The Common Cold is probably the most common illnesses known, in children and adults alike. The symptoms are usually sneezing, a scratchy throat, runny nose, and fever. Although the common cold is usually mild, with symptoms lasting 1 to 2 weeks, it is a leading cause of doctor visits and missed days from school and work. People in the United States suffer 1 billion colds each year, according to some estimates. According to the Centers for Disease Control and Prevention (CDC), 22 million school days are lost annually in the United States due to the common cold.
Children have about 6 to 10 colds a year. One important reason why colds are so common in children is because they are often in close contact with each other in daycare centers and schools. In families with children in school, the number of colds per child can be as high as 12 a year. Adults average about two to four colds a year, although the range varies widely. Women, especially those aged 20 to 30 years, have more colds than men, possibly because of their closer contact with children. On average, people older than 60 have fewer than one cold a year.
The cold season
In the United States, most colds occur during the fall and winter. Beginning in late August or early September, the rate of colds increases slowly for a few weeks and remains high until March or April, when it declines. The seasonal variation may relate to the opening of schools and to cold weather, which prompt people to spend more time indoors and increase the chances that viruses will spread to you from someone else.
Seasonal changes in relative humidity also may affect the prevalence of colds. The most common cold-causing viruses survive better when humidity is low—the colder months of the year. Cold weather also may make the inside lining of your nose drier and more vulnerable to viral infection.
More than 200 different viruses are known to cause the symptoms of the common cold. Some, such as the rhinoviruses, seldom produce serious illnesses. Others, such as parainfluenza and respiratory syncytial virus (RSV), produce mild infections in adults but can lead to severe lower respiratory tract infections in young children. Rhinoviruses (from the Greek rhin, meaning “nose”) cause an estimated 30 to 35 percent of all adult colds, and are most active in early fall, spring, and summer. Scientists have identified than 110 distinct rhinovirus types. These agents grow best at temperatures of about 91 degrees Fahrenheit, the temperature inside the human nose. Scientists think coronaviruses cause a large percentage of all adult colds. They bring on colds primarily in the winter and early spring. Of the more than 30 kinds, three or four infect humans.
Approximately 10 to 15 percent of adult colds are caused by viruses also responsible for other, more severe illnesses: adenoviruses, coxsackieviruses, echoviruses, orthomyxoviruses (including influenza A and B viruses, which cause flu), paramyxoviruses (including several parainfluenza viruses), respiratory syncytial virus, and enteroviruses.
The causes of 30 to 50 percent of adult colds, presumed to be viral, remain unidentified. The same viruses that produce colds in adults appear to cause colds in children. The relative importance of various viruses in pediatric colds, however, is unclear because it’s difficult to isolate the precise cause of symptoms in research studies of children with colds.
There is no evidence that you can get a cold from exposure to cold weather or from getting chilled or overheated. However, cold weather may promote the spread of the viruses that cause the common cold.
There is also no evidence that your chances of getting a cold are related to factors such as exercise, diet, or enlarged tonsils or adenoids. On the other hand, research suggests that psychological stress and allergic diseases affecting your nose or throat may have an impact on your chances of getting infected by cold viruses.
You can get infected by cold viruses by either of these methods.
- Touching your skin or environmental surfaces, such as toys, telephones and stair rails, that have cold germs on them and then touching your eyes or nose
- Inhaling drops of mucus full of cold germs from the air
Symptoms of the common cold usually begin 2 to 3 days after infection and often include
- Mucus buildup in the nose
- Difficulty breathing through the nose
- Swelling of the sinuses
- Sore throat
- Poor appetite
Fever is usually slight but can climb to 102 degrees Fahrenheit in infants and young children. Cold symptoms can last from 2 to 14 days, but like most people, you will probably recover in a week. If symptoms recur often or last much longer than 2 weeks, you might have an allergy rather than a cold, especially if there is no fever associated with it. Colds occasionally can lead to bacterial infections of your middle ear or sinuses, requiring treatment with antibiotics. High fever, significantly swollen glands, severe sinus pain, and a cough that produces colored mucus may indicate a complication or more serious illness requiring a visit to your healthcare provider.
