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  Stuffy Nose? How to
Tell if It's a Cold or Flu

NEW YORK (Reuters Health) - Scratchy throats, stuffy noses and body aches all spell misery, but being able to tell if the cause is a cold or flu may make a difference in how long the misery lasts.

The American Lung Association (ALA) has issued new guidelines on combating colds and influenza, and one of the keys is being able to quickly tell the two apart. That's because the prescription drugs available for the flu need to be taken soon after the illness sets in. As for colds, the sooner a person starts taking over-the-counter therapies, the sooner relief will come, according to the ALA.

The common cold and the flu are both caused by viruses. More than 200 viruses can trigger cold symptoms, while the flu is caused by three viruses--influenza A, B and C. There is no cure for either illness, but the flu can be prevented by the influenza vaccine--and is, for most people, the best way to fight the flu, according to the ALA.

But if the flu does strike, quick action can help. Although the flu and common cold have many similarities, there are some tell-tale signs to look for.

Cold symptoms such as congestion, runny nose and scratchy throat typically develop gradually, and adults and teens often do not get a fever. On the other hand, fever is one of the hallmarks of the flu for all ages; children's fevers tend to be higher, ranging from 103 to 105 degrees, the ALA points out.

And in general, flu symptoms including fever and chills, sore throat and body aches come on suddenly and are more severe than cold symptoms. Contrary to popular belief, upset stomach is rarely a symptom of the flu, according to the ALA.

The group notes that it may be particularly difficult to tell when infants and preschool age children have the flu. It advises parents to call the doctor if their small children have flu-like symptoms.

If patients see a doctor within 2 days of symptom onset, the flu can often be treated with one of four drugs that have been shown to shorten the duration of symptoms, the ALA adds. These drugs are: oseltamivir (Tamiflu), zanamivir (Relenza), amantadine (Symmetrel) and rimantadine (Flumadine). Some can be given to children older than one year.

Both cold and flu symptoms can be eased with over-the-counter medications as well. However, children and teens with a cold or flu should not take aspirin for pain relief because of the risk of Reye syndrome, a rare but serious condition of the liver and central nervous system.

There is, of course, no vaccine for the common cold. But frequent hand washing and avoiding close contact with people who have colds can reduce the likelihood of catching one.

Reference Source 89

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