- Cold vs. Flu
What is the common cold?
- The common cold is an upper respiratory tract infection caused by many different viruses.
- The common cold is transmitted by virus-infected airborne droplets or by direct contact with infected secretions.
- Typical common cold symptoms include
- Being in cold weather does not cause the common cold, but cold weather promotes close contact.
- There are four stages of a common cold.
- Over-the-counter medications may be used for the treatment of the common cold.
- Antibiotics are not necessary for the common cold.
- The common cold is a self-limited disease that can generally be managed at home.
- Most people with a common cold recovered in about 7 to 10 days.
- The common cold has no cure, and there is no available vaccine.
What causes the common cold?
The common cold is a self-limited contagious disease that can be caused by a number of different types of viruses. The common cold is medically referred to as a viral upper respiratory tract infection. Symptoms of the common cold may include cough, sore throat, low-grade fever, nasal congestion, runny nose, and sneezing. More than 200 different types of viruses are known to cause the common cold, with rhinovirus causing approximately 30%-40% of all adult colds.
- Rhinovirus multiplies best at temperatures found in the nose.
- Rhinovirus infection rates peak from September to November and March to May.
- Nevertheless, rhinovirus may cause disease at any time of year. During peak periods, up to 80% of colds may be due to rhinovirus.
Other commonly implicated viruses include coronavirus (COVID-19), adenovirus, respiratory syncytial virus, and parainfluenza virus. Because so many different viruses can cause the common cold, and because new cold viruses constantly develop, the body never builds up resistance against all of them. For this reason, colds are a frequent and recurring problem. In fact, children in preschool and elementary school can have six to 12 colds per year while adolescents and adults typically have two to four colds per year.
- The common cold occurs most frequently during the fall, winter, and spring.
- The common cold is the most frequently occurring viral infection in the world, and it is a leading cause of doctor visits and missed days from school and work.
- It is estimated that individuals in the United States suffer an estimated 1 billion colds per year, with approximately 22 million days of school absences recorded annually.
- In the United States, the common cold is thought to account for approximately 75-100 million physician visits annually, with an economic impact of greater than $20 billion per year due to cold-related work loss.
What are risk factors for the common cold?
There are various risk factors that may increase the chances of acquiring the common cold, including the following:
- Age: Infants and young children are more likely to develop the common cold because they have not yet developed immunity to many of the implicated viruses.
- Seasonal variation: Individuals more commonly acquire the common cold during the fall, winter, or rainy season (in warmer climates). This is felt to occur because people tend to stay indoors and are in closer proximity to one another.
- Weakened immune system: Individuals with a poorly functioning immune system are more likely to develop the common cold. Also, individuals with excessive fatigue or emotional distress may be more susceptible to catching a common cold.
How does the common cold spread?
The common cold is spread either by direct contact with infected secretions from contaminated surfaces or by inhaling the airborne virus after individuals sneeze or cough. Person-to-person transmission often occurs when an individual has a cold blow or touches their nose and then touches someone or something else. A healthy individual who then makes direct contact with these secretions can subsequently become infected, often after their contaminated hands contact their own eyes, nose, or mouth.
A cold virus can live on frequently touched objects such as doorknobs, pens, books, cell phones, computer keyboards, and coffee cups for several hours and can thus be acquired from contact with these objects.
In general, the common cold can be contagious anywhere from one to two days before the symptoms begin up until the symptoms have completely resolved. However, the common cold is typically most contagious during the initial two to three days of illness.
Does the common cold have anything to do with exposure to cold weather?
Though the common cold usually occurs in the winter months, the cold weather itself does not cause the common cold. Rather, it is thought that during cold-weather months, people spend more time indoors near each other, thus facilitating the spread of the virus. For this same reason, children in daycare and school are particularly prone to acquiring the common cold.
The low humidity during these colder months is also felt to contribute to the increased prevalence of the common cold, as many of the implicated viruses seem to survive better in low-humidity conditions.
What are the symptoms of the common cold?
