Do You Have the Flu, or Just a Cold?
With the current panic about getting H1N1 flu or even seasonal flu, how can you tell what your symptoms indicate?

Both a cold and influenza are respiratory illnesses, but a cold doesn't last very long. The flu can make you sick for a few days or even a few weeks, and can result in serious health problems such as bronchitis or pneumonia, and may even send you to the hospital. The common cold usually begins with a sore throat and dry cough, which normally go away within a day or two. The sore throat is followed by a runny nose and congestion for a day or two, and then a cough and chest congestion for a couple of days. In adults, it is uncommon to have a fever from just a cold, although a slight fever may occur, especially in children. The common cold usually lasts for about a week.
During the first three days of experiencing cold symptoms, when your nose is running and you're coughing, you are contagious. Because colds are easily passed through contact and even just being close to someone who is sneezing, it's best to stay home and rest until the symptoms lessen or pass. With a cold, nasal secretions start out watery and later become thicker and dark. A cold can be caused by any one of several hundred viral infections, but if your symptoms don't start to improve after a week, then you might have a bacterial infection, for which you will need antibiotics. Check with your doctor to see if you may have an allergy or sinus infection.
The symptoms of the flu are usually more severe than the symptoms of a cold, and they tend to come on quickly. The symptoms of seasonal flu and swine flu are similar in many ways, in that they include sore throat, headache, fever, muscle aches, congestion, and coughing. Swine flu is also associated with diarrhea and vomiting. Most symptoms of the flu improve slowly over the course of three to five days, but some people may continue to feel tired and run down for five or six days. The flu can often turn into pneumonia, particularly in elderly people, children, or people with heart or lung complications. If you notice that you are feeling short of breath or having trouble sleeping because of congestion, or if your fever goes away and then comes back after a day or two, then you should see your doctor. A fever of more than 101 degree is rare with a common cold, but is fairly common with the flu.
If you have cold or flu symptoms, it is important to contact your doctor if you develop any of these severe symptoms:
- Persistent fever, particularly higher than 100 degrees.
- Persistent coughing, congestion, or headaches
- Painful swallowing
- Chest pain, shortness of breath, dizziness, or confusion
- Symptoms that had been improving but suddenly worsened, especially in children
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