Our Definitive Guide to Cold and Flu (2024)

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Dec 23, 2021 By One Medical

Updated December 23, 2021.

So you’ve come down with a nasty virus that’s been making the rounds. The good news? You probably don’t need to go into the doctor’s office. The bad news? You still feel awful.

If you think you have an upper respiratory infection (URI) — which includes the common cold, most sinus infections, chest colds (bronchitis), the flu (caused by the influenza virus), and COVID-19 — there’s a lot you can do at home to feel better faster. You’ll have infections like these many times throughout your life, so learning what helps the most (and the least) is worth your time.

More than 90 percent of upper respiratory infections are caused by viruses. These infections create different symptoms at each stage. Most colds, flus and COVID-19 resolve in about a week, although some symptoms (like coughing) can take weeks to go away completely.

Helen (Eleni) Xenos, a One Medical doctor in Chicago, describes the typical progression of the common cold:

  • Day 1: Fatigue, headache, sore or scratchy throat.
  • Day 2: Sore throat worsens, low fever, mild nasal congestion.
  • Day 3: Congestion worsens, sinus and ear pressure become very uncomfortable. It may be difficult to sleep.
  • Day 4: Mucus may turn yellow or green (this is normal). Sore throat improves, but coughing begins.
  • Days 5-7: Energy and congestion improve.
  • 1 week+: Cough usually tapers off after a week, but can take up to 3-6 weeks to fully resolve.

If your symptoms are much worse than these, such as coughing so hard you throw up, coughing up bloody mucus, difficulty breathing, or if you have a fever over 102°F, you might have something more serious going on, like pertussis (whooping cough) or bacterial pneumonia.

If a cold drags on for more than 2 weeks, it can turn into a sinus infection that causes pain around the eyes, nose and/or sinus headaches. Chest colds (bronchitis) cause chest congestion and a hacking cough that drag on for a few weeks.

The flu comes with similar symptoms but features a prominent fever, chills, headache, and body aches that usually last several days.

COVID-19 can feel very similar to other colds and can sometimes have additional symptoms like loss of taste or smell which can help distinguish this virus. It’s important for folks to get tested and stay home with cold symptoms to help prevent the spread of COVID-19, keep everyone safe, and help end the pandemic. For more on COVID-19, see here.

Treating the symptoms and supporting your immune system is the best course of action to feel better faster. Everyone’s experience of a cold is slightly different from the next person’s, and there are many options in the cold and flu aisle at the drugstore. How do you know which symptom remedies are right for you?

The key is to find what works best for you personally, for your symptoms, whether it’s over-the-counter cold and flu remedies or soothing herbal tea. If, for example, you experience bad sinus pressure when you have an upper respiratory infection, a decongestant like pseudoephedrine or a nasal sinus rinse might be good to have on hand. If it’s coughing that usually makes your life miserable during a chest cold, you could try inhaling hot steam from the sink or shower a few times a day to help break things up.

Your immune system’s job is to eradicate viral and bacterial infections from your body. It’s very effective as long as you provide it with the proper support. The best way to do that is to rest. Being stressed out or not getting enough sleep releases hormones that suppress your immune system.

In addition, taking one to two grams a day of vitamin C during cold season may lessen the severity and duration of your colds, although it won’t prevent you from catching them in the first place. Taking zinc lozenges during a cold also supports your immune system, but you have to start within 24 hours of symptom onset for them to work. Take one zinc lozenge or melt-away every two hours on a full stomach to avoid nausea.

Almost all URIs are caused by viruses, and at present we don’t have medications that work against them. (One notable exception: There are antiviral medications for the flu. If you start them in the first 24 to 48 hours of symptoms, it might reduce the duration of your illness by about a day.)

As for the small percentage of upper respiratory infections caused by bacteria, most go away on their own — and often just as quickly — even if you don’t take antibiotics. So if there’s a chance antibiotics can help, what’s the harm?

There are many reasons to be conscientious about taking antibiotics, including breeding resistant superbugs or making your health care cost more. However, there’s another reason that’s of immediate concern: diarrhea. Antibiotics can wreak havoc in your intestines and upset the normal balance of bacteria — including the bacteria that help you digest food, which can lead to abdominal pain, bloating, gas, and alternating diarrhea and constipation. Taking multiple courses of antibiotics puts you at risk of potentially long-lasting effects on your gut.

