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Distinguishing the Common Cold from the Flu

As the flu season comes upon us and our children seem to have the endless running nose and cough, the question often comes up as to whether they have the flu or not. Deciding this is difficult even for pediatricians, because the symptoms of the flu can be somewhat variable in children. There is a test that can be done, but it takes about a week to get the results, which makes the utility of it minimal. Therefore, the diagnosis of the flu is generally made by assessing the signs and symptoms in your child, as well as knowing whether the flu virus has arrived in your town. The table below will help you assess the likelihood that your child's symptoms may be caused by the flu.

As always, it is a good idea to keep in close contact with your health care provider if you feel your child has the flu, but hopefully the following table can lend some assistance for all you parent-warriors battling this cold and flu season.

       The Common Cold The Flu
Cause Multiple viruses can do it Influenza A or B virus
When Anytime of the year Late fall and winter
How Spread Droplets from nose and throat Same
Incubation Can be up to two weeks Usually two days
Fever Occasionally Almost always
Chills Rarely Common
Muscle Aches Occasionally Common & sometimes severe
Headaches Occasionally Common
Sore Throat Mild and intermittent Painful and more persistent
Cough Common Common
Diarrhea Can be common Uncommon
Vomiting Can be common Not usually
Pneumonia Very uncommon Can occur
Treatment Over the counter medications for symptoms Anti Viral Drugs (Amantidine or Rimantidine)
Prevention Careful hand washing Flu vaccine/ Hand washing

 If you think your child has Flu (Influenza), contact your Doctor immediately.


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