can cause inflammation and impair the gut’s ability to absorb fluids and nutrients, resulting in diarrhea. This direct attack on the gut cells can also lead to a condition known as viral gastroenteritis, which is characterized by inflammation of the stomach and intestines. Symptoms can include not only diarrhea but also cramping and abdominal pain, which can be particularly distressing for patients already weakened by the flu. The interaction between the flu virus and gut cells can lead to longer-term digestive issues, as the recovery of the gut lining may take time, especially in individuals with pre-existing gastrointestinal conditions.
Medications: Flu treatment sometimes involves medications that can upset the stomach.
Dehydration: Fever and reduced fluid intake during illness can lead to dehydration, which affects bowel movements.
Co-infections: Sometimes, flu patients may also have a bacterial or viral gastrointestinal infection simultaneously.
The stress that accompanies being ill can also play a significant role in gastrointestinal disturbances. Stress can alter gut motility and increase sensitivity, potentially exacerbating symptoms like diarrhea. Dietary changes during illness, such as a reduced appetite or the consumption of bland foods, can further impact gut health and function. It’s crucial for patients experiencing flu symptoms to monitor their hydration levels and seek appropriate care if gastrointestinal symptoms become severe or persistent, as this can lead to further complications.
Flu-related diarrhea usually resolves on its own within a few days, but managing symptoms is important to stay comfortable and prevent complications.
Diarrhea can quickly lead to dehydration, especially if accompanied by fever or vomiting. Drinking plenty of fluids such as water, oral rehydration solutions, or clear broths is essential.
Rest helps the immune system fight the flu. Eating small, bland meals can reduce digestive discomfort. Avoid spicy or fatty foods until symptoms improve.
If diarrhea is severe, persistent, or accompanied by high fever, blood in stool, or signs of dehydration (like dizziness or reduced urination), it is important to get medical advice promptly.
Doctronic.ai offers fast, affordable telehealth visits with licensed doctors who can assess symptoms and recommend treatment without leaving home.
Because diarrhea is common in many illnesses, distinguishing flu-related diarrhea from other causes is important for proper care.
“Stomach flu” refers to viral gastroenteritis, which primarily causes diarrhea, vomiting, and stomach cramps. Unlike the flu, it rarely causes respiratory symptoms like cough or sore throat.
Flu-related diarrhea usually occurs alongside respiratory symptoms, whereas stomach flu focuses on digestive upset.
Food poisoning often causes sudden diarrhea and vomiting after eating contaminated food. It may also cause abdominal pain and fever, but usually lacks respiratory symptoms.
If diarrhea appears suddenly and is severe, consider these possibilities and seek medical advice if needed.
Using Telehealth for Flu and Diarrhea CareAccessing medical advice quickly can make a difference when dealing with flu symptoms and diarrhea. Telehealth platforms like Doctronic.ai combine advanced AI with real doctors to offer convenient care.
Doctronic’s AI doctor provides instant, evidence-based answers to health questions. It draws on the latest medical research to help users understand their symptoms and decide on next steps.
If further evaluation or treatment is needed, Doctronic offers affordable telehealth video visits anytime. Licensed doctors in all 50 states are available to diagnose, prescribe medications, and guide recovery without waiting rooms or travel.
While diarrhea is not the hallmark symptom of the flu, it can occur due to the body’s immune response and viral effects on the gut. Recognizing this connection helps avoid confusion and ensures appropriate care.
Staying hydrated, resting, and monitoring symptoms are key to managing flu-related diarrhea. When in doubt, telehealth services like Doctronic.ai provide fast, reliable medical support from home.
Yes, although it is more common in children, adults can also experience diarrhea as a symptom of the flu, especially with certain strains or severe illness.
Flu-related diarrhea typically lasts a few days and resolves as the body clears the infection. If it persists longer than a week, a medical evaluation is recommended.
The diarrhea itself is a symptom, but the flu virus is contagious through respiratory droplets. Proper hygiene helps prevent spreading the flu to others.
Most cases do not require specific medication for diarrhea. Focus on hydration and rest. If symptoms are severe, consult a healthcare provider for advice.
Yes, telehealth services like Doctronic.ai offer quick, affordable access to medical professionals who can assist with flu and related symptoms.
Understanding the Flu and Its SymptomsThe flu, or influenza, is a contagious respiratory illness caused by influenza viruses. It primarily affects the nose, throat, and [...]
Read More