Common cold symptoms typically begin two to three days after acquiring the infection (incubation period), though this may vary depending on the type of virus causing the infection. Individuals also tend to be most contagious during the initial two to three days of having symptoms. Cold viruses target mainly the upper respiratory tract (nose, sinuses, and throat). Symptoms and signs of the common cold may also vary depending on the virus responsible for the infection and may include
- stuffy nose or nasal drainage,
- sore or scratchy throat,
- low-grade fever,
- body aches,
- loss of appetite, and
The signs and symptoms of the common cold in infants and children are similar to those seen in adults. The cold may begin with a runny nose with clear nasal discharge, which later may become yellowish or greenish in color. Infants and children may also become fussy and have decreased appetite.
What are the stages of the common cold?
Because the common cold can be caused by so many different viruses, the progression and severity of symptoms vary from individual to individual. In general, symptoms will develop two to three days after the virus is contracted. Some individuals will develop very mild symptoms whereas others will develop more severe symptoms. The type of symptoms will also vary, with some individuals developing only nasal congestion, while others may develop any or all of the symptoms described above. The symptoms that develop also depend on the underlying health of the person infected.
Most colds will resolve after seven to 10 days, though some individuals experience a shorter course and others a more prolonged illness, again depending on the particular virus involved, as well as the infected person's underlying health issues.
The four typical stages of a common cold are as follows:
- Stage 1 (incubation period): This refers to the stage between the infection by a cold virus and the development of symptoms. This stage may last for one to three days, although for some it may be as short as 10 to 12 hours.
- Stage 2 (appearance and progression of symptoms): In this stage, symptoms begin and reach their peak intensity. The symptoms of a cold generally peak in one to three days. Typical cold symptoms include a sore throat, sneezing, cough, a stuffy nose, a runny nose (clear, watery discharge from the nose), feeling sick, headache, body ache, and fever. Fever is more commonly seen in children.
- Stage 3 (stage of remission): This stage is marked by a decline and eventual fading of cold symptoms. The symptoms usually subside between 3 and 10 days. After two to three days of the appearance of symptoms, the discharge from the nose may appear white, yellow, or green. This color change is normal and does not mean that antibiotics are needed.
- Stage 4 (stage of recovery): In this stage, the person feels normal and gets on their feet. There may be some lingering symptoms such as mild cough, stuffy nose, and scanty nasal discharge. Such mild symptoms may last up to two weeks in some people.
Subscribe to MedicineNet's General Health Newsletter
Common cold vs. flu (influenza)
- Flu is caused by the influenza virus, while the common cold generally is not.
- While some of the symptoms of the common cold and flu may be similar, patients with the common cold typically have a milder illness than patients with the flu.
- Patients with the flu usually appear more ill and have a more abrupt onset of illness with fever, chills, headache, substantial muscle and body aches, dry cough, and extreme weakness.
There is laboratory testing available to confirm the diagnosis of influenza, but health care professionals make a diagnosis of flu primarily based on classic flu symptoms rather than laboratory tests.
Diagnosis of the common cold
A general practitioner most often diagnoses and treats the common cold, in addition to family medicine physicians, internists, and pediatricians. If you visit an emergency department, an emergency medicine physician will likely treat you.
An infectious disease specialist may consult hospitalized individuals with very weakened immune systems, such as those who have had an organ or bone marrow transplant or have had recent chemotherapy for cancer.
A doctor or health care professional will generally diagnose the common cold based on the description of the symptoms and the findings during the physical exam. Laboratory testing and imaging studies are generally not necessary unless there are concerns about another underlying medical condition, such as a bacterial disease or potential complications of the common cold.
What are the treatments and home remedies for the common cold?
There is no cure for the common cold. The common cold is a self-limiting illness that will resolve spontaneously with time and expectant management. Home remedies and medical treatments are directed at alleviating the symptoms associated with the common cold while the body fights off the infection.
Home treatment for upper respiratory infections includes getting rest and drinking plenty of fluids. In older children and adults, common over-the-counter drugs such as throat lozenges, throat sprays, cough drops, and cough syrups may help relieve symptoms, though they will not prevent or shorten the duration of the common cold. Gargling with warm salt water may help people with sore throats. Decongestant drugs such as pseudoephedrine (Sudafed) or antihistamines may be used for nasal symptoms, while saline nasal sprays may also be beneficial. It is important to note that over-the-counter medications may cause undesirable side effects, therefore they must be taken with care and as directed. Pregnant women should discuss the safety of common over-the-counter medications with their pharmacist or health care professional.