There is no cure for the common cold, but you can get relief from your cold symptoms by
- Resting in bed
- Drinking plenty of fluids
- Gargling with warm salt water or using throat sprays or lozenges for a scratchy or sore throat
- Using petroleum jelly for a raw nose
- Taking acetaminophen (Tylenol), or ibuprofen (Motrin) for headache or fever
- Saline nasal drops and suction of the nose with a bulb syringe
- A cool mist humidifier
A word of caution: Several studies have linked aspirin use to the development of Reye’s syndrome in children recovering from flu or chickenpox. Reye’s syndrome is a rare but serious illness that usually occurs in children between the ages of 3 and 12 years. It can affect all organs of the body but most often the brain and liver. While most children who survive an episode of Reye’s syndrome do not suffer any lasting consequences, the illness can lead to permanent brain damage or death. The American Academy of Pediatrics recommends children and teenagers not be given aspirin or medicine containing aspirin when they have any viral illness such as the common cold.
Over-the-counter cold medicines
Non-prescription cold remedies, including decongestants and cough suppressants, may relieve some of your cold symptoms but will not prevent or even shorten the length of your cold. Moreover, because most of these medicines have some side effects, such as drowsiness, dizziness, insomnia, or upset stomach, you should take them with care.
Questions have been raised about the safety of non-prescription cold medicines in children and whether the benefits justify any potential risks from the use of these products in children, especially in those under 2 years of age. Recently, a Food and Drug Administration panel recommended that non-prescription cold medicines not be given to children under the age of 6 years, because cold medicines do not appear to be effective for these children and may not be safe.
Do not give any over the counter cold medicine if your child has a cold. Contact our office or call your pediatrician.
Non-prescription antihistamines may give you some relief from symptoms such as runny nose and watery eyes, which are symptoms commonly associated with colds.
Never take antibiotics to treat a cold because antibiotics do not kill viruses. You should use these prescription medicines only if you have a rare bacterial complication, such as sinusitis or ear infection. In addition, you should not use antibiotics “just in case,” because they will not prevent bacterial infections.
Although inhaling steam may temporarily relieve symptoms of congestion, health experts have found that this approach is not an effective treatment.
There are several ways you can keep yourself from getting a cold or passing one on to others.
- Because cold germs on your hands can easily enter through your eyes and nose, keep your hands away from those areas of your body
- If possible, avoid being close to people who have colds
- If you have a cold, avoid being close to people
- If you sneeze or cough, cover your nose or mouth, and sneeze or cough into your elbow rather than your hand.
Handwashing with soap and water is the simplest and one of the most effective ways to keep from getting colds or giving them to others. During cold season, you should wash your hands often and teach your children to do the same. When water is not available, CDCrecommends using alcohol-based products made for disinfecting your hands.
Rhinoviruses can live up to 3 hours on your skin. They also can survive up to 3 hours on objects such as telephones and stair railings. Cleaning environmental surfaces with a virus-killing disinfectant might help prevent spread of infection.
Because so many different viruses can cause the common cold, the outlook for developing a vaccine that will prevent transmission of all of them is dim. Scientists, however, continue to search for a solution to this problem.
Unproven prevention methods
Echinacea is a dietary herbal supplement that some people use to treat their colds. Researchers, however, have found that while the herb may help treat your colds if taken in the early stages, it will not help prevent them. One research study funded by the National Center for Complementary and Alternative Medicine, a part of the National Institutes of Health, found that echinacea is not effective at all in treating children aged 2 to 11.
Many people are convinced that taking large quantities of vitamin C will prevent colds or relieve symptoms. To test this theory, several large-scale, controlled studies involving children and adults have been conducted. To date, no conclusive data has shown that large doses of vitamin C prevent colds. The vitamin may reduce the severity or duration of symptoms, but there is no clear evidence of this effect. Taking vitamin C over long periods of time in large amounts may be harmful. Too much vitamin C can cause severe diarrhea, a particular danger for elderly people and small children.
Honey has been considered to be a treatment for coughs and to soothe a sore throat. A recent study conducted at the Penn State College of Medicine compared the effectiveness of a little bit of buckwheat honey before bedtime versus either no treatment or dextromethorphan (DM), the cough suppressant found in many over-the-counter cold medicines. The results of this study suggest that honey may be useful to relieve coughing, but researchers need to do additional studies.
You should never give honey to children under the age of one because of the risk of infantile botulism, a serious disease.