Like everything health-related, the decision about whether to take antibiotics for a bacterial infection comes down to weighing the risks and benefits. Your provider will be happy to discuss the decision with you in detail.

Colds, flus, and COVID-19 are contagious from the time you get them (even before you have symptoms) up to ten days after your symptoms start. They’re usually not contagious after ten days, even if you’re still coughing or congested.

The best way to avoid passing on a URI (or catching one in the first place) is to wash your hands frequently, cover your mouth with your arm when you cough or sneeze and wear a mask that fully covers your mouth and nose. It’s also best to take at least a couple of days off work or school while you’re most contagious.

Occasionally, viral infections can set the stage for more complicated bacterial infections. If you experience any of the following, call your healthcare provider:

  • High fever (over 102°F)
  • Shortness of breath or wheezing
  • Coughing up bloody mucus
  • Coughing so hard that you throw up
  • Feeling worse after 7-10 days of symptoms, especially if you have worsening headache, congestion, or sinus pain
  • If you don’t start to feel better after 10 days of symptoms

To speak with a One Medical provider, sign up today and book an in-person or virtual visit.

Cough and Chest Congestion

  • Antihistamine/decongestant combo (e.g., brompheniramine/pseudoephedrine)
  • Cough suppressant: Dextromethorphan (Delsym)
  • Expectorant (mucus thinner): Guaifenesin (Mucinex, Robitussin)
  • Gentle hot tea (chamomile, licorice root, peppermint, thyme) with or without honey or lemon juice; Traditional Medicinals “Throat Coat” or “Breathe Easy” teas.
  • Honey (1 tablespoon of raw honey 1 to 3 times daily). Note: honey is not safe for infants under 12 months.
  • Steam inhalation: Boil 1 inch of water in a pot, remove from the stove, add 5 drops of eucalyptus oil if desired, and inhale slowly for a few minutes twice daily with a towel over your head.

Sore Throat

  • Pain relievers: Acetaminophen (Tylenol). It’s OK to use the maximum dose for 1 or 2 days while your symptoms are at their worst. Follow directions on the packaging.
  • Cooling or numbing medicines: Chloraseptic spray, lozenges, gargle echinacea tincture in water.
  • Saltwater gargles throughout the day: 1 tablespoon of salt in a glass of warm water.
  • Warm tea with honey, Traditional Medicinals “throat coat” or “breathe easy” teas, “sore throat tea“.
  • Chicken soup or other clear broth.

Nasal Congestion and Sinus Pressure

  • Oral decongestants: Pseudoephedrine (Sudafed) is the most effective choice., Anticipate requesting and showing ID for the medication at the pharmacist counter. Avoid decongestants if you have poorly controlled high blood pressure.
  • Nasal spray decongestant: Oxymetazoline (Afrin). Don’t use this for more than 3 days, or your congestion will come back even worse.
  • Pain relievers: Acetaminophen (Tylenol). It’s okay to use the maximum dose for 1 or 2 days while your symptoms are at their worst. Follow directions on the packaging.
  • Nasal steroid spray: Flonase, Nasonex, Nasacort
  • Nasal irrigation twice daily with warm salt water (neti pot, NeilMed Sinus Rinse, Nasaline)
  • Steam inhalation: Boil 1 inch of water in a pot, remove from the stove, add 5 drops of eucalyptus oil if desired, and inhale slowly for a few minutes twice daily with a towel over your head.
  • Moist heat compresses over your sinuses for several minutes a few times a day.
  • Herbs: Goldenseal, Bi Yan Pian, Sinupret

Runny Nose

  • Oral decongestants: Pseudoephedrine (Sudafed) is the most effective choice. Anticipate requesting and showing ID for the medication at the pharmacist counter.. If you have high blood pressure, avoid pseudoephedrine or take care to monitor your blood pressure while you take it.
  • Nasal spray decongestant: Oxymetazoline (Afrin) can be used for a short time. Don’t use this for more than 3 days, or your congestion will come back even worse.
  • Antihistamines: Allegra, Zyrtec, Claritin, Benadryl (all available in generic formulas) are all effective. Benadryl (diphenhydramine) will make you sleepy; the others won’t. Antihistamines tend to work better for runny noses from allergies, but they can help a bit, and they come in some of the combination cold/flu products.
  • Saline nasal spray
  • Steam inhalation: Boil 1 inch of water in a pot, remove from the stove, add 5 drops of eucalyptus oil if desired, and inhale slowly for a few minutes twice daily with a towel over your head.

