COMMON COLD: CAUSES, SYMPTOMS, DIAGNOSIS, TREATMENT AND PREVENTION

The common cold, also known simply as a cold, is a viral infectious disease of the upper respiratory tract that primarily affects the nose. The throat, sinuses, and larynx may also be affected. Signs and symptoms may appear less than two days after exposure to the virus.



These may include coughing, sore throat, runny nose, sneezing, headache, and fever. usually recover in seven to ten days, but some symptoms may last up to three weeks. Occasionally those with other health problems may develop pneumonia.

It's an illness caused by a tiny, infectious thing called a virus. More than 200 types lead to your misery, but the most common one is the rhinovirus, which is thought to be responsible for at least 50% of colds. Other viruses that can cause colds include coronavirus, respiratory syncytial virus, influenza and parainfluenza. 

Colds cause a lot of people to stay home. The CDC (centers for disease control and prevention) says 22 million school days are lost each year in the U.S. because of them. Some estimates say that Americans have 1 billion colds a year.

Causative agent

The common cold can be caused by more than 200 different viruses. 50% colds are caused by rhinoviruses, other cold-causing viruses include:



human parainfluenza virus
• Human metapneumovirus
• coronaviruses adenovirus
• human respiratory syncytial virus
• enteroviruses

Symptoms

common cold symptoms typically begin two to three days after acquiring the infection (incubation period), though this may vary depending on the type of virus causing the infection. Individuals also tend to be most contagious during the initial two to three days of having symptoms. 



Cold viruses target mainly the upper respiratory tract (nose, sinuses, and throat). Symptoms and signs of the common cold may also vary depending on the virus responsible for the infection and may include

  stuffy nose or nasal drainage,
  sore or scratchy throat,
  sneezing,
  hoarseness,
  cough,
  low-grade fever,
  headache,
  earache,
  body aches,
  loss of appetite, and
  fatigue.

The signs and symptoms of the common cold in infants and children are similar to those seen in adults. The cold may begin with a runny nose with clear nasal discharge, which later may become yellowish or greenish in color. Infants and children may also become fussy and have decreased appetite.

Diagnosis

Diagnosing a cold rarely requires a trip to your doctor’s office. Recognizing symptoms of a cold is often all you need in order to diagnose yourself. Of course, if symptoms worsen or persist after about a week’s time, you may need to see your doctor. You may actually be showing symptoms of a different problem, such as the flu or strep throat.



If you have a cold, you can expect the virus to work its way out in about a week to 10 days. If you have the flu, this virus may take the same amount of time to fully disappear, but if you notice symptoms are getting worse after day five, or if they’ve not disappeared in a week, you may have developed another condition.

The only way to definitively know if your symptoms are the result of a cold or the flu is to have your doctor run a series of tests. Because the symptoms and treatments for a cold and the flu are very similar, a diagnosis only helps you make sure you’re paying more attention to your recovery.

Treatment

There is no cure for the common cold. The common cold is a self-limiting illness that will resolve spontaneously with time and expectant management. Home remedies and medical treatments are directed at alleviating the symptoms associated with the common cold while the body fights off the infection.

                                     

Home treatment for upper respiratory infections includes getting rest and drinking plenty of fluids. In older children and adults, common over-the-counter drugs such as throat lozenges, throat sprays, cough drops, and cough syrups may help relieve symptoms, though they will not prevent or shorten the duration of the common cold. Gargling with warm saltwater may help people with sore throats.

Decongestant drugs such as pseudoephedrine (Sudafed) or antihistamines may be used for nasal symptoms, while saline nasal sprays may also be beneficial. It is important to note that over-the-counter medications may cause undesirable side effects, therefore they must be taken with care and as directed. 



Pregnant women should discuss the safety of common over-the-counter medications with their pharmacist or health care professional.

Acetaminophen (Tylenol and others) and non-steroidal anti-inflammatory drugs such as ibuprofen (Advil, Motrin) are common over-the-counter medicines that can help with fever, sore throat, headache, and body aches.

The treatment for infants and small children with the common cold is supportive as well. It is especially important to allow rest and encourage plenty of fluids in order to prevent dehydration. 

                                                        

Nasal drops and bulb suctioning may be used to clear nasal mucus from the nasal passages in infants. 

Medicines such as acetaminophen and ibuprofen may be taken for pain or fever based on the package recommendations for age and weight.

 Do not use aspirin or aspirin-containing medications in children or teenagers because it has been associated with a rare, potentially fatal condition called Reye's syndrome. Finally, over-the-counter cough and cold medications for infants and young children are not recommended.

Medication manufacturers now recommend that over-the-counter cough and cold drugs not be used in children younger than 4 years of age because of serious and potentially life-threatening side effects.



Common alternative treatments to prevent or treat the common cold, such as vitamin C, zinc, echinacea, and other herbal remedies, have had mixed results in studies evaluating their effectiveness. Therefore, discuss these treatment options with a health care professional.

Prevention

Colds are very minor, but they are inconvenient and can certainly be miserable. You can’t get a vaccine to prevent colds like you can the flu. But you can do a few key things during cold season to help you avoid picking up one of the viruses.

Here are four tips for cold prevention:



Wash your hands. Old-fashioned soap and water is the best way to stop the spread of germs. Only use antibacterial gels and sprays as a last resort when you can’t get to a sink.

Take care of your gut. Eat plenty of bacteria-rich foods like yogurt, or take a daily probiotic supplement. Keeping your gut bacteria community healthy can help your overall health.

Avoid sick people. This is reason number one sick people shouldn’t come into work or ¹school. It’s very easy to share germs in tight quarters like offices or classrooms. If you notice someone isn’t feeling well, go out of your way to avoid them. Be sure to wash your hands after coming into contact them.

Cover your cough. Likewise, if you’re feeling sick, don’t keep infecting people around you. Cover your cough with a tissue or cough and sneeze into your elbow so you don’t spray germs into your environment.



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