Launching January 2027

Cough and Cold

Cough and Cold At A Glance

  • Upper respiratory infections affect the nose, sinuses, throat, and upper airways, with the common cold being the most frequent type.
  • Most are caused by viruses and commonly cause cough, runny or stuffy nose, sneezing, sore throat, congestion, fatigue, headache, and sometimes fever or body aches.
  • Respiratory infections can spread through coughing, sneezing, close contact, contaminated surfaces, and touching the eyes, nose, or mouth.
  • Most upper respiratory infections are mild and improve within 7–14 days, although a cough may continue for several weeks.
  • Rest, fluids, saline nasal treatments, humidified air, and appropriate symptom medications can help support recovery.
  • Antibiotics generally do not help viral upper respiratory infections and are used when a bacterial infection is confirmed or strongly suspected.

Table of Contents

Table of Contents

What Are Cough and Cold?

An upper respiratory infection (URI) is an infection that affects the nose, sinuses, throat, and upper airways. The common cold is the most frequent type of upper respiratory infection. Most URIs are caused by viruses, although some infections may be caused by bacteria.

Common upper respiratory infections include:

  • Common cold
  • Viral upper respiratory infection (viral URI)
  • Sinusitis (sinus infection)
  • Pharyngitis (sore throat)
  • Laryngitis
  • Influenza (flu)
  • COVID-19

Most upper respiratory infections are mild and improve on their own within 7 to 14 days with rest, fluids, and symptom management. Because most URIs are caused by viruses, antibiotics are usually not needed unless a bacterial infection is suspected or confirmed.

Learn More

Upper Respiratory Infection – NIH MedlinePlus
https://medlineplus.gov/respiratorytractinfections.html

Provides easy-to-understand information about upper respiratory infections, symptoms, diagnosis, treatment, and prevention.

Respiratory Viruses – Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/respiratory-viruses/

Provides information about common respiratory viruses, including influenza, COVID-19, RSV, and the common cold.

How Common Are Cough and Cold?

Upper respiratory infections are among the most common illnesses affecting people of all ages. Adults typically experience two to four colds each year, while children may have six to eight or more because their immune systems are still developing.

URIs occur throughout the year but are most common during the fall and winter months when respiratory viruses spread more easily.

Learn More

Common Cold – CDC
https://www.cdc.gov/common-cold/

Provides information about the common cold, how it spreads, and prevention strategies.

What Symptoms Might You Notice?

Symptoms vary depending on the virus or bacteria causing the infection.

Common symptoms may include:

  • Cough
  • Runny nose
  • Stuffy nose
  • Sneezing
  • Sore throat
  • Hoarse voice
  • Nasal congestion
  • Fever
  • Chills
  • Fatigue
  • Headache
  • Mild body aches
  • Watery eyes
  • Decreased appetite

Most symptoms gradually improve over one to two weeks, although a cough may last longer.

How Are Cough and Cold Diagnosed?

Your healthcare provider will review your symptoms, recent exposures, and medical history, and perform a physical examination.

Most upper respiratory infections are diagnosed based on your symptoms alone. Additional testing may be recommended if influenza, COVID-19, RSV, strep throat, or another illness is suspected.

Learn More

Upper Respiratory Infection – NIH MedlinePlus
https://medlineplus.gov/respiratorytractinfections.html

Explains how upper respiratory infections are diagnosed and when testing may be recommended.

Cough and Cold infographic – click to enlarge

What Causes Cough and Cold?

Most upper respiratory infections are caused by viruses that spread easily from person to person.

Common causes include:

  • Rhinovirus (most common cause of the common cold)
  • Influenza virus
  • COVID-19 virus
  • Respiratory Syncytial Virus (RSV)
  • Adenovirus
  • Parainfluenza virus
  • Seasonal coronaviruses

Less commonly, bacterial infections may develop after a viral illness.

Respiratory infections spread through:

  • Coughing or sneezing
  • Close contact with infected individuals
  • Touching contaminated surfaces
  • Touching your eyes, nose, or mouth

Learn More

Respiratory Viruses – CDC
https://www.cdc.gov/respiratory-viruses/

Learn how upper respiratory infections spread and ways to reduce your risk.

What Can Make Cough and Cold Worse?

Several factors increase the risk of developing more severe illness or complications.

Common risk factors include:

  • Older age
  • Infancy
  • Pregnancy
  • Asthma
  • COPD
  • Diabetes
  • Heart disease
  • Weakened immune system
  • Smoking or vaping
  • Chronic kidney disease

Learn More

Respiratory Viruses – CDC
https://www.cdc.gov/respiratory-viruses/

Provides information about risk factors for severe respiratory infections.

Prevention

Many upper respiratory infections can be prevented by practicing good hygiene and staying up to date with recommended vaccinations.

