The Difference between a Cold and the Flu in Children

Written by Liu Li
Pediatrics
Updated on February 04, 2025
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Epidemic influenza and the common cold have different pathogens for children. The main cause of epidemic influenza is the influenza virus or parainfluenza virus, meaning that the cold is caused by one or both of these viruses. This condition is called influenza. On the other hand, the common cold can be caused by many viruses, such as rhinovirus or coronavirus, and includes the influenza virus among others. Therefore, the pathogens are different; about 90% of common colds are caused by viruses.

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Written by Yao Li Qin
Pediatrics
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What should I do if a child has a cold and fever?

Children's colds and fevers are caused by viral or bacterial infections, with the vast majority being viral infections. First, we need to ensure that the child is well-hydrated and also manage the symptoms. When the body temperature exceeds 38.5 degrees Celsius, administer antipyretic medication to the child, such as ibuprofen suspension or acetaminophen. The interval between doses of these medications should be at least six hours. Additionally, give the child cold relief granules to alleviate the symptoms of the cold. When the body temperature is below 38.5 degrees Celsius, physical cooling methods can be applied, such as using fever-reducing patches, taking lukewarm baths, or wiping the forehead, neck, armpits, and groin—areas where large blood vessels are located—with a warm towel. Throughout the process, it is very important to keep the child hydrated. If the child's cold and fever persist, a complete blood count should be performed to check for a bacterial infection. If a bacterial infection is present, treatment with antibiotics should be administered under the guidance of a hospital doctor, based on the child’s condition. Controlling the infection is essential for reducing the fever and bringing the child's temperature down, ultimately helping the child return to normal.

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What are the symptoms of viral colds in children?

Symptoms of viral cold in children include nasal congestion, runny nose, sneezing, cough with phlegm, fever, headache, body aches, and sore throat. When having a cold, it is important to rest first, avoid strenuous exercise, and allow the body to focus its resources on the functioning of the immune system. It is also important to drink plenty of water, as all immune mechanisms rely on sufficient water. Drinking more water leads to more urination, which increases the excretion of water-soluble vitamins, so it is necessary to adequately supplement water-soluble vitamins, such as vitamin C and vitamin B. Fruits and vegetables are preferred. Additionally, symptomatic medication treatment should be applied.

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Written by Quan Xiang Mei
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How to determine whether a child's cold is caused by a virus or bacteria

When determining whether a child's cold is caused by a viral infection or a bacterial infection, you can take the child to the hospital for a routine blood test. In most cases, it is caused by a viral infection. Combined with the routine blood test, if there is an increase in white blood cell count and neutrophil count, it usually indicates a bacterial infection. If the white blood cell count is normal, or low, along with an increase in lymphocyte count or percentage, it usually indicates a viral infection. Alternatively, combining this with a C-reactive protein test, if the C-reactive protein level significantly multiplies, then it indicates a bacterial infection.

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Written by Liu Li
Pediatrics
37sec home-news-image

The Difference between a Cold and the Flu in Children

Epidemic influenza and the common cold have different pathogens for children. The main cause of epidemic influenza is the influenza virus or parainfluenza virus, meaning that the cold is caused by one or both of these viruses. This condition is called influenza. On the other hand, the common cold can be caused by many viruses, such as rhinovirus or coronavirus, and includes the influenza virus among others. Therefore, the pathogens are different; about 90% of common colds are caused by viruses.

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Written by Yan Xin Liang
Pediatrics
38sec home-news-image

Which department should a child visit for a cold?

If a child has a cold and is being seen at a general hospital, it is advisable to visit the pediatrics department. However, if the child has a persistent high fever and the condition is urgent, a visit to the pediatric emergency department is recommended. If it's a children's specialty hospital, it would be advisable to visit the pediatric respiratory department, the emergency department, or the fever clinic. Generally, colds are caused by viral infections, though some are caused by bacterial infections. Most fevers can last from three to five days. Therefore, we should not be too hasty and should focus on symptomatic treatment.