Fever

  • Fever reducers: Acetaminophen (Tylenol), ibuprofen (Motrin, Advil)
  • Drink lots of water.
  • Take a warm or cool shower.
  • Warm tea (chamomile, peppermint)

Headache and Body Aches

  • Pain relievers: Acetaminophen (Tylenol), ibuprofen (Motrin, Advil). It’s okay to use the maximum dose for 1 or 2 days while your symptoms are at their worst, as long as there are no contraindications. Follow directions on the packaging.
  • Moist heat compresses or cold packs.
  • Rub on Tiger Balm.
  • Take a nap.
  • Take a warm bath with Epsom salts.

Have more questions about these symptoms or upper respiratory infections, colds, flus, or COVID-19? Join One Medical today to talk to a provider.

Our Definitive Guide to Cold and Flu (2024)

FAQs

How can you tell the difference between cold flu and Covid? ›

Fever: Coronavirus and flu both cause fever, but it's rare for the common cold. COVID-19 patients usually have a fever of 100 F or higher, while flu sufferers often experience fever of 100F to 102F that lasts three to four days. Headache: COVID-19 patients sometimes have headaches.

What are the 5 stages of a cold? ›

The stages of a cold include the incubation period, appearance of symptoms, remission, and recovery.

What are the signs and symptoms of colds and flu similar to COVID-19? ›

You may have a runny nose, cough, congestion, and sore throat. But you won't usually have the aches and fever that are common with COVID-19 and flu. Often, you'll feel better in a couple of days.

What are the symptoms of the flu 2022? ›

Flu symptoms usually start to show one to four days after exposure. Most people are ill for a few days. Typical symptoms include fever, chills, aches, cough and sore throat. Intestinal symptoms, such as vomiting or diarrhea, are possible but less common.

How quickly do Omicron variant symptoms appear? ›

When do omicron subvariant symptoms start? The time it takes for an infected person to develop symptoms after an exposure is shorter for the omicron variant than for previous variants — from a full week down to as little as three days or less, according to the Centers for Disease Control and Prevention.

What are the worst days of a cold? ›

Symptoms peak: Cold symptoms peak at 1 to 3 days. The main symptoms include sore throat, stuffy nose, runny nose, cough, discomfort, sneezing, fever (more common in children), headaches, clear, watery discharge from your nose (mucus), and body aches.

How do you know a cold is ending? ›

Within 7–10 days , people will usually start to recover from a cold. Symptoms begin to ease up, and people will start feeling better. People may also find that they have more energy and are more able to carry out tasks as usual.

Does vitamin C help with colds? ›

Vitamin C does not prevent colds and only slightly reduces their length and severity. A 2013 review of scientific literature found that taking vitamin C regularly did not reduce the likelihood of getting a cold but was linked to small improvements in cold symptoms.

Does blowing your nose help get rid of a cold? ›

Nose blowing can relieve some sinus pressure and provide comfort, but it cannot clear the bacterial or viral infection of the sinuses. The infections require medical attention.

How long should a cold last? ›

In adults and older children, they usually last about 7 to 10 days, but can last longer. A cough in particular can last for two or three weeks. Colds tend to last longer in younger children who are under five, typically lasting around 10 to 14 days.

What is mild COVID like? ›

Mild COVID-19 means you have symptoms — such as cough, sore throat, and fatigue — but no shortness of breath. Most of the time, people can treat mild COVID-19 at home. There are treatments specific to COVID-19 for certain people, so contact your healthcare provider to discuss your options.

What is COVID cough like? ›

A common symptom of COVID-19 is a dry cough, which is also known as an unproductive cough (a cough that doesn't produce any phlegm or mucus). Most people with dry cough experience it as a tickle in their throat or as irritation in their lungs.

