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Cold vs. Flu

It's that season again! And one of the most important things you can do for you and your family is to learn the difference between flu and cold symptoms so you can ensure proper treatment!

A cold is a milder respiratory illness than the flu. While cold symptoms can make you feel bad for a few days, flu symptoms can make you feel quite ill for a few days to weeks.

What are common cold symptoms?

Cold symptoms usually begin with a sore throat, which usually goes away after a day or two. Nasal symptoms, runny nose, and congestion follow, along with a cough by the fourth and fifth days. Fever is uncommon in adults, but a slight fever is possible. Children are more likely to have a fever with a cold.

With cold symptoms, the nose teems with watery nasal secretions for the first few days. Later, these become thicker and darker. Dark mucus is natural and does not usually mean you have developed a bacterial infection, such as a sinus infection.

What are common flu symptoms?

Flu symptoms are usually more severe than cold symptoms and come on quickly. Symptoms of flu include sore throat, fever, headache, muscle aches and soreness, congestion, and cough. Swine flu in particular is also associated with vomiting and diarrhea.

Most flu symptoms gradually improve over two to five days, but it's not uncommon to feel run down for a week or more. A common complication of the flu is pneumonia, particularly in the young, elderly, or people with lungor heart problems. If you notice shortness of breath, let your doctor know. Another common sign of pneumonia is fever that comes back after having been gone for a day or two.

Just like cold viruses, flu viruses enter your body through the mucous membranes of the nose, eyes, or mouth. Every time you touch your hand to one of these areas, you could be infecting yourself with a virus, which makes it very important to keep hands germ-free with frequent washing to prevent both flu and cold symptoms.

When do I call the doctor with flu or cold symptoms?

If you already have flu or cold symptoms, it's important to call your doctor if you also have any of the following severe symptoms:

  • Persistent fever: A fever lasting more than three days can be a sign of another bacterial infection that should be treated.

  • Painful swallowing: Although a sore throat from a cold or flu can cause mild discomfort, severe pain could mean strep throat, which requires treatment by a doctor.

  • Persistent coughing: When a cough doesn't go away after two or three weeks, it could be bronchitis, which may need an antibiotic. Postnasal drip or sinusitis can also result in a persistent cough. In addition, asthma is another cause of persistent coughing.

  • Persistent congestion and headaches: When colds and allergies cause congestion and blockage of sinus passages, they can lead to a sinus infection (sinusitis). If you have pain around the eyes and face with thick nasal discharge after a week, you may have a bacterial infection and possibly need an antibiotic. Most sinus infections, however, do not need an antibiotic.

In some cases, you may need to get emergency medical attention right away. In adults, signs of a crisis include:

  • Severe chest pain

  • Severe headache

  • Shortness of breath

  • Dizziness

  • Confusion

  • Persistent vomiting

In children, additional signs of an emergency are:

  • Difficulty breathing or rapid breathing

  • Bluish skin color

  • Not drinking enough fluids

  • Lethargy and failure to interact normally

  • Extreme irritability or distress

  • Symptoms that were improving and then suddenly worsen

  • Fever with a rash

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