Colds and the Flu: Tips for Feeling Better
By Roland Larrabee, MD
Colds and the flu cause many of the same symptoms. But colds are usually mild, while the flu tends to be more severe. A cold often starts with feeling tired, sneezing, coughing, and having a runny nose.
You may not have a fever, or you may run a low fever - just 1 or 2 degrees higher than usual. You may have muscle aches, a scratchy or sore throat, watery eyes, and a headache. The flu starts suddenly and hits hard. You will probably feel weak and tired and have a fever, dry cough, a runny nose, chills, muscle aches, a bad headache, eye pain, and a sore throat. It usually takes longer to get over the flu than a cold.
More than 100 different viruses can cause colds. There aren't as many viruses that cause the flu. That's why there is a shot for the flu and not for colds. To keep from getting the flu, there are certain people who should get a flu shot every October or November. The flu shot is also indicated for anyone else who would like to have protection against influenza.
There is no cure for a cold or the flu. Antibiotics don't work against viruses. Unless you have the flu and see your doctor within two days after your symptoms start, all you can do to feel better is treat your symptoms while your body fights off the virus. You can also use over-the-counter cold medicines to help you feel better. Do not give children cold medicine without checking with your doctor first. The current feeling is that they should not be given to children less than 4 years, and possibly even older children since there can be adverse reactions and the medications don’t tend to provide much benefit. Medications to fight fever are thought to be safe in children (e.g., Tylenol® or Children’s Motrin®). Adults who take prescription medicine also should check with their doctor before taking over-the-counter cold medicine.
Ways to treat your cold and flu symptoms:
-
Stay home and rest, especially while you have a fever.
-
Stop smoking, and avoid secondhand smoke.
-
Drink plenty of fluids like water, fruit juices, and clear soups.
-
Do not drink alcohol.
-
Gargle with warm salt water a few times a day if you have a sore throat. Throat sprays or lozenges may also help with the pain.
-
Use a saline nose spray to help loosen mucus and moisten the skin in your nose (use a bulb suction in infants).
Most people do not need to see a doctor when they have a cold or the flu. But if you have any of the emergency symptoms in the list below, call your doctor:
In children:
-
Fever above 102°F (38.9°C) or a fever that lasts several days
-
A cold that lasts for more than 10 days
-
Trouble breathing, fast breathing, wheezing or trouble swallowing
-
Bluish skin
-
Not drinking enough fluids
-
Earache or drainage from the ear
-
Mental changes (such as trouble waking up, lethargy, irritability, or seizures)
-
Flu or cold-like symptoms that get better but come back again with a fever and a worsening cough
In adults:
-
Fever above 102°F (38.9°C) or a fever that lasts several days
-
A cold that lasts for more than 10 days
-
Trouble breathing or shortness of breath
-
Pain or pressure in the chest
-
Fainting or feeling like you are about to faint
-
Confusion
-
Severe vomiting
-
Very bad pain in your face or forehead
-
Hoarseness, sore throat, or a cough that won't go away
-
Chronic medical problems (such as diabetes or heart disease) which get worse during a cold
Dr. Larrabee is Medical Director of Family and Community Medicine at the Walter L. Aument Family Health Center, 317 S. Chestnut St., Quarryville.
For more information related to this topic: