For members


Coughs, colds and flu: What to say and do if you fall sick in Italy

It’s that time of year again when many of us will be coughing and blowing our noses. If you're feeling under the weather, here are the Italian words you'll need and some tips on what to do.

What should you say and do if you get sick in Italy?
What should you say and do if you get sick in Italy? Photo by Kelly Sikkema on Unsplash

As the temperatures fall many people will no doubt be falling victim to traditional winter illnesses, from a slight cold to a nasty dose of the flu.

If you’re feeling unwell, here’s the Italian vocabulary you’ll need to get help.

Il Covid – Covid is still here and cases are currently on the rise, so it’s worth stocking up on tamponi fai da te (home tests), or getting tested at a pharmacy if you want to be extra cautious before travelling or attending gatherings. Here’s how to go about getting a Covid test in Italy.

Un raffreddore – A common cold, likely to be accompanied by il naso che cola (a runny nose), or, if you want to use the more scientific term, la rinorrea – or you might have the opposite problem and have a naso chiuso (blocked nose). 

If you want un decongestionante (a decongestant), spray nasale (nasal spray), or pastiglie per la gola (lozenges; literally, throat pills), these are all available over the counter at Italian pharmacies.

READ ALSO: Are there limits on bringing medicines into Italy?

Pharmaceuticals aren’t available at supermarkets in Italy unless they have a dedicated medicines counter manned by a pharmacist, so you’ll have to make the trip to the farmacia (pharmacy) or parafarmacia – a type of lower-grade pharmacy that is licensed to dispense only basic medications. The pharmacist will likely ask if you have qualche allergia (any allergies).

Always make sure to ask for la versione generica (the generic version) of whatever drug it is you want; Italian pharmacies will usually try to sell you the more expensive branded version as a matter of course, as it will have a higher mark up.

What medicines can you bring to Italy from abroad?

Photo by JACK GUEZ / AFP

Una tosseYour cold may also be accompanied by la tosse (a cough). If you have one of these you may need lo sciroppo per la tosse (cough syrup) and for that you will also need to visit a pharmacy.

Italian pharmacists have extensive medical training, and they will often ask you for more detailed information about your ailment to try and decide exactly what kind of medication you should be given.

READ ALSO: Ten phrases to talk about cold and wet weather like a true Italian

You might be asked Che sintomi hai? (What symptoms do you have?), and if your cough is secca (dry), umida/ grassa (wet), or cronica/ persistente (chronic/ persistent).

La febbre – A fever. If you are running a temperature, this is the word you want. Again, your pharmacist can give you over-the-counter medication for this, and will advise you to consult a doctor if they consider it more severe.

If you’re running a fever or have a headache, you’re likely to be given Tachipirina – the most common brand name for paracetamol in Italy.

This can be bought without prescription from all pharmacies if you need a painkiller or to bring your fever down. It’s so ubiquitous that people generally refer to it simply as ‘Tachipirina’ rather than paracetamol. 

L’influenza – The flu. If you’re struck down with a more serious illness, it’s likely to be l’influenza, the symptoms for which may include la febbre, brividi (chills), dolori (aches and pains), and could lead to tonsilliti (tonsillitis), sinusiti (sinusitis), or laringite (laryngitis).

If these get particularly bad you may require a visit to a doctor (medico) – though as the pandemic is still with us, many Italian doctors’ offices (uffici del medico/centri medici) still ask patients to stay away or come in during special hours if they have cold or flu symptoms. 

READ ALSO: Five essential facts about Italy’s public healthcare system

If you’re in Italy on holiday and have a European Health Insurance Card (EHIC), you should be able to access Italian medical services free of charge – just show your EHIC whenever you’re asked for your tessera sanitaria (Italian health card).

The British embassy in Italy keeps a list of English-speaking doctors in different Italian regions.

If you don’t have an EHIC, you will need to reclaim the cost of your doctor’s visit from your travel insurance (travel insurance with a minimum coverage of €30,000 for medical costs is required for anyone visiting the Schengen zone) – though you should check your provider’s terms to make sure the cost of your doctor’s visit will be covered.

In addition to its public health system, Italy also has specifically designed guardie mediche turistiche (tourist medical services) available during the summer. Payment must be made by the patient upfront, whether they have an EHIC or not, but can be reclaimed from a health insurance provider.

READ ALSO: Who can register for national healthcare in Italy?

If you need to see a doctor urgently, Doctors in Italy provides a 24/7 fee-paying service and can assist with hospital transfers should they be needed. While you may have to make a co-payment (called a ticket) to access certain emergency room services, admission to hospital for emergency care is free in Italy.

An Italian doctor can provide you with a ricetta (prescription) for any medicine you require that isn’t available over the counter.

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For members


Pregnancy in Italy: What are all the tests you’ll need to have?

Italy’s healthcare system offers tons of free testing during pregnancy, but how many tests are there exactly, and are they free of charge? Here’s what to expect and when.

Pregnancy in Italy: What are all the tests you'll need to have?

Expecting a baby can be an anxiety-inducing experience, no doubt. Fortunately, Italy is rightfully famous for its healthcare system, which produces some of the world’s best maternal health outcomes.

Part of the secret to that success is a robust schedule of testing that residents can access for free as part of their pregnancy.

In fact, the amount of testing offered during pregnancy in Italy can be surprising to those who aren’t familiar with the Italian health service.

Here’s what to expect:

Getting started: the first appointment (6-11 weeks)

Before you can get any testing done, you will need to arrange for a first appointment with an obstetrician via a local hospital, private clinic, or family counselling center.

