Avoiding colds & flu

With the arrival of winter comes the inevitable onslaught of coughs and colds. It’s not unusual to hear people who actually have a common cold complaining they have flu, but there is actually a great difference between the two.

Cold or flu?

Although both the common cold and the flu are caused by viruses, these viruses are different. More than 200 types of virus are responsible for the common cold, whereas there are just three main flu, or influenza, viruses.

These are known as type A that causes the most severe illness, type B that results in less severe illness and type C that causes a milder illness similar to the common cold.

For the most part, a cold is an inconvenience that slows us down. Flu on the other hand knocks someone for six and can leave them fatigued for months after the initial symptoms have gone. It’s a particular concern for older people who are more susceptible to the complications of the flu such as pneumonia, and tragically every year in the UK thousands of people die as a result.

Generally speaking the common cold causes sneezing, a runny and/or blocked stuffy nose, a sore throat and a cough. These symptoms take a few days to develop and then gradually ease off, so for many people the illness is over within a week. However, symptoms, particularly the cough, can sometimes last a week or two longer. Although the symptoms of a cold can be severe, which is why people often think they have the flu, with a common cold it’s usually possible to get on and do everyday things even if doing them may take a little more effort.

Flu symptoms, however, take hours rather than days to develop, so you can be

feeling as fit as a fiddle in the morning but come the afternoon you’re tucked up in bed with a fever, headache, sweating and shivering, aching and painful muscles, no appetite and exhausted with a harsh dry cough. People say that if you are able to complain about having the flu, then you probably don’t have it as the flu leaves you with little energy to even get out of bed.

In the northern hemisphere the peak time for flu is between December and March. However, you can catch a cold all year round and on average adults catch between 2-4 colds every year.

Cover up

The virus particles of both the common cold and the flu are spread from person to person through the air in small droplets of saliva when someone with the infection coughs, sneezes or even laughs or talks. The virus particles are propelled by sneezing and coughing at an estimated speed of around 100mph and can travel for many meters. They may then enter a nearby person’s body through the eyes, nose or mouth.

Virus particles can also be passed from person to person by direct contact with contaminated hands or inanimate surfaces such as door handles on which the virus is able to survive. For these reasons people are advised to cover their mouth and nose with a disposable tissue when coughing and sneezing and then to wash their hands.

In addition to avoiding people with a cold or the flu, it’s important for us all to wash our hands regularly throughout the day and to avoid touching  your face after touching surfaces to lessen the chance of contracting infection.

Putting up a strong defence

When it comes to the common cold and the flu, antibiotics are a waste of time unless through a complication someone has also acquired a bacterial infection. Time is the healer during which plenty of liquids, medication and rest, to ease the symptoms are advised. As always, though, prevention is better than cure and it’s vital to keep the immune system fighting fit so the body is in the best position to deal with any infection.

The influenza virus is able to mutate into new strains which people may have little or no immunity against. It’s for this reason that those at risk of flu complications are advised to have a flu vaccination every year (see box). Another important vaccination is against the bacterium that is often responsible for pneumonia associated with the flu. This pneumococcal vaccination can be given at any time in the year and most people only need to have it once.

Ensuring enough rest, sleep and relaxation is essential as stress weakens the immune system. Smoking also weakens the body’s defences so should be avoided. Exercise boosts the immune system as does a healthy diet that is rich in fruit and vegetables.

When taken at the first sign of symptoms, Echinacea is believed to be able to shorten the duration and severity of these. Zinc is thought to do likewise. Probiotics can help to support the immune system and taken daily may help lessen the chance of viral coughs and colds getting hold. Selenium has an important role in a healthy immune system and research has shown how it can help the immune system to defend itself against viruses.

Listening to cheerful music can stimulate production of the body’s antibodies, the chemicals produced to fight infection. Laughter is also believed to help boost the immune system so although the common cold, and in particular the flu, are no laughing matter, keep your immune system in shape and you should be laughing. 

The information in this article is for general information only and should not be treated as a substitute for the medical advice of your own health care professional. Always seek medical advice before taking supplements, changing diet or embarking on a new exercise regime, particularly if you have a medical condition or are already taking medication.

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Dr Rob Hicks

Dr Rob Hicks 

Dr Rob Hicks is a part time GP and clinical assistant in sexual health medicine. He is the Classic FM radio doctor and columnist for the Metro newspaper. He believes that prevention is better than cure and keeping healthy should be fun, not hard work.  

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