August 30, 2020

Know the difference between a cold and the flu

Mother measuring temperature of her ill kid. Sick child with high fever laying in bed and mother holding thermometer. Mother with cell phone calling to doctor

Not every infectious disease, such as a cold or the flu, can be treated by your health care provider. By knowing the various symptoms and treatment solutions, you can avoid unnecessary visits to the doctor. You'll also be able to identify conditions that need medical attention.

Influenza

Symptoms

A sudden onset of any of the following:

  • Fever lasting 3-4 days about 102-104°

  • Sore throat

  • Headache

  • Runny or stuffy nose

  • Cough

  • Chills

  • Muscle or body aches

  • Fatigue (tiredness)

  • Shortness of breath or difficulty breathing

  • Some people may have vomiting and diarrhea, and is more common in children

Treatment

  • Stay home except to get medical care.

  • Contact your health care provider right away if you are at high risk, antiviral drugs may be a treatment option.

  • Drink plenty of fluids, dehydration can increase a fever.

  • Get plenty of rest.

  • Take over-the-counter pain relievers. For children, ask your health care provider for the correct type and dose for your child's age and weight.

  • Use a cool mist vaporizer or take a hot, steamy shower.

  • Isolate at home until your fever is gone for at least 24 hours, except to get medical care.

  • Wear a face covering around other people.

When to see a physician

  • If you are at high risk of flu complications, including young children, adults 65 years of age and older, pregnant women or have a medical condition such as asthma, diabetes and heart disease.

  • If you develop shortness of breath, painful breathing, ear pain, facial pain or a bad sore throat.

  • If you get better, then get worse again.

Colds

Symptoms

A gradual onset of symptoms of any of the following that last about 1-2 weeks:

  • Low-grade fever (above 98.6° F but lower than 100.4° F)

  • Sore throat

  • Headache

  • Runny or stuffy nose

  • Dry cough or wet cough without wheezing or rapid breathing

  • Mild general body aches

  • Red eyes

  • Sneezing

Treatment

  • Drink plenty of fluids to stay hydrated.

  • Get plenty of rest.

  • Use over-the-counter saline nasal drops and sprays for nose congestion.

  • Take over-the-counter pain relievers. For children, ask your health care provider for the correct type and dose for your child's age and weight.

  • Drink warm liquids to soothe and ease congestion.

  • Honey may help coughs in adults and children who are one year or older.

When to see a physician

  • If you have signs of pneumonia, bronchitis or other upper respiratory complications, including increased coughing, difficulty breathing, high fever, ear pain, facial pain or chest pain.

  • If you have symptoms that continue beyond one or two weeks.

COVID-19

Symptoms

One or more of the following symptoms can appear 2-14 days after exposure, with the average being five days:

  • Fever (100°F or higher)

  • Sore throat

  • Headache

  • Runny or stuffy nose

  • Cough

  • Chills

  • Muscle or body aches

  • Severe fatigue (tiredness)

  • Shortness of breath/chest tightness (for those under 12 years old – increased work to breathe)

  • Loss of taste or smell

For children under 12 years old, symptoms can include:

  • Nausea or vomiting

  • Diarrhea

  • Poor feeding/appetite

  • Plus at least one respiratory symptom

Treatment

  • Stay home except to get medical care.

  • If symptoms get worse, contact your health care provider immediately.

  • Drink plenty of fluids, dehydration can increase a fever.

  • Get plenty of rest.

  • Take over-the-counter pain relievers. For children, ask your health care provider for the correct type and dose for your child's age and weight.

  • Isolate in a specific room and away from other people at home. If possible, use a separate bathroom.

  • Wear a face covering around other people.

  • Stay in touch with your health care provider. Call before you go in for medical care.

When to see a physician

If you think you or your child may have been exposed to COVID-19 or have symptoms, contact your health care provider. If you or your child is showing any of these signs, seek emergency medical care immediately:

  • Trouble breathing

  • Persistent pain or pressure in the chest

  • New confusion

  • Inability to wake or stay awake

  • Bluish lips or face

Strep throat

Symptoms

Strep throat is an infection caused by bacteria and the following symptoms usually start very quickly:

  • Fever

  • Sore throat

  • Headache

  • Swollen glands in the neck

  • Red and swollen tonsils, sometimes with white patches or streaks of pus

  • Tiny, red spots on the roof of the mouth (the soft or hard palate)

  • Some people develop a rash

  • Some people may have stomach pain, nausea or vomiting, and is more common in children

Treatment

  • If you think you or your child have strep throat do not attempt home treatment, contact your health care provider immediately.

  • A simple rapid strep test or throat culture from a clinic can determine if group A strep is the cause.

  • Health care providers treat strep throat with antibiotics. Complete all prescribed medications in full.

  • Take over-the-counter pain relievers to ease the pain. For children, ask your health care provider for the correct type and dose for your child's age and weight.

  • Gargle with saltwater to help relieve pain.

  • Sip warm beverages, cold beverages and frozen treats to help relieve pain.

When to see a physician

  • If your child has symptoms of strep throat, especially if someone in your family or in your child's school has recently had a strep infection.

  • When you or your child develop any of the symptoms associated with strep throat (see above).

Respiratory Syncytial Virus (RSV)

Symptoms

The following symptoms can appear 2-8 days after contact with RSV:

  • High fever (can be low-grade over age 3)

  • Sore throat (typical from age 3–adult)

  • Headache

  • Stuffy or runny nose

  • Severe cough and/or wheezing*

  • Shortness of breath or very fast rate of breathing*

  • Bluish color of the lips or fingernails*

  • Lethargy, irritability or listlessness*

  • Lack of appetite/poor feeding

  • Apnea*

* Typical for infants younger than age 3

Treatment

  • Drink plenty of fluids

  • Use a cool mist vaporizer

  • Use saline nose drops

  • Use non-aspirin fever medicine

  • Wash hands frequently/avoid touching face/eyes

  • Avoid public areas during RSV outbreaks

  • Get plenty of rest

When to see a physician

Your child should see a physician if they:

  • Have moderate difficulty breathing indicated by breathing 40-60 times per minute

  • Tire quickly during feeding/loss of appetite

  • Are struggling to breathe or wheezing

  • Have an unusual color. Skin becomes slightly gray or lacelike purple and pale while tongue, gums and lips remain pink.

  • Are excessively tired and lack appetite

  • Are younger than 3 months old and have a fever greater than 100.4°

  • Show signs of dehydration