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Common Colds

WHAT YOU SHOULD KNOW

Colds (known medically as upper respiratory infections) affect the air passages in the head, neck, and chest. The nose, throat, sinuses, ears, windpipe (trachea) and airways of the lung (bronchi) all can be involved. Without treatment, a cold will improve in a week or two. Colds are the most common illness among children. Although youngsters often feel better within 3 or 4 days of developing the infection, they may continue coughing for 2 to 3 weeks. Many children have 6 colds a year.

Causes

Colds are caused by viruses. They can spread easily, especially during the first 3 or 4 days of illness. You can catch a cold at home, work, school, or day care by touching someone who has one, or by being nearby when an infected person coughs or sneezes. You are most likely to get a cold in the winter, and are most susceptible if you are tired, under stress, or plagued with allergies (especially hay fever).

Signs/Symptoms

Typical symptoms include sneezing, runny nose, stuffy nose, headache, cough, sore throat, trouble breathing, fatigue, muscle aches, and red, watery eyes. Some people develop a fever.

Care

Over-the-counter medications, such as acetaminophen or ibuprofen may relieve a headache, runny nose, or fever. However, antibiotics cannot cure the common cold.

WHAT YOU SHOULD DO

  • Use over-the-counter medicines exactly as directed.
  • Be careful not to blow your nose too hard, or you might have a nosebleed.
  • To keep a young child's nose free from mucus, soak a cotton ball with warm water and put 3 drops into each nostril. Wait about 1 minute, then have the youngster blow his or her nose. If the child is too young for this, use a soft rubber suction bulb. Close one nostril, squeeze the bulb, insert it into the open nostril, and release the bulb so that it sucks up the mucus.
  • Use a cool-mist humidifier (vaporizer) to increase air moisture so that you can breathe more easily. Do not use hot steam.
  • Rest as much as possible and get plenty of sleep.
  • Wash your hands often, especially after you blow your nose. Cover your mouth and nose with a tissue when you sneeze or cough.
  • Drink 8 to 10 (soda-can sized) glasses of clear liquids, such as water, fruit juice, tea, clear soups, and soda, every day.
  • To avoid catching another upper respiratory infection, wash your hands after touching someone who has a cold; avoid crowded places, especially in the winter; and eat a balanced diet.
  • Keep children at home until any fever has gone.

Call Your Doctor If...

  • You develop a high temperature or your fever lasts more than a couple of days.
  • You have a sore throat that gets worse, or you see white or yellow spots in your throat.
  • Your cough gets worse or lasts more than 10 days.
  • You develop a rash.
  • You feel large and tender lumps in your neck.
  • You develop an earache or a bad headache.
  • You have a thick, green or yellow discharge from your nose.
  • You cough up thick yellow, green, gray or bloody mucus.
  • Your child's eyes grow red and become coated with a yellow discharge.

Seek Care Immediately If...

  • You have trouble breathing or develop chest pain
  • Your skin or nails look gray or blue.
  • A youngster with a cold seems sleepier than usual, urinates less than normal, has a dry mouth and cracked lips, cries without tears, or seems dizzy. These are signs of dehydration.

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