What should I do if my cold doesn't get better?

Written by Long Guan Han
Pulmonology
Updated on September 27, 2024
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The common cold generally follows a process. Eighty percent of common colds start as viral colds, characterized by nasal congestion, runny nose, sneezing, and other catarrhal symptoms. Generally, after three to five days, these catarrhal symptoms gradually disappear, as the virus is self-limiting. If the symptoms do not improve after three to five days and are accompanied by coughing, purulent sputum, and fever, it may have progressed to a bacterial cold, which requires antibiotic treatment. When we commonly refer to a persistent cold, we mainly refer to a cough. Some people might experience a cold for more than ten days, or repeatedly suffer from a dry cough. At this time, it's not that their cold hasn't healed; rather, it's because the respiratory tract has been damaged and needs time to recover. Typically, this kind of irritating dry cough without sputum generally lasts for a while.

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Written by Wang Chun Mei
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Differences between air conditioning cold and common cold

Using air conditioning set too low, or staying in an air-conditioned room for a long time, can easily cause a cold due to the lack of air circulation. When a person's immune function is low, it is easy for viruses or bacteria to invade the respiratory tract, causing symptoms such as nasal congestion, runny nose, fever, headache, and dizziness. In the case of a common cold, it might be a heat-type cold or it could be a cold-type cold. Common colds are usually caused by viral infections of the respiratory tract, leading to clinical symptoms of discomfort. On the other hand, air conditioning colds often occur due to the air conditioning being set too cold, leading to cold-induced symptoms. Thus, there is a distinct difference between air conditioning colds and common colds, with the systemic symptoms caused by air conditioning colds being relatively more severe.

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Written by An Yong Peng
Pulmonology
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What should you not eat when you have a cold?

When you have a cold, you should avoid eating spicy, overly greasy, and cold food. These foods may worsan coughing symptoms and can also irritate the gastrointestinal tract. Generally, they are detrimental to the patient's condition. For a cold, it is recommended to have a light diet and eat some fruit appropriately, as well as drink plenty of plain water. Additionally, patients can consume some protein-rich foods, such as lean meat and eggs. Cold is usually a self-limiting illness and often does not require special treatment. Sometimes, just by making the dietary adjustments mentioned, the patient's condition may gradually improve. However, it is important to note that if the symptoms of the cold are severe, appropriate symptomatic treatment is necessary. Also, a minority of cold patients may develop complications such as pneumonia. Therefore, if cold symptoms persist, it is necessary to seek medical consultation to investigate the cause and receive appropriate management.

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Written by Wang Chun Mei
Pulmonology
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Symptoms of bacterial cold

Bacterial cold, commonly referred to as an upper respiratory tract infection, is just one of the more common types of colds. Generally, when bacteria infect the respiratory tract, it causes the patient to experience varying degrees of fever, headache, dizziness, and even chills, as well as symptoms such as sore throat, coughing, and even some nasal congestion. Therefore, patients with bacterial colds generally exhibit these symptoms. Of course, some patients with bacterial colds might have lighter infections and may not exhibit typical clinical symptoms of discomfort. Thus, the clinical symptoms presented by each patient with bacterial colds can vary. For patients with bacterial colds, a clear diagnosis can be made by combining some clinical presentations with related auxiliary examinations.

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Written by Hu Bai Yu
Pulmonology
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Can I eat watermelon if I have a cold and cough?

When suffering from a cold and cough, it is appropriate to eat some watermelon as it contains a lot of water which can help replenish the fluids the body needs. It also has a soothing effect on the throat. However, be careful not to eat too much because watermelon has a high sugar content. Excessive sugar intake can exacerbate coughing by increasing phlegm. Additionally, watermelon has cooling properties, so consuming too much can lead to gastrointestinal discomfort. Patients with weak spleen and stomach, already having frail gastrointestinal systems, may experience discomfort from consuming too much watermelon. It is recommended to eat moderate amounts and maintain a light diet, drink plenty of water, and consume more fruits like apples, pears, or grapefruits which are more suitable. It is crucial to actively cooperate with medical treatment during a cold and cough to alleviate symptoms.

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Stages of Cold Symptoms

The symptoms of a cold generally fall into three stages. Initially, the symptoms of a cold may be mild or even absent, such as slight sneezing, runny nose, or nasal congestion. In such cases, it is advised to drink plenty of water, promote excretion, and improve immunity, as the early symptoms are often mild or not obvious and hence overlooked. Later, the symptoms of a cold get more severe. During the mid-stage of a cold, symptoms may worsen, including cough, phlegm, sore or swollen throat, or itchy and dry throat. Body temperature may also rise slightly. At this stage, it is recommended to actively follow a doctor's advice and take appropriate anti-inflammatory and anti-infection medication, along with fever-reducing and cough-relieving drugs to alleviate the symptoms. In the later stages of a cold, symptoms may improve, for example, the phlegm may turn yellow and the headaches and fever may subside. Under these conditions, it is sufficient to continue taking medication under a doctor’s guidance for treatment.