Definition
The commoncold, otherwise known as a self-limiting upper
respiratory tract infection, is caused by the rhinovirus,
coronavirus or the adenovirus.
Other virus types, such as influenza viruses, parainfluenza
viruses, enteroviruses, adenoviruses, respiratory syncytial
viruses and metapneumoviruses, are also potential causes,
particularly in patients who are experiencing reinfection.
The cold affects the nose, throat, sinuses and upper airways.
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Sign and Symptoms
Sore throat
Runny nose
Coughing
Sneezing
Stuffy nose
Post-nasal drip
Mild headaches and body aches
Mild to moderate fever
Figure- Sign of Common colds
Causes of CommonCold
The common cold is primarily caused by viral infections, and the most frequent culprits are
rhinoviruses. Other viruses that can cause colds include coronaviruses, adenoviruses, and enteroviruses.
Transmission
The viruses that cause colds are highly contagious and can be easily transmitted from person to person.
The common ways in which these viruses are spread include:
1. Direct Contact: The most common mode of transmission is through direct contact with an infected
person. This can occur when an infected person coughs or sneezes, releasing respiratory droplets into the
air. These droplets can be inhaled by people in close proximity, leading to infection.
2. Airborne Transmission: Viruses causing the common cold can also be transmitted through the air.
When an infected person coughs or sneezes, small particles containing the virus may remain suspended
in the air and be inhaled by others nearby.
3. Touching Contaminated Surfaces: The viruses can survive on surfaces for a period, and individuals
can become infected by touching a surface or object contaminated with the virus and then touching their
mouth, nose, or eyes. This highlights the importance of good hand hygiene.
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4. Close PersonalContact: Being in close contact with an infected
person, such as hugging or kissing, can facilitate the spread of the virus.
5. Lack of Immunity: No one is completely immune to the viruses that
cause the common cold. Individuals, especially those with weakened
immune systems, may be more susceptible to infection.
6. Seasonal Variation: The common cold often exhibits a seasonal
pattern, with higher incidences during the fall and winter months. This
may be due to factors such as cooler temperatures and lower humidity,
which create conditions that favor the survival and transmission of cold
viruses
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Non –pharmacological management
Non-pharmacologicalmanagement of the common cold focuses on relieving
symptoms and promoting comfort without the use of medications. Here are several
strategies that may help alleviate symptoms:
Rest and Hydration
Humidification
Steam Inhalation
Saline Nasal Irrigation
Warm Saltwater Gargle
Honey and Lemon
Proper Hand Hygiene
Avoiding Irritants
Nasal Strips
Elevate the Head
Warm Compress
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Pharmacological Management
Pharmacological managementof the common cold primarily involves the use of
over-the-counter (OTC) medications to relieve specific symptoms.
Pain Relievers and Fever Reducers:
Acetaminophen (Tylenol): Used to reduce pain and fever associated with the
common cold. It is important to follow recommended dosages to avoid liver
damage.
Ibuprofen (Advil, Motrin): An anti-inflammatory drug that can help reduce pain,
fever, and inflammation. It's important to take with food and avoid in certain
populations, such as those with stomach ulcers, kidney problems, or allergies to
NSAIDs.
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Oral Decongestants:
Pseudoephedