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Symptoms of a Cold versus the Flu

Is it a Cold or the Flu?

The flu and colds are common respiratory infections during the winter months. People often confuse the two, calling a bad cold the "flu," or the flu a “bad cold.” While they both are caused by viruses, there are some key differences. The table below highlights these differences


Symptoms


Cold


Flu

Fever

Rare

Usual; high (100°F to 102°F; occasionally higher, especially in young children); lasts 3 to 4 days

Headache

Rare

Common

General Aches, Pains

Slight

Usual; often severe

Fatigue, Weakness

Sometimes

Usual; can last up to 2 to 3 weeks

Extreme Exhaustion

Never

Usual; at the beginning of the illness

Stuffy Nose

Common

Sometimes

Sneezing

Usual

Sometimes

Sore Throat

Common

Sometimes

Chest Discomfort, Cough

Mild to moderate; hacking cough

Common; can become severe

Treatment

Antihistamines, decongestant, nonsteroidal anti-inflammatory medicines. Drink plenty of fluids. Bed rest. Gargle with salt water or use lozenges for a sore throat. (Aspirin should not be used in children under 18 years old because it may play a role in causing Reyes Syndrome.)

Antiviral medicines—see your doctor within 2 days after symptoms first appear. Drink plenty of fluids. Get adequate nutrition. Bed rest. (Aspirin should not be used in children under 18 years old because it may play a role in causing Reyes Syndrome.)

Prevention

Wash your hands often. Keep your hand away from your eyes and nose. Avoid close contact with anyone with a cold.

Annual vaccination; antiviral medicines—see your doctor. Wash your hands often and keep them away from your face. Avoid close contact with anyone with the flu.

Complications

Sinus congestion/infections, middle ear infection, bronchitis, asthma.

Bronchitis, pneumonia; can be life threatening.

Sources: “Is It a Cold or the Flu?”, Sept. 2005, National Institute of Allergy and Infectious Diseases, www.niaid.nih.gov. “Cold and Flu Guidelines,” American Lung Association, www.lungusa.org.