Common Cold
(Viral Rhinitis)
by
Rosalyn Carson-DeWitt, MD
Definition |
Causes |
Risk Factors |
Symptoms |
Diagnosis |
Treatment |
Prevention
Definition
The common cold is an infection that can irritate your upper respiratory tract (nose and throat).
Sore Throat Due to Inflammation
© 2009 Nucleus Medical Media, Inc.
Causes
The common cold is caused by a virus. There are over 200 different viruses that can cause a cold, including:
Risk Factors
A risk factor is something that increases your chance of getting a disease or condition.
Risk factors for a cold are:
- Being near someone who has a cold
- Touching your nose, mouth, or eyes with contaminated fingers
- Having allergies (lengthens duration of cold)
- Smoking
or being near cigarette smoke (due to decreased resistance)
- Stress (due to decreased resistance)
- Sex: female (especially around menstrual periods)
Symptoms
Symptoms include:
- Sore or scratchy throat
- Stuffy nose (hard to breathe through your nose)
- Runny nose
- Sneezing
- Itchy, stuffed sensation in the ears
- Watery eyes
- Slight cough
- Headache
- Aches and pains
- Low energy
- Low-grade fever
Diagnosis
Your doctor will ask about your symptoms and medical history. A physical exam will be done.
Treatment
A cold usually lasts more than 10 days. There are no cures for a cold. But there are treatments that can relieve your symptoms, including:
Pain Relievers
You can take these for aches and pains, as well as fever:
- Acetaminophen
(Tylenol)
- Ibuprofen
(Motrin)
- Aspirin
- Note: Aspirin is not recommended for children or teens with a current or recent viral infection. This is because of the risk of Reye's syndrome. Ask your doctor which other medicines are safe for your child.
Decongestants
Pills or nasal sprays can shrink nasal passages and decrease mucus production. Nasal sprays should only be used for 2-3 days. If you use them longer, you may have increased congestion when you stop using the product.
The Food and Drug Administration (FDA) recommends that over-the-counter (OTC) cough and cold products should not be used for infants or children less than two years old. Rare but serious side effects have been reported, including:
- Rapid heart rates
- Convulsions
- Decreased levels of consciousness
- Death
OTC cough and cold products include:
- Decongestants
- Expectorants
- Antihistamines
- Antitussives (cough suppressants)
Fluids
Drinks lots of fluids. Warm beverages, like tea, and chicken soup are soothing and help reduce congestion.
Humidifier
A cool-mist humidifier can keep your nasal passages moist and reduce congestion. Be sure to clean the humidifier every day.
Saline Nasal Sprays
Saline nasal sprays may provide relief from congestion.
Nasal wash may reduce symptoms, medication use, and school absence.
Alternative Treatments
Researchers are still studying whether alternative remedies, such as
vitamin C,
zinc
lozenges, and
echinacea, are helpful in preventing colds, reducing symptoms, and lessening the duration of colds.
Another natural remedy is
honey, which appears to improve nighttime cough and sleep disruption in children. Do not give honey to infants younger than 12 months because of the risk of infant botulism.
For most herbs, doctors do not yet know if they work. Also, some herbal treatments may not be pure. Talk to your doctor if you are thinking of using herbs or plants to treat a cold.
Salt Water Gargle
Gargling with warm salt water can help relieve a sore throat.
Over-the-Counter Cough Drops
Using throat lozenges as needed every couple of hours can help relieve sore throat and cough.
Prevention
The most important way to keep from getting or spreading a cold is by washing your hands. Wash your hands well and often. Other ways to keep from getting a cold:
- Keep your hands away from your nose, mouth, and eyes.
- Stay away from people who have a cold.
-
If you smoke,
stop
or cut down on smoking.
-
Some people take
vitamin C
to keep from getting a cold. But doctors are not yet sure if vitamin C works.
RESOURCES:
American Academy of Family Physicians
http://www.aafp.org/
American Lung Association
http://www.lungusa.org/
CANADIAN RESOURCES:
Health Canada
http://www.hc-sc.gc.ca/index-eng.php
Healthy U
http://www.healthyalberta.com/
REFERENCES:
Common cold. National Institute of Allergy and Infectious Diseases website. Available at:
http://www3.niaid.nih.gov/topics/commonCold/default.htm
.
Updated December 2007. Accessed July 9, 2009.
Dambro MR, Griffith JA.
Griffith's 5-Minute Clinical Consult.
Baltimore, MD: Lippincott, Williams, and Wilkins; 1999.
12/4/2007 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed/what.php
: Lizogub VG, Riley DS, Heger M. Efficacy of a pelargonium sidoides preparation in patients with the common cold: a randomized, double blind, placebo-controlled clinical trial.
Explore (NY).
2007;3:573-584.
1/30/2008 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed/what.php
: Public health advisory:
Nonprescription cough and cold medicine use in children-FDA recommends that over-the-counter (OTC) cough and cold products not be used for infants and children under 2 years of age. US Food and Drug Administration website. Available at:
http://www.fda.gov/cder/drug/advisory/cough_cold_2008.htm
. Accessed January 30, 3008.
1/30/2008 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed/what.php
: Paul IM, Beiler J, McMonagle A, et al. Effect of honey, dextromethorphan, and no treatment on nocturnal cough and sleep quality for coughing children and their parents.
Arch Pediatr Adolesc Med.
2007;161:1149-1153.
2/26/2008 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed/what.php
: Slapak I, Skoupá J, Strnad P, Hornik P. Efficacy of isotonic nasal wash (seawater) in the treatment and prevention of rhinitis in children.
Arch Otolaryngol Head Neck Surg.
2008;134:67-74.
10/29/2008 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed/what.php
: Arruda E, Pitkí�ranta A, Witek TJ Jr, Doyle CA, Hayden FG. Frequency and natural history of rhinovirus infections in adults during autumn.
J Clin Microbiol.
1997;35:2864-2868.
Pappas DE, Hendley JO, Hayden FG, Winther B. Symptom profile of common colds in school-aged children.
Pediatr Infect Dis J.
2008;27:8-11.
Last reviewed October 2009 by David L. Horn, MD, FACP
Last Updated: 11/18/2009
