How Can You Tell the Difference Between a Cold and COVID?

Differentiating between a common cold and COVID-19 can be challenging due to significant symptom overlap. Both are respiratory illnesses caused by viruses, and they share many similar signs, making it difficult to determine the specific cause based on symptoms alone. Understanding the nuances between these conditions is important for appropriate self-care and preventing further spread.

Understanding Common Symptoms

Many symptoms are frequently observed in both common colds and COVID-19. Individuals with either illness may experience a cough, which can be dry or produce mucus. A sore throat and a runny or stuffy nose are also common complaints.

Fatigue can affect those with a cold or COVID-19. Additionally, both conditions can present with a fever or chills, along with muscle or body aches and headaches. These overlapping symptoms highlight why distinguishing between the two illnesses based solely on how one feels can be difficult.

Identifying Key Differences

While many symptoms overlap, certain patterns and specific symptoms can be more characteristic of one condition over the other. A sudden new loss of taste or smell, without a stuffy nose, is a strong indicator often associated with COVID-19, though it is less common with newer variants. Shortness of breath or difficulty breathing is also more frequently reported with COVID-19 and can signal a more severe infection, whereas it is rare with a common cold unless complications arise.

In contrast, sneezing is a common symptom of a cold but is less typical for COVID-19. Colds generally have a more gradual onset of symptoms, with symptoms peaking around days one to three, and typically resolve within 7 to 10 days. COVID-19 symptoms can appear two to fourteen days after exposure and may have a more variable timeline, potentially lasting longer or progressing to more severe stages. The overall severity and duration of illness can also differ, with COVID-19 sometimes leading to more severe and prolonged symptoms than a typical cold.

The Importance of Testing

Relying on symptoms alone is often insufficient for a definitive diagnosis, making testing a crucial step. Viral tests, such as rapid antigen tests and PCR tests, are used to detect a current infection. Rapid antigen tests provide quick results, typically within 15 to 30 minutes, and can be performed at home, but they are generally less sensitive than PCR tests, especially when symptoms are not present. Therefore, a negative antigen test may require repeat testing or confirmation with a PCR test.

PCR tests are considered the “gold standard” for COVID-19 diagnosis due to their high sensitivity. While PCR test results may take longer to receive, they offer a more reliable confirmation of infection. Testing helps to confirm a diagnosis, guide appropriate actions like isolation, and prevent further transmission of the virus.

When to Seek Medical Guidance

Knowing when to contact a healthcare provider or seek emergency care is important for managing respiratory illnesses. Immediate medical attention is recommended if an individual experiences emergency warning signs:

  • Trouble breathing
  • Persistent pain or pressure in the chest
  • New confusion
  • Inability to wake or stay awake
  • Pale, gray, or blue-colored skin, lips, or nail beds

Individuals with underlying health conditions, such as heart or lung disease, diabetes, or a weakened immune system, should contact their healthcare provider if they develop symptoms, as they may be at higher risk for severe illness. It is also advisable to seek medical guidance if symptoms worsen significantly, a high fever lasts for more than three days, or symptoms do not improve after 7 to 10 days.