Cold, the Flu or COVID-19: How to Tell the Difference and When to See a Doctor

Woman sitting on the floor, holding a mug filled with tea and coughing into her elbow.

December 11, 2023 | Tags: Healthy Outlooks Wellness COVID-19


You have the sniffles. Now a cough. And – oh great – a headache, too.

How can you tell if your sniffles and cough are the effects of a cold, the flu or COVID-19? We’re in prime season for all three. Dr. Dwight McFadden, Assistant Medical Director at Medical Mutual, talks about the differences and similarities, and when you should see a doctor.

Key Differences

The viruses that cause all three illnesses can be transmitted from person to person through the air or on surfaces. While they have similar symptoms, the key to telling the illnesses apart is how quickly the symptoms present themselves:

  • Common Cold: Symptoms typically develop gradually and include sneezing, runny or stuffy nose, cough and a sore throat.
  • Flu: It is often an abrupt onset with high fever, body aches, headache, chills and a cough.
  • COVID-19: Symptoms vary, with some people experiencing fever, headache, chills and body aches, and others presenting with upper respiratory symptoms such as a cough, runny nose and sore throat. Some people even have diarrhea.

“The key differences are in the severity, the prevention and the treatment, as well as the virus that causes each illness,” Dr. McFadden said. “The flu and COVID-19 are generally much more serious than a cold.”

When You Should See a Doctor

People with high-risk factors – such as cardiac or pulmonary disease, or those who are immunocompromised – should see a doctor immediately, especially if symptoms are severe, Dr. McFadden said.

If you experience concerning symptoms, such as shortness of breath, chest pain, loss of consciousness, confusion or high fever that does not respond to medications, you should seek care regardless of your risk factors. If you are unsure of your symptoms, you can call our Nurse Line 24/7 at 1-888-912-0636 (TTY 711 for hearing impaired).*

“If you have any questions, you should always contact your primary care provider or speak with a nurse,” said Dr. McFadden. “They can usually address these illnesses.”

Early detection is key to starting antivirals, like Tamiflu, which can reduce the severity and duration of the flu.

“As we age, the risk of severe complications from the flu are reduced by taking an antiviral,” Dr. McFadden said.

COVID-19 treatment is evolving, with antivirals and other approaches used in severe cases. There are no antiviral treatments for the common cold. Antibiotics will not treat a cold, the flu or COVID-19.

Prevention is the Best Medicine

To reduce the risk of contracting or spreading these illnesses, preventive measures – handwashing, covering coughs and sneezes, and staying home when you are sick – are crucial. 

“We cannot overemphasize the importance of some of the simple things that your parents or your teachers told you to do, like covering your cough or sneeze,” Dr. McFadden said.

Vaccines are available for both the flu and COVID-19, offering effective preventive measures. There’s no vaccine for the common cold. Age is a factor in how these illnesses affect individuals. Older adults, especially those over 65, are at higher risk for severe complications from the flu and COVID-19. Vaccination is highly recommended for this age group.

Resources Available to You as a Medical Mutual Member

It is important to have a primary care provider who understands your medical history. If you do not have a primary care provider, Medical Mutual can help. Use the provider search tool to find care near you or call the Customer Care phone number listed on your member ID card. Our Customer Care team can also help connect you with flu and COVID-19 vaccination providers who are in your network of coverage.

Find a Provider

 

* Nurse Line is not available to all members.