Helpful prevention tips include:

  • Wash your hands frequently with soap and water.
  • Cover coughs and sneezes.
  • Avoid touching your eyes, nose, and mouth.
  • Stay home when you are sick.
  • Avoid close contact with people who are ill.
  • Clean frequently touched surfaces regularly.
  • Stay up to date on influenza, COVID-19, RSV (if eligible), and other recommended vaccinations.
  • Maintain a healthy lifestyle to support your immune system.

Learn More

Respiratory Viruses – CDC
https://www.cdc.gov/respiratory-viruses/

Provides practical recommendations for preventing upper respiratory infections and reducing transmission.

Labs

Most upper respiratory infections do not require laboratory testing.

When indicated, laboratory tests may include:

  • COVID-19 Test
  • Influenza Test
  • RSV Test
  • Rapid Strep Test (if strep throat is suspected)
  • Complete Blood Count (CBC): May help evaluate infection.
  • Respiratory Viral Panel: Detects multiple respiratory viruses using a single sample.

Learn More

Laboratory Tests – NIH MedlinePlus
https://medlineplus.gov/lab-tests/

Provides information about laboratory testing commonly used to diagnose respiratory infections.

Diagnostics

Additional testing depends on your symptoms and overall health.

Common diagnostic tests may include:

  • Chest X-ray: May be recommended if pneumonia is suspected.
  • Pulse Oximetry: Measures oxygen levels if breathing problems are present.
  • Polymerase Chain Reaction (PCR) Testing: Highly accurate testing for viruses such as COVID-19, influenza, and RSV.
  • Throat Culture: May be performed if bacterial throat infection is suspected.

Learn More

Respiratory Viruses – CDC
https://www.cdc.gov/respiratory-viruses/

Provides information about respiratory infection testing and evaluation.

Treatment & Management

Treatment Options

Treatment depends on the cause of the infection and the severity of symptoms.

Treatment options may include:

  • Rest
  • Drinking plenty of fluids
  • Fever and pain medications
  • Saline nasal spray or saline rinses
  • Cough medications
  • Humidified air
  • Prescription antiviral medications for certain viral infections
  • Antibiotics only when a bacterial infection is confirmed or strongly suspected

Learn More

Respiratory Viruses – CDC
https://www.cdc.gov/respiratory-viruses/

Provides information about treatment options and symptom management.

Lifestyle Changes

Healthy habits help support recovery and reduce the spread of infection.

Helpful lifestyle changes include:

  • Get plenty of rest.
  • Drink plenty of fluids.
  • Eat nutritious foods as tolerated.
  • Wash your hands frequently.
  • Cover coughs and sneezes.
  • Stay home while you are sick.
  • Avoid smoking and vaping.
  • Use a cool-mist humidifier if needed.
  • Stay up to date on recommended vaccinations.

Learn More

Respiratory Viruses – CDC
https://www.cdc.gov/respiratory-viruses/

Provides recommendations for preventing illness and recovering safely.

Medications

Treatment depends on your symptoms and the cause of your illness.

Common medications may include:

  • Acetaminophen: Helps reduce fever and relieve pain.
  • Ibuprofen or Naproxen: Help reduce fever, inflammation, and body aches (when appropriate).
  • Cough Suppressants: May help reduce coughing.
  • Expectorants (such as guaifenesin): Help loosen mucus.
  • Saline Nasal Sprays: Help relieve nasal congestion.
  • Prescription Antiviral Medications: May be recommended for influenza or COVID-19 when appropriate.
  • Antibiotics: Only prescribed when a bacterial infection is confirmed or strongly suspected.

Learn More

Respiratory Viruses – CDC
https://www.cdc.gov/respiratory-viruses/

Provides information about medications, antiviral treatment, and supportive care.

Procedures

Treatment depends on your symptoms and the cause of your illness.

Common medications may include:

  • Acetaminophen: Helps reduce fever and relieve pain.
  • Ibuprofen or Naproxen: Help reduce fever, inflammation, and body aches (when appropriate).
  • Cough Suppressants: May help reduce coughing.
  • Expectorants (such as guaifenesin): Help loosen mucus.
  • Saline Nasal Sprays: Help relieve nasal congestion.
  • Prescription Antiviral Medications: May be recommended for influenza or COVID-19 when appropriate.
  • Antibiotics: Only prescribed when a bacterial infection is confirmed or strongly suspected.

Learn More

Respiratory Viruses – CDC
https://www.cdc.gov/respiratory-viruses/

Provides information about medications, antiviral treatment, and supportive care.

What Should You Expect Long-Term?

Most upper respiratory infections improve within 7–14 days, although a cough may last up to 3–8 weeks after the infection has resolved.

Most people recover completely without long-term problems. However, some individuals—especially older adults, infants, or those with chronic medical conditions—may develop complications such as sinus infections, ear infections, bronchitis, or pneumonia.

Follow up with your healthcare provider if symptoms persist or worsen.