Acetaminophen (Tylenol and others) and non-steroidal anti-inflammatory drugs such as ibuprofen (Advil, Motrin) are common over-the-counter medicines that can help with fever, sore throat, headache, and body aches.
The treatment for infants and small children with the common cold is supportive as well. It is especially important to allow rest and encourage plenty of fluids in order to prevent dehydration. Nasal drops and bulb suctioning may be used to clear nasal mucus from the nasal passages in infants. Medicines such as acetaminophen and ibuprofen may be taken for pain or fever based on the package recommendations for age and weight. Do not use aspirin or aspirin-containing medications in children or teenagers because it has been associated with a rare, potentially fatal condition called Reye's syndrome. Finally, over-the-counter cough and cold medications for infants and young children are not recommended. Medication manufacturers now recommend that over-the-counter cough and cold drugs not be used in children younger than 4 years of age because of serious and potentially life-threatening side effects.
Common alternative treatments to prevent or treat the common cold, such as vitamin C, zinc, echinacea, and other herbal remedies, have had mixed results in studies evaluating their effectiveness. Therefore, discuss these treatment options with a health care professional.
Do antibiotics treat the common cold?
No. Antibiotics play no role in treating the common cold. Antibiotics are effective only against illnesses caused by bacteria, and colds are caused by viruses. Not only do antibiotics not help, but they can rarely also cause severe allergic reactions that can sometimes be fatal. Furthermore, using antibiotics when they are not necessary has led to the growth of several strains of common bacteria that have become resistant to certain antibiotics. For these and other reasons, it is important to limit the use of antibiotics to situations in which they are medically indicated.
Occasionally, a bacterial infection such as sinusitis or a middle ear infection (acute otitis media) can develop following the common cold, however, the decision to treat with antibiotics should be determined by a doctor or health care professional after a medical evaluation. About 30% of children with middle ear infections have rhinovirus. Because middle ear infection may be viral, some experts suggest treating acute otitis media in children with non-steroidal anti-inflammatory drugs and resorting to antibiotics only if there is worsening or no improvement.
What is the prognosis for the common cold?
Generally, the prognosis for the common cold is excellent. The common cold needs to run its natural course, and most people with the common cold will recover within seven to 10 days. However, certain viruses may take up to three weeks to completely resolve.
What are complications of the common cold?
In general, the common cold can be treated at home and managed with over-the-counter medications. However, if more severe symptoms develop, such as
- shaking chills,
- high fever (greater than 102 F),
- severe headache,
- neck stiffness,
- abdominal pain,
- difficulty breathing,
- chest pain,
- confusion, or failure to improve after 10 days,
Consult a health care professional immediately, if these severe symptoms occur. Infants 3 months of age or younger who develop a cold or fever should consult a health care professional as well.
Complications that may arise from the common cold include
- the development of a bacterial middle ear infection (otitis media) or bacterial sinusitis.
- In individuals with asthma or chronic obstructive pulmonary disease (COPD), the common cold can sometimes trigger an exacerbation of their illness, leading to shortness of breath and increased wheezing.
- Though uncommon, pneumonia can sometimes develop as a secondary infection in individuals with the common cold. For example, coronaviruses, rhinoviruses, and several other cold-causing viruses can cause bronchitis and pneumonia in people with very weakened immune systems.
If a sore throat and a fever are present with no other cold symptoms, the individual should also be evaluated by a health care professional. This illness may be strep throat, a bacterial infection requiring treatment with antibiotics.
Finally, if there is facial pain, redness, or swelling associated with yellow/green drainage from the nose accompanied by a fever, it is possible that the individual has a bacterial sinus infection (sinusitis) that would benefit from a medical evaluation and a possible course of antibiotics.
Get an evaluation by a healthcare professional for any of these suspected complications.
Is it possible to prevent the common cold?
The most important prevention measure for the common cold is to avoid contact with infected individuals. Other measures for prevention of the common cold include the following:
- Frequent and thorough hand washing during flu and cold season are extremely important, as this can destroy viruses acquired from touching contaminated surfaces. In between using soap and water when hands are visibly dirty, use an alcohol-based hand sanitizer containing at least 60% alcohol.
- Disinfect frequently touched surfaces or personal objects with a product that is effective against flu and cold-causing viruses (and safe for the type of surface).
