01/24/2026
Waking up sneezing, coughing, with an achy, feverish body is not new to any of us. These are common symptoms we often experience with the common cold and the flu. Both conditions are prevalent, with one presenting with more localized, milder symptoms, while the other causes a more intense systemic reaction. Sometimes it may be tough to know whether you have the flu or the common cold. It is important to know the difference between cold and flu, as the treatments usually vary for each.

A common cold, or cold, is a contagious upper respiratory infection that primarily affects your throat, nose, windpipe, and sinuses. There are more than 200 viruses that can result in a common cold, and among them, rhinoviruses are the most common. Colds are referred to as common because they are widespread and affect you more than any other illness. In your life, you will have more colds than any other condition. On average, adults catch 2 to 3 colds a year, and children may catch 4 or more. Symptoms of the common cold occur in three stages: early, active, and late.
The common cold usually progresses through three stages: early, active, and late.
Stage 1:
Stage 1, also known as the early stage, begins on the day you catch the cold and may last up to 3 days. Within 1 to 3 days, you may experience a tickle in your throat. The first symptom that most people notice is a tickly or sore throat. In addition to this, you may also experience other signs such as a runny nose, hoarseness, cough, and a stuffy nose.
Stage 2:
Stage 2, commonly known as the active stage, refers to days 4 to 7, when symptoms usually worsen. You may experience the following symptoms in addition to the symptoms of stage 1:
Body aches
Fatigue
Fever (common in children)
Runny eyes and nose
Headache
Stage 3:
Stage 3, known as the late stage, covers days 8 to 10. In this stage, symptoms usually start to resolve, making you feel better and at ease. However, a few symptoms may persist for a while but will resolve over time. After a respiratory infection, many people can develop a nagging cough that may last up to 2 months.
If you experience new complications or a return of cold symptoms, consult a doctor. You have probably developed a new infection.
The flu is an infectious illness caused by influenza viruses. It causes a vast range of symptoms, ranging from body aches to respiratory symptoms that are usually serious. This condition is more common in winter than any other season, affecting a myriad of masses at once. The highest number of flu cases occurs between December and February in the US. It affects 20 to 40 million people every year in the US, standing out as one of the common infectious diseases. The flu and the common cold usually share comparable symptoms, such as a runny nose and cough. However, the common cold’s symptoms are mild while the flu’s symptoms can be severe, increasing the chance of further complications.
Unlike the common cold, flu symptoms develop quickly and range from mild to severe. The following are the common symptoms of the flu:
Fever
Chills
Headache
Sore throat
Body aches
Runny or stuffy nose
Tiredness
Diarrhea or vomiting (common in kids)
You won’t experience all of the aforementioned symptoms. The symptoms can differ from one patient to another depending on the influenza virus. The most common influenza viruses are influenza A, B, and C. Among them, influenza C causes mild symptoms and is not seasonal, while influenza A and B usually cause severe symptoms and are seasonal.
Yes, the body reacts differently to the common cold and flu in many ways, including the speed of onset, the intensity of the immune response, and the areas of the respiratory system affected. The difference is mainly because influenza results in a more systemic and aggressive inflammatory response, while colds usually cause more localized inflammation in the nasal passages. Let’s dig into how the body reacts differently to both viral respiratory infections:
As mentioned above, the symptoms of a cold usually develop slowly over a period of 1 to 3 days, with a sore throat as the first symptom. On the other hand, symptoms linked to the flu strike suddenly, typically within a few hours.
In flu cases, the immune system causes an intense and rapid response, resulting in a high fever that may last 3 to 4 days. In addition to the high fevers, it may also cause body aches, headaches, and extreme fatigue. On the other hand, fever is rare in adults with a common cold, but common in children. Body aches and fatigue are usually absent or very mild in nature.
In common colds, the immune response is typically focused on the upper respiratory tract, causing symptoms such as a sore throat, a stuffy or runny nose, and sneezing. On the other hand, the flu affects the whole body and mainly causes a severe, dry, and nagging cough.
The common cold typically lasts for 7 to 10 days, with no serious symptoms, and is manageable at home. On the other hand, the flu can last 1 to 2 weeks, with fatigue continuing for several weeks. Additionally, it also increases your risk of other complications, for instance, sinus infections, bronchitis, and pneumonia.
Yes, both are highly contagious and can easily spread from one person to another. You may end up catching a cold if you come into contact with a surface or breathe moist air that contains the common cold virus. An infected person can release droplets of fluid containing the cold virus into the air while sneezing and coughing. If you breathe in those droplets or touch them, the virus can get into you and make you ill. You and other infected people can spread the virus to other people if precautions are not exercised.
The flu is also contagious, as mentioned above. According to reports, every infected person spreads this illness to 2 or more people. You may develop symptoms 2 to 4 days after exposure to the virus. This illness can spread directly or indirectly through contact with the infected person. Some of the common ways of catching the flu:
Sitting close or next to someone who is infected.
Touching the surface that may be contaminated.
Touching the hands or face of the infected person.
The common cold and the flu are common conditions that affect millions of people worldwide every year, with symptoms ranging from mild to intense. The common cold can affect anyone who comes into close contact with an infected person or touches a contaminated surface, with symptoms lasting 7 to 10 days and are localized. On the other hand, the flu is an infectious disease that is caused by influenza viruses, with the highest cases reported in the winter season. The body reacts differently to both conditions primarily because of the speed of onset, the intensity of the immune response, and the area of the respiratory system affected. If symptoms of any condition worsen, kindly let your doctor know about it to prevent further complications. If we compare colds vs flu, flu symptoms are more severe.
B. Pharma
(Dr. A. Sharma, PharmD, is a licensed pharmacist and a medical writer with 10 years of clinical experience. He strives to empower patients to understand their medications so that they become better healthcare advocates.)
The major difference between a cold and the flu is that the common cold develops slowly and is milder, primarily affecting the nose and throat with minimal systemic impact, while the flu, aka influenza, is highly severe and begins suddenly, causing systemic symptoms such as body aches, fatigue, and high fever.
Whenever you catch a cold, your body triggers an immune response, which, as a result, causes symptoms such as fatigue, a runny nose, a sore throat, and sneezing as the immune system produces inflammation, mucus, and antibodies to fight off the virus.
Cold symptoms usually last for 7 to 10 days and cause localized symptoms such as a runny nose, sore throat, and mild cough. On the other hand, the flu is more severe and begins suddenly, usually lasting for 1 to 2 weeks with a nagging cough that may take up to 1 month to resolve.
You are requested to see a doctor if symptoms associated with these two respiratory illnesses don’t improve within 10 days and cause further symptoms such as chest pain, difficulty breathing, nagging fever, or if you have serious conditions such as diabetes, heart disease, or are immunocompromised.
Yes, both respiratory illnesses are highly contagious and usually spread through airborne droplets from coughs and sneezes or by touching contaminated surfaces. The flu is more contagious in the first few days or for up to a week and can also spread before symptoms surface. On the other hand, common colds remain contagious for up to 2 weeks, with more serious symptoms in the first few days.
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