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 Internal Medicine

Common cold

Common cold

Throat anatomy
Throat anatomy
Cold symptoms
Cold symptoms
Antibodies
Antibodies

Definition:

The common cold generally involves a runny nose, nasal congestion, and sneezing. You may also have a sore throat, cough, headache, or other symptoms. Over 200 viruses can cause a cold.

Alternative Names:

Upper respiratory infection - viral; Cold

Causes, incidence, and risk factors:

We call it the “common cold” for good reason. There are over one billion colds in the United States each year. You and your children will probably have more colds than any other type of illness. Children average three to eight colds per year. They continue getting them throughout childhood. Parents often get them from the kids. Colds are the most common reason that children miss school and parents miss work.

Children usually get colds from other children. When a new strain is introduced into a school or day care, it quickly travels through the class.

Colds can occur year-round, but they occur mostly in the winter (even in areas with mild winters). In areas where there is no winter, colds are most common during the rainy season.

When someone has a cold, their runny nose is teeming with cold viruses. Sneezing, nose-blowing, and nose-wiping spread the virus. You can catch a cold by inhaling the virus if you are sitting close to someone who sneezes, or by touching your nose, eyes, or mouth after you have touched something contaminated by the virus.

People are most contagious for the first 2 to 3 days of a cold, and usually not contagious at all by day 7 to 10.

Symptoms:

The three most frequent symptoms of a cold are:

Adults and older children with colds generally have minimal or no fever. Young children, however, often run a fever around 100-102°F.

Once you have "caught" a cold, the symptoms usually begin in 2 or 3 days, though it may take a week. Typically, an irritated nose or scratchy throat is the first sign, followed within hours by sneezing and a watery nasal discharge.

Within one to three days, the nasal secretions usually become thicker and perhaps yellow or green. This is a normal part of the common cold and not a reason for antibiotics.

Depending on which virus is the culprit, the virus might also produce:

Still, if it is indeed a cold, the main symptoms will be in the nose.

For children with asthma, colds are the most common trigger of asthma symptoms.

Colds are a common precursor of ear infections. However, children's eardrums are usually congested during a cold, and it's possible to have fluid buildup without a true bacterial infection.

The entire cold is usually over all by itself in about 7 days, with perhaps a few lingering symptoms (such as cough) for another week. If it lasts longer, see your doctor to rule out another problem such as a sinus infection or allergies.


Review Date: 1/18/2008
Reviewed By: David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. Previously reviewed by D. Scott Smith, MD, MSc, DTM&H, Chief of Infectious Disease & Geographic Medicine, Kaiser Redwood City, CA & Adjunct Assistant Professor, Stanford University. Review provided by VeriMed Healthcare Network (8/8/2006).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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