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Is this a Cold or do I have Influenza?

11/8/2014

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Symptoms of a cold and influenza can overlap and be confusing at times. I thought it might be helpful to have a comparison of the symptoms along with some red flags.

Symptom                                 Cold                                     Influenza

Fever, Chills                              Rare                                     Common, 100-103 (kids)
Stuffy Nose                               Common                             Occasionally
Sore throat                               Common                             Common
Muscle pains                            Mild                                      Severe
Headache                                 Not usually                          Can be severe
Sneezing, watery eyes             Yes                                        Rare
Cough                                        Mild to Moderate               Can be severe, but dry


Also note influenza is different than the stomach flu; with that you have the nausea, vomiting, and diarrhea – not the cough and body aches.

As you can see the main differences are the fever, headache, muscle or body aches and the cough with influenza are all much more severe than with a cold. People generally feel very ill with influenza, ‘hit by a truck’ is often used to describe it.

Both illnesses are spread through the air by sneezing or coughing – please cover your mouth using the inside of your elbow to prevent touching something after you’ve coughed into your hand. Symptoms usually start suddenly for influenza.  You are most contagious during the first 24-48 hours of symptoms and continue to be contagious until you are fever-free for 24 hours.

Things to watch for include: increased difficulty breathing, shortness of breath, wheezing. Both are viral illnesses, but the concern with influenza is the possibility of pneumonia developing. This is not typical with younger adults but we do want to really watch the following groups:  > 65 years, children < 2 years, pregnant women, anyone with chronic lung disease, diabetes, heart disease, or immunosuppressed individuals as they are at risk for having complications.

What can you do? The best thing for any viral illness is rest! We have a tendency to push through illnesses and go to work, school, church etc. anyway. There is discussion on the overtreatment of fevers; their purpose really is to fight infections and so letting a fever ride that is <101 is really reasonable in otherwise healthy individuals. Actually, it can be helpful to induce a fever at the onset of an illness by; layering up the covers, taking a hot bath, or (if you are lucky enough to have access) take a sauna.  (Please be sure this is appropriate for you before embarking on this – not for pregnant women, etc. check with your provider if you are unsure.) For fever management ibuprofen or Tylenol are readily available.

Next, is fluids, fluids, fluids and I don’t mean Coke or Red Bull.  Water or tea with lemon and honey are good.

Then my favorite – chicken soup!! Did you know somebody actually did a study and grandma was right; chicken soup is good for you!

Be well-

Tracy

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    Tracy Baum, FNP

    As a NP and working with families for more than 13 years, I have a passion to provide options for wellness that include the most gentle, natural approach possible.

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