Which flu is most common right now? ›

Influenza A is the most common type of flu. It accounts for approximately 75% of total flu virus infections, and it's the most likely cause of the “seasonal flu” that hits the U.S. every winter.

How long should you stay home with the flu? ›

Advise all employees to stay home if they are sick until at least 24 hours after their fever is gone without the use of fever-reducing medicines, or after symptoms have improved (at least 4-5 days after flu symptoms started).

How long does the flu last 2022? ›

Most symptoms go away in 4 to 7 days. The cough and tired feeling may last for weeks. Sometimes, the fever comes back.

What are the first symptoms of omicron? ›

All of the variants, including omicron BA.5, cause similar COVID-19 symptoms: runny nose. cough. sore throat.

When is omicron most contagious? ›

People are thought to be most contagious early in the course of their illness. With Omicron, most transmission appears to occur during the one to two days before onset of symptoms, and in the two to three days afterwards. People with no symptoms can also spread the coronavirus to others.

Is sneezing a symptom of omicron? ›

The study found that sneezing is the fourth most common reported symptom associated with omicron.

What is Day 5 of a cold like? ›

Days 3 to 5: Cough and More Nasal Congestion

You may notice that mucus from your runny nose has become thicker, with a yellow or green tinge. This usually is due to a spike in the number of white blood cells your immune system has dispatched to overcome the virus, according to the Mayo Clinic.

When does a cold stop being contagious? ›

When you have a cold, your symptoms are usually worse in the first two to three days. That's when you are most likely to spread your cold to others. In general, you are contagious a few days before your symptoms start until all your symptoms are gone. Most people are contagious about two weeks.

Is it good to sneeze when you have a cold? ›

If the built-up mucus is due to a virus or bacterial infection and is pushed into these tubes, the result may be a middle ear infection or holes in the eardrum. The simple way to avoid these complications is to let out your sneezes and allow your body to rid itself of irritants.

Why is my cold getting worse after 3 days? ›

If symptoms get worse, rather than better, after 3-7 days, you may have acquired a bacterial infection. These symptoms can also be caused by a cold virus other than a rhinovirus.

What to eat if you have a cold? ›

Kale, broccoli, cranberries, green tea, red onions, blueberries: What do these have in common? All have an antioxidant called quercetin that may help you fight the common cold.

Does drinking water help get rid of a cold? ›

Keeping yourself hydrated will help you feel better. Good hydration helps clear congestion. When you're sick, make sure you get eight cups of water a day. A better hydrated body helps the immune system stop the cold symptoms.

Is sweating good when you have a cold? ›

You may have heard that it's beneficial to “sweat out a cold.” While exposure to heated air or exercise may help temporarily relieve symptoms, there's little evidence to suggest that they can help treat a cold.

Does zinc help fight a cold? ›

There is no guarantee that zinc will help you feel better faster. In some studies, zinc did nothing to shorten how long people with colds felt bad. In other studies, zinc may have shortened symptoms by a few days. But the side effects from taking zinc can be uncomfortable or serious in some cases.

What vitamin is best to fight colds? ›

Vitamin C. Vitamin C is marketed as the go-to supplement for preventing and treating colds. Mechanistically, it makes sense: vitamin C helps immune cells form and function, and it supports the physical barriers (such as the epithelial cells of your skin) that protect you from pathogens.

Does vitamin D help with colds? ›

Taking vitamin D is not a guaranteed guard against the cold or flu. But vitamin D supplements are inexpensive and might give you a boost. Vitamin D: New studies suggest that people with low blood levels of vitamin D are more likely to get sick. Researchers think that vitamin D may play a role in boosting immunity.

Is it OK to shower when you have a cold? ›

A hot shower won't make your cold or flu disappear, but it can help you treat the uncomfortable symptoms. Benefits of hot showers include: Loosening chest congestion by breathing in steam. Clearing stuffy nasal passages with moisture.

Is it good to spit out mucus when sick? ›

When you do cough up phlegm (another word for mucus) from your chest, Dr. Boucher says it really doesn't matter if you spit it out or swallow it.

Does sneezing mean you are getting better? ›

While that loud "Achoo!" may be embarrassing, it's actually a sign that your body is in healthy fighting mode.

