Is Your Runny Nose Just a Cold or Could It Be the Flu? - Otolaryngology

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Constant nasal discharge?


I have been experiencing a runny nose for the past two days, and sometimes I cough, but I do not have a fever or headache.
Could this just be a cold, or is it possible that I have contracted the flu?

Xiao Tian, 10~19 year old female. Ask Date: 2016/03/16

Dr. Zheng Jueyi reply Otolaryngology


Hello: If there is no fever or generalized body aches, it is mostly a common cold.
However, if symptoms worsen or do not improve, it is still necessary to seek medical evaluation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/03/16

More Info


When it comes to distinguishing between a common cold and the flu, it can sometimes be challenging, especially when symptoms overlap. Based on your description of having a runny nose and occasional cough without fever or headache, it is more likely that you are experiencing a common cold rather than the flu. However, let’s delve deeper into the characteristics of both illnesses to provide a clearer understanding.

Common Cold vs. Flu: Key Differences
1. Symptoms:
- Common Cold: Symptoms typically include a runny or stuffy nose, sneezing, sore throat, mild cough, and sometimes a low-grade fever. The symptoms tend to develop gradually and are generally mild.

- Flu (Influenza): The flu usually presents with more severe symptoms that can include high fever, chills, body aches, fatigue, and a more intense cough. Symptoms often come on suddenly and can be debilitating.

2. Duration:
- Colds usually last about 7 to 10 days, while flu symptoms can persist for a week or longer, with fatigue lingering even after other symptoms have resolved.

3. Fever:
- Fever is more common and typically higher in the flu than in a cold. In your case, the absence of fever suggests that it is less likely to be the flu.

4. Headache and Body Aches:
- Headaches and significant body aches are more characteristic of the flu. Since you mentioned not having these symptoms, it further points towards a cold.

5. Transmission:
- Both the cold and flu are contagious and can be transmitted through respiratory droplets when an infected person coughs or sneezes. They can also spread by touching surfaces contaminated with the virus.

When to Seek Medical Attention
While your symptoms seem to align more with a common cold, it's important to monitor your condition. If you experience any of the following, you should seek medical attention:
- A high fever (typically over 101°F or 38.3°C)
- Severe headache
- Shortness of breath or difficulty breathing
- Chest pain
- Symptoms that worsen or do not improve after a week
Preventive Measures and Management
Regardless of whether you have a cold or the flu, there are several steps you can take to manage your symptoms and prevent further illness:
- Rest: Your body needs energy to fight off the virus.

- Hydration: Drink plenty of fluids, such as water, herbal teas, and broths, to stay hydrated.

- Over-the-Counter Medications: Consider using decongestants or antihistamines to relieve nasal congestion and coughing.

- Good Hygiene: Wash your hands frequently and avoid close contact with others to prevent spreading the virus.

In conclusion, while your symptoms suggest a common cold, it is essential to remain vigilant and seek medical advice if your condition changes or worsens. Understanding the differences between these two illnesses can help you manage your symptoms effectively and make informed decisions about your health.

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