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Cold vs. Flu

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.

 

How long do cold symptoms last?

 

Cold symptoms usually last for about a week. During the first three days that 

you have cold symptoms, you are contagious. If cold symptoms do not seem to 

be improving after a week, you may have a bacterial infection, which means 

you may need antibiotics.

 

Sometimes you may mistake cold symptoms for allergic rhinitis (hay fever) or 

a sinus infection. If your cold symptoms begin quickly and are improving after 

a week, then it is usually a cold, not allergy. If your cold symptoms do not 

seem to be getting better after a week, check with your doctor to see if you 

have developed an allergy or sinusitis.

 

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. 

 

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 lung or 

heart problems. If you notice shortness of breath, you should 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 your 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 your hands germ-free with frequent washing to 

prevent both flu and cold symptoms.

 

Is it flu or cold symptoms?

How do you know if you have flu or cold symptoms? Take your temperature, 

say many experts. Flu symptoms often mimic cold symptoms with nasal 

congestion, cough, aches, and malaise. But a common cold rarely has 

symptoms of fever above 101 degrees F. With flu symptoms, you will probably 

have a fever initially with the flu virus and you will feel miserable. Body and 

muscle aches are also more common with the flu. This table can help 

determine if you have cold or flu symptoms.

 

 

 

Symptoms

Cold

Flu

Fever

Sometimes, usually mild

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

Headache

Occasionally

Common

General Aches, Pains

Slight

Usual; often severe

Fatigue, Weakness

Sometimes

Usual; can last 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

 

Can I prevent flu or cold symptoms?

The most important prevention measure for preventing colds and flu is 

frequent hand washing. Hand washing by rubbing the hands with warm soapy 

water for at least 20 seconds helps to slough germs off the skin.

In addition to hand washing to prevent flu or cold symptoms, you can also get 

a flu vaccine to prevent seasonal influenza. Seasonal flu activity in the United 

States generally peaks between late December and early March. Within two 

weeks of getting a flu vaccine, antibodies develop in your body and provide 

protection against flu. Children receiving the vaccine for the first time need 

two doses delivered one month apart.



 
 

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