What does your snot tell you? ›

It can also tell you a lot about what is going on inside your body. The way your snot looks can indicate things such as allergies, a cold, the flu, a sinus infection, or sinusitis. So, it is important to open up that tissue and take a peek if you aren't feeling great.

What does COVID headache feel like? ›

Researchers have discovered that some of the prominent features of a COVID-19 headache include: Having a pulsing, pressing, or stabbing sensation. Occurring bilaterally (across the whole head) Presenting with severe pressure that won't respond to typical pain relievers, like ibuprofen and acetaminophen.

Can COVID come and go? ›

Sometimes the symptoms can even go away or come back again. Post-COVID conditions may not affect everyone the same way. People with post-COVID conditions may experience health problems from different types and combinations of symptoms happening over different lengths of time.

When does COVID cough start? ›

Symptoms may appear 2-14 days after exposure to the virus.

What color is COVID mucus? ›

Green and cloudy: viral or bacterial infection

A lot of the symptoms of viral infections – fever, cough, headache, loss of smell – overlap for COVID-19 and other viral infections like the flu, respiratory syncytial virus and the common cold. That's why COVID-19 testing and seeing a doctor is so important.

Does COVID cough have phlegm? ›

A dry cough is one of the most common coronavirus symptoms, but some people may have a cough with phlegm (thick mucus).

Are lateral flow tests accurate? ›

Similarly, a Cochrane review of 64 studies found that lateral flow tests correctly identify 72 per cent of infected people who have symptoms, and 78 per cent within the first week of becoming ill.

Can you get rid of a cold in 3 days? ›

Colds usually last 3 to 7 days, but sometimes they hang on as long as 2 weeks. If you're under the weather for longer than that, one of these things could be to blame.

How can I recover from a cold in less than 24 hours? ›

While the duration of your symptoms may vary, many people wonder how to cure a cold in 24 hours or even overnight. The best way to tame a cold fast is to stay home, rest, drink plenty of fluids, gargle with salt water, take an OTC medication, and humidify the air.

Is fresh air good for a runny nose? ›

Here's What You Should Do:

In fact, getting fresh air is good for you when you're feeling under the weather. When you're cooped up inside, you're sharing the same air with those around you. So every time someone coughs or sneezes inside, those infected droplets are still in the air.

Can sneezing and runny nose be Covid? ›

Is Sneezing Really a Symptom of COVID? Although initially not thought to be a prominent COVID-19 symptom, it is often found in people with the omicron variant. The ZOE COVID Study found that sneezing is an increasingly common symptom of COVID-19.

What color is COVID phlegm? ›

Green and cloudy: viral or bacterial infection

A lot of the symptoms of viral infections – fever, cough, headache, loss of smell – overlap for COVID-19 and other viral infections like the flu, respiratory syncytial virus and the common cold. That's why COVID-19 testing and seeing a doctor is so important.

What are symptoms of Omicron if you are vaccinated? ›

Fever, cough and headache look to be the most common symptoms from the current data. However, especially if you are vaccinated and boosted, and your immune system has been primed to fight COVID-19, some people may experience minimal to no symptoms when infected with the new Omicron variant,” says Dr.

Does Omicron make you sneeze? ›

Did you know the Omicron variant of COVID-19, which is currently the dominant strain in the United States and our region, can present symptoms very similar to seasonal allergies? Both share symptoms of sneezing, headache, fatigue and coughing, but how do you know if it's routine allergies or something more serious?

Is a runny nose a symptom of Omicron? ›

Mucus and Runny Nose

They are also symptoms of Omicron. These symptoms last approximately two to five days after detection of the virus.

What does mild COVID feel like? ›

Many people who are infected have more mild symptoms like a scratchy throat, stuffy or runny nose, occasional mild cough, fatigue, and no fever. Some people have no symptoms at all, but they can still spread the disease.” Fever seems to be one of the more common early markers of COVID-19, Kline noted.

What are the 3 main signs of COVID? ›

Fever or chills. Cough. Shortness of breath or difficulty breathing.

What are the symptoms of the Delta variant of COVID? ›

Delta variant symptoms are the same

Typically, vaccinated people are either asymptomatic or have very mild symptoms if they contract the delta variant. Their symptoms are more like those of a common cold, such as cough, fever or headache, with the addition of significant loss of smell.

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