In the early stages, your pregnancy will be dated to the first day of your last menstruation, so be prepared to provide that date a lot. It will be included on all your paperwork as you go from provider to provider.

READ ALSO: Pregnancy in Italy: What are the options for public or private healthcare?

Your first appointment should generally be scheduled after the sixth week of pregnancy, so that the fetus is clearly visible on an ultrasound, and ideally before 11 weeks. Because there are sometimes delays in securing appointments, it makes sense to plan ahead as much as possible.

At this first appointment, you’ll get a general orientation to the process laid out below and be scheduled for future check-ups. You’ll get a basic physical and they’ll take a full medical history.

Then, you’ll be scheduled for your first battery of tests to establish a baseline of health and confirm your pregnancy.

On the first visit, or shortly thereafter, you’ll receive the following tests free of charge:

  • A first ultrasound to confirm your pregnancy and determine the age of the fetus;
  • A Pap (smear) test, if one has not been performed in the last three years;
  • A series of blood tests to check for blood type, blood sugar, red cell antibodies (the Coombs test), rubella, toxoplasmosis, syphilis and HIV; and
  • A urine test.

If you’re deemed at risk for Hepatitis C, chlamydia or gonorrhea, you may also receive tests for these as well.

The Bi-Test (11-14 weeks)

Starting at 11 weeks, you’ll be eligible for the so-called Bi-Test or Combined Test, which screens for common genetic and developmental disorders.

Until 2017, this test was only free for women over 35, but it’s since been made a standard part of pregnancy health screening in Italy.

A midwife monitoring a pregnant woman. (Photo by MYCHELE DANIAU / AFP)

The non-invasive test involves an additional blood sample and ultrasound between 11 and 14 weeks that checks for abnormalities in the fluid beneath the fetus’ neck.

Because the test is only about 92 percent accurate, if it detects any issues, your physician will refer you for follow-up testing — either non-invasive DNA testing, which is more accurate, or an invasive amniocentesis procedure, which samples a small amount of cells from your amniotic fluid and provides a definitive positive or negative result.

READ ALSO: 15 practical tips for pregnancy in Italy

If you miss the window for the bi-test, there’s an optional non-invasive blood test known as the tri-test, available from the third trimester, that can screen for the same issues. It also tests for neural tube defects, another common disorder.

These tests are optional but are covered by the national health service. In practice though, whether you can access this test for free depends on whether there is a trained, public technician in your area.

In some regions, only the invasive tests can be performed in the public system.

Regular checkups

After these initial tests, you’ll be scheduled for regular checkups every month to 40 days. At these checkups, you’ll receive a basic physical and blood pressure check and your doctor may listen for the fetus’ heartbeat.

You’ll also be regularly tested for toxoplasmosis, rubella, and your blood glucose levels, so be prepared to roll up your sleeves a lot.

Photo by National Cancer Institute on Unsplash

Sometime between 24 and 28 weeks, you’ll receive another urine test, and at 28 weeks, you’ll be scheduled for another round of the Coombs test, which checks for red cell antibodies.

All of these tests are simply part of ensuring your health and that of the baby is ideal as you head into the later stages of pregnancy.

Depending on your hospital or physician, you may also receive additional ultrasounds during this period. Most Italian women report receiving an average of 4 to 5 ultrasounds over the course of the pregnancy, despite only two being required by law.

Second ultrasound (19-21 weeks)

At minimum, your second ultrasound should occur between 19 and 21 weeks, and this is the big one — your fetus should be looking like a baby and you are likely to be able to determine the sex.

If you don’t want to know the sex of the baby, you should speak to your gynecologist in advance. They can withhold the information, or even provide it in a sealed envelope to a trusted friend if you are planning on organizing a reveal.

Third trimester: Tests, tests, and more tests

By the 28th week, you may be recommended for a follow-up ultrasound if your doctor has any concerns about the baby’s development.

You’ll also receive another blood test, including a Coombs test, and will be scheduled for tests for toxoplasmosis, Hepatitis B, HIV, syphilis, and vaginal streptococcus, to occur sometime between 33 and 38 weeks.

Lastly, you’ll also be required to do another urine sample between 33 and 38 weeks, to ensure you won’t have a urinary tract infection at the time of delivery.

More tests?

The above is just a baseline — your doctor may order additional tests if they are concerned about any aspect of you or your baby’s health.

If anything goes wrong with your pregnancy, you may be referred to specialist care. This should all be free of charge, so long as they are requested by a physician in the public system. (If you opt for private care, you may be required to pay fees for these same services.)

After delivery

The Italian national health service also covers postpartum care, including psychiatric screening and postpartum counselling. If you are experiencing signs of postpartum depression, it’s worth talking to your doctor about referrals to this care.

The cost of birthing and parenting courses are also covered by the government, so ask your physician about what is available in your area.

READ ALSO: Who can register for national healthcare in Italy?

All these tests are available free of charge to EU citizens regardless of whether or not they have an Italian health card (tessera sanitaria). Any non-EU citizens with a long-stay visa (permesso di soggiorno) may access them also with referral from a physician.

If you do not have a visa or are undocumented, you can access many of these services via a local family counselling center (consultorio familiare), which are obligated by law to provide care to all women irrespective of immigration status.

Keep in mind that if you opt for a private gynecologist or pregnancy clinic, you may have to pay extra for tests available for free from public hospitals. Price lists are rarely posted online, so do your research before choosing a provider.

For more information about healthcare during pregnancy in Italy, see the health ministry’s official website here.