- Do not share personal belongings such as towels, handkerchiefs, or tissues.
- Avoid sharing utensils and try to use disposable items (such as disposable cups) if someone in the family has a cold.
- Encourage individuals to cover their nose and mouth when coughing or sneezing to prevent transmission of the virus. A sneeze can spray a fine mist of contagious droplets up to 6 feet.
- Lifestyle modifications such as smoking cessation and stress management may decrease susceptibility to acquiring the common cold.
- If the air in the home is very dry during the winter, a cool-mist humidifier or vaporizer may be helpful.
Currently, there is no effective vaccine against the common cold.
United States. Centers for Disease Control and Prevention (CDC). "Common Cold and Runny Nose." Sept. 26, 2017. <https://www.cdc.gov/antibiotic-use/community/for-patients/common-illnesses/colds.html>.
United States. Centers for Disease Control and Prevention (CDC). "Common Colds: Protect Yourself and Others." Feb. 12, 2018. <https://www.cdc.gov/features/rhinoviruses/>.
Top Common Cold Related Articles
Cold, Fever and Flu Symptoms in Children: Medications and Home RemediesHow long does a cold last? How long is a cold contagious? Colds and fevers are some of the most common ailments in children. Learn common cold symptoms, treatment options, over the counter (OTC) medicines for cold and fever, home remedies, and how to relieve a sore throat.
Cold & Flu QuizAches? Pain? Fever? This Cold & Flu Quiz tests your knowledge on the difference between coming down with the common cold and sickness from influenza virus.
Common Cold QuizTake this quiz to learn the truth behind the infectious, contagious, uncomfortable disease known as the common cold. Test your knowledge of colds; get prevention tips, and learn what you may want to avoid when treating a cold!
Common Medical Abbreviations & Terms
Doctors, pharmacists, and other health-care professionals use abbreviations, acronyms, and other terminology for instructions and information in regard to a patient's health condition, prescription drugs they are to take, or medical procedures that have been ordered. There is no approved this list of common medical abbreviations, acronyms, and terminology used by doctors and other health- care professionals. You can use this list of medical abbreviations and acronyms written by our doctors the next time you can't understand what is on your prescription package, blood test results, or medical procedure orders. Examples include:
- ANED: Alive no evidence of disease. The patient arrived in the ER alive with no evidence of disease.
- ARF: Acute renal (kidney) failure
- cap: Capsule.
- CPAP: Continuous positive airway pressure. A treatment for sleep apnea.
- DJD: Degenerative joint disease. Another term for osteoarthritis.
- DM: Diabetes mellitus. Type 1 and type 2 diabetes
- HA: Headache
- IBD: Inflammatory bowel disease. A name for two disorders of the gastrointestinal (BI) tract, Crohn's disease and ulcerative colitis
- JT: Joint
- N/V: Nausea or vomiting.
- p.o.: By mouth. From the Latin terminology per os.
- q.i.d.: Four times daily. As in taking a medicine four times daily.
- RA: Rheumatoid arthritis
- SOB: Shortness of breath.
- T: Temperature. Temperature is recorded as part of the physical examination. It is one of the "vital signs."
Is It Contagious QuizIs it contagious? Take this quiz to learn about contagious diseases, how contagious diseases are spread, and myths and facts about contagions.
Cough: 19 Tips on How to Stop a CoughCoughing is a reflex that helps a person clear their airways of irritants. There are many causes of an excessive or severe cough including irritants like cigarette and secondhand smoke, pollution, air fresheners, medications like beta blockers and ACE inhibitors, the common cold, GERD, lung cancer, and heart disease.Natural and home remedies to help cure and soothe a cough include staying hydrated, gargle salt water, use cough drops or lozenges, use herbs and supplements like ginger, mint, licorice, and slippery elm, and don't smoke. Over-the-counter products (OTC)to cure and soothe a cough include cough suppressants and expectorants, and anti-reflux drugs. Prescription drugs that help cure a cough include narcotic medications, antibiotics, inhaled steroids, and anti-reflux drugs like proton pump inhibitors or PPIs, for example, omeprazole (Prilosec), rabeprazole (Aciphex), and pantoprazole (Protonix).
16 Immune Boosting FoodsHelp fight colds, flu, as well as viruses like coronavirus with foods that boost and improve your immune system. Reach for bright-colored antioxidant and vitamin-rich fruits and vegetables such berries, broccoli, garlic, ginger, tea and more for vibrant health.
LaryngitisLaryngitis is an inflammation of the voice box (vocal cords). The most common cause of acute laryngitis is an infection, which inflames the vocal cords. Symptoms may vary from the degree of laryngitis and age of the person (laryngitis in infants and children is more commonly caused by croup).
How to Get Rid of a Cold: Natural RemediesWhat home remedies work to get rid of a cold fast? Many claim cold symptoms and flu symptoms can be relieved with Echinacea, zinc, neti pots, garlic, vitamin C, saltwater gargles, nasal strips, or bed rest. Find out what cold and flu treatments work the natural way, and what doesn't.
How to Differentiate Between the Signs and Symptoms of COVID-19, Allergies, Cold, and Flu?Coronavirus disease or COVID-19 is an infectious disease caused by a newly discovered coronavirus called SARS-CoV-2. Most people with COVID-19 will experience a mild to moderate respiratory illness and recover without the need for intensive or special treatment. Serious illness is more likely in elderly people and those with underlying medical conditions such as heart disease, diabetes, chronic respiratory disease, and cancer.
Sinus Surgery (Endoscopic) ProcedureSinus surgery involves the precise removal of diseased sinus tissue with the improvement in the natural drainage channels by the creation of a pathway for infected material to drain from the sinus cavities. The sinus surgery information is provided to help you prepare for sinus surgery and to help you understand more clearly the associated benefits, risks, and complications.
Sinus Infection (Sinusitis)Sinus infection (sinusitis) is caused by allergies, infection, and chemicals or other irritants of sinuses. Signs and symptoms include headache, fever, and facial tenderness, pressure, or pain. Treatments of sinus infections are generally with antibiotics and at times, home remedies.
Sore throat (throat pain) usually is described as pain or discomfort in the throat area. A sore throat may be caused by bacterial infections, viral infections, toxins, irritants, trauma, or injury to the throat area. Common symptoms of a sore throat include a fever, cough, runny nose, hoarseness, earaches, sneezing, and body aches. Home remedies for a sore throat include warm soothing liquids and throat lozenges. OTC remedies for a sore throat include OTC pain relievers such as ibuprofen or acetaminophen. Antibiotics may be necessary for some cases of sore throat.
Sore Throat Home RemediesNatural and home remedies for sore throat symptoms and pain relief include essential oils, licorice gargles, slippery elm leaves, raw garlic, Throat Coat tea, sage, and acupuncture. Typical symptoms of a sore throat include throat pain, coughing, sneezing, fever, and swollen lymph nodes. Sore throats are caused by viral (common cold, flu, mumps), bacterial (tonsillitis, some STDs), toxins, allergens, trauma or injury, or "mechanical causes" (breathing through the mouth).
Sore Throat or Strep Throat? How to Tell the DifferenceIs this a sore throat or could it be strep throat? Explore the causes of a sore throat, including strep throat, and learn how to find relief from that raw, scratchy throat pain.
Swollen Lymph Nodes (Lymphadenopathy)Lymph nodes help the body's immune system fight infections. Causes of swollen lymph nodes (glands) may include infection (viral, bacterial, fungal, parasites). Symptoms of swollen lymph nodes vary greatly, but may include fever, night sweats, toothache, sore throat, or weight loss. Causes of swollen lymph nodes also vary, but may include cancer, the common cold, mono, chickenox, HIV, and herpes. The treatment of swollen lymph nodes depends upon the cause.
Upper Respiratory Infection (URI)An upper respiratory infection is a contagious infection of the structures of the upper respiratory tract, which includes the sinuses, nasal passages, pharynx, and larynx. Common causes of an upper respiratory infection include bacteria and viruses such as rhinoviruses, group A streptococci, influenza, respiratory syncytial, whooping cough, diphtheria, and Epstein-Barr. Examples of symptoms of upper respiratory infection include sneezing, sore throat, cough, fever, and nasal congestion. Treatment of upper respiratory infections are based upon the cause. Generally, viral infections are treated symptomatically with over-the-counter (OTC) medication and home remedies.