What Can You Do At Home?

Home care is one of the most important parts of recovering from an upper respiratory infection.

Helpful tips include:

  • Get plenty of rest.
  • Drink plenty of fluids.
  • Eat nutritious foods as tolerated.
  • Gargle with warm salt water for a sore throat.
  • Use saline nasal spray or saline rinses for congestion.
  • Use a cool-mist humidifier if the air is dry.
  • Take medications exactly as directed.
  • Avoid smoking and vaping.
  • Stay home while you are contagious.
  • Wash your hands frequently to prevent spreading infection.

Learn More

Respiratory Viruses – CDC
https://www.cdc.gov/respiratory-viruses/

Provides recommendations for recovering safely and preventing the spread of respiratory illnesses.

Frequently Asked Questions

Do antibiotics treat colds?

No. Most colds and upper respiratory infections are caused by viruses, so antibiotics do not help.

How long will my cough last?

A cough often improves within

1–3 weeks

, although some coughs may continue for several weeks after the infection has resolved.

Can I exercise while I have a cold?

Light activity may be acceptable if your symptoms are mild and limited to above the neck (such as a runny nose or sore throat). If you have fever, chest congestion, shortness of breath, or significant fatigue, rest until you recover. If you are unsure, ask your healthcare provider.

When can I return to work or school?

In general, you should stay home until your fever has resolved without fever-reducing medication and you feel well enough to participate in normal activities. Follow your healthcare provider’s recommendations.

Can upper respiratory infections be prevented?

Many can be prevented by washing your hands frequently, avoiding close contact with sick individuals, staying current on recommended vaccinations, and maintaining healthy lifestyle habits.

Questions To Ask Your Provider

Consider asking your healthcare provider:

  • Is my infection viral or bacterial?
  • Do I need antibiotics or antiviral medication?
  • How long should my symptoms last?
  • What medications can help relieve my symptoms?
  • When can I safely return to work, school, or other activities?
  • What warning signs should prompt me to seek medical care?
  • Do I need any follow-up testing?

Specialist Referrals

Most upper respiratory infections are managed by a primary care provider. Depending on your symptoms or medical history, your provider may recommend seeing a specialist.

You may be referred to:

  • Primary Care Provider: Coordinates diagnosis, treatment, and follow-up care.
  • Pulmonologist: Evaluates chronic cough, asthma, COPD, or recurrent respiratory infections.
  • Otolaryngologist (ENT Specialist): Evaluates recurrent sinus infections, chronic sore throat, or other upper airway conditions.
  • Infectious Disease Specialist: Evaluates severe, prolonged, or unusual respiratory infections.

Learn More

Respiratory Infections – NIH MedlinePlus
https://medlineplus.gov/respiratorytractinfections.html

Provides information about respiratory infections, treatment, and specialty care.

Are Cough and Cold Curable?

Most upper respiratory infections are temporary and resolve completely with rest, fluids, and supportive care.

Because most URIs are caused by viruses, they improve as your immune system clears the infection. Bacterial infections may require antibiotics. Most people recover fully without lasting complications.

Emergency Symptoms / When To Seek Immediate Help

Call 911 or seek emergency medical care immediately if you experience:

  • Difficulty breathing or severe shortness of breath
  • Chest pain
  • Blue lips or fingertips
  • Confusion or difficulty waking up
  • Loss of consciousness
  • Seizures
  • High fever with severe illness
  • Coughing up large amounts of blood

Seek prompt medical evaluation if you notice:

  • Symptoms lasting longer than expected
  • Fever that returns after improving
  • Persistent wheezing
  • Severe sore throat with difficulty swallowing
  • Persistent vomiting or dehydration
  • Symptoms that continue to worsen instead of improving

Learn More

Respiratory Viruses – CDC
https://www.cdc.gov/respiratory-viruses/

Learn when upper respiratory symptoms require emergency medical care and how to recognize serious complications.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

Respiratory Infections – NIH MedlinePlus
https://medlineplus.gov/respiratorytractinfections.html

Easy-to-understand information about upper respiratory infections, symptoms, diagnosis, treatment, and prevention.

Respiratory Viruses – Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/respiratory-viruses/

Comprehensive information about influenza, COVID-19, RSV, and other common respiratory viruses.

Common Cold – Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/common-cold/

Reliable information about preventing and managing the common cold.

American Lung Association
https://www.lung.org/

Evidence-based information about respiratory health, lung disease, bronchitis, pneumonia, and healthy breathing.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, or treatment from your healthcare provider. Always follow the recommendations of your healthcare team regarding your individual health needs. Contact your healthcare provider if your symptoms worsen, new symptoms develop, or do not improve as expected. Call 911 immediately if you experience difficulty breathing, chest pain, blue lips, confusion, loss of consciousness, coughing up large amounts of blood, or another medical emergency.

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