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Cold, Flu, or Allergy? Know the Difference for Best Treatment

 Time:2017-03-22 11:05:53  Source:NIH  
 
You’re feeling pretty lousy. You’ve got sniffles, sneezing, and a sore throat. Is it a cold, flu, or allergies? It can be hard to tell them apart because they share so many symptoms. But understanding the differences will help you choose the best treatment.
 
“If you know what you have, you won’t take medications that you don’t need, that aren’t effective, or that might even make your symptoms worse,” says NIH’s Dr. Teresa Hauguel, an expert on infectious diseases that affect breathing.
 
Cold, flu, and allergy all affect your respiratory system, which can make it hard to breathe. Each condition has key symptoms that set them apart.
 
Colds and flu are caused by different viruses. “As a rule of thumb, the symptoms associated with the flu are more severe,” says Hauguel. Both illnesses can lead to a runny, stuffy nose; congestion; cough; and sore throat. But the flu can also cause high fever that lasts for 3-4 days, along with a headache, fatigue, and general aches and pain. These symptoms are less common when you have a cold.
 
“Allergies are a little different, because they aren’t caused by a virus,” Hauguel explains. “Instead, it’s your body’s immune system reacting to a trigger, or allergen, which is something you’re allergic to.” If you have allergies and breathe in things like pollen or pet dander, the immune cells in your nose and airways may overreact to these harmless substances. Your delicate respiratory tissues may then swell, and your nose may become stuffed up or runny.
 
“Allergies can also cause itchy, watery eyes, which you don’t normally have with a cold or flu,” Hauguel adds.
 
Allergy symptoms usually last as long as you’re exposed to the allergen, which may be about 6 weeks during pollen seasons in the spring, summer, or fall. Colds and flu rarely last beyond 2 weeks.
 
Most people with a cold or flu recover on their own without medical care. But check with a health care provider if symptoms last beyond 10 days or if symptoms aren’t relieved by over-the-counter medicines. For more about when to see a doctor, go to CDC's Flu Page http://newsinhealth-test.od.nih.gov/images2/extLink.gif.
 
To treat colds or flu, get plenty of rest and drink lots of fluids. If you have the flu, pain relievers such as aspirin, acetaminophen, or ibuprofen can reduce fever or aches. Allergies can be treated with antihistamines or decongestants. See the “Wise Choices” box for more details.
 
Be careful to avoid “drug overlap” when taking medicines that list 2 or more active ingredients on the label. For example, if you take 2 different drugs that contain acetaminophen—one for a stuffy nose and the other for headache—you may be getting too much acetaminophen.
 
“Read medicine labels carefully—the warnings, side effects, dosages. If you have questions, talk to your doctor or pharmacist, especially if you have children who are sick,” Hauguel says. “You don’t want to overmedicate, and you don’t want to risk taking a medication that may interact with another.”

Safe Food Handling: What You Need to Know
The food supply in the United States is among the safest in the world. However, when certain disease-causing bacteria or pathogens contaminate food, they can cause foodborne illness, often called “food poisoning.” The Federal government estimates that there are about 48 million cases of foodborne illness annually – the equivalent of sickening 1 in 6 Americans each year. And each year, these illnesses result in an estimated 128,000 hospitalizations and 3,000 deaths.
 
Know the Symptoms
Consuming dangerous foodborne bacteria will usually cause illness within 1 to 3 days of eating the contaminated food. However, sickness can also occur within 20 minutes or up to 6 weeks later. Symptoms of foodborne illness can include: vomiting, diarrhea, and abdominal pain – and flu-like symptoms, such as fever, headache, and body ache.
 
Handle Foods Safely
Although most healthy people will recover from a foodborne illness within a short period of time, some can develop chronic, severe, or even life-threatening health problems. In addition, some people are at a higher risk for developing foodborne illness, including pregnant women, young children, older adults, and people with weakened immune systems (such as transplant patients and individuals with HIV/AIDS, cancer, or diabetes). To keep your family safer from food poisoning, follow these four simple steps: clean, separate, cook, and chill.
 
CLEAN
Wash hands and surfaces often
 
Wash your hands with warm water and soap for at least 20 seconds before and after handling food and after using the bathroom, changing diapers, and handling pets.
Wash your cutting boards, dishes, utensils, and counter tops with hot soapy water after preparing each food item.
 
Consider using paper towels to clean up kitchen surfaces. If you use cloth towels, launder them often in the hot cycle.
Rinse fresh fruits and vegetables under running tap water, including those with skins and rinds that are not eaten. Scrub firm produce with a clean produce brush.
With canned goods, remember to clean lids before opening.
 
SEPARATE
Separate raw meats from other foods
Separate raw meat, poultry, seafood, and eggs from other foods in your grocery shopping cart, grocery bags, and refrigerator.
Use one cutting board for fresh produce and a separate one for raw meat, poultry, and seafood.
 
Never place cooked food on a plate that previously held raw meat, poultry, seafood, or eggs unless the plate has been washed in hot, soapy water.
Don’t reuse marinades used on raw foods unless you bring them to a boil first.
 
COOK
Cook to the right temperature
Color and texture are unreliable indicators of safety. Using a food thermometer is the only way to ensure the safety of meat, poultry, seafood, and egg products for all cooking methods. These foods must be cooked to a safe minimum internal temperature to destroy any harmful bacteria.
 
Cook eggs until the yolk and white are firm. Only use recipes in which eggs are cooked or heated thoroughly.
When cooking in a microwave oven, cover food, stir, and rotate for even cooking. If there is no turntable, rotate the dish by hand once or twice during cooking. Always allow standing time, which completes the cooking, before checking the internal temperature with a food thermometer.
Bring sauces, soups and gravy to a boil when reheating.
 
CHILL
Refrigerate foods promptly
Use an appliance thermometer to be sure the temperature is consistently 40° F or below and the freezer temperature is 0° F or below.
 
Refrigerate or freeze meat, poultry, eggs, seafood, and other perishables within 2 hours of cooking or purchasing. Refrigerate within 1 hour if the temperature outside is above 90° F.
Never thaw food at room temperature, such as on the counter top. There are three safe ways to defrost food: in the refrigerator, in cold water, and in the microwave. Food thawed in cold water or in the microwave should be cooked immediately.
 
Always marinate food in the refrigerator.
 
Divide large amounts of leftovers into shallow containers for quicker cooling in the refrigerator.


 
 
Safe Minimum Internal Temperatures
as measured with a food thermometer
Food Type Internal temperature
Beef, Pork, Veal, and Lamb 
(chops, roasts, steaks)
145oF with a 3 minute rest time
Ground Meat 160oF
Ham, uncooked
(fresh or smoked)
 145oF with a 3 minute rest time
Ham, fully cooked
(to reheat)
140oF
Poultry
(ground, parts, whole, and stuffing)
165oF
Eggs Cook until yolk & white are firm
Egg Dishes 160oF
Fin Fish 145oF or flesh is opaque & separates easily with fork
Shrimp, Lobster, and Crabs Flesh pearly & opaque
Clams, Oysters, and Mussels Shells open during cooking
Scallops Flesh is milky white or opaque and firm
Leftovers and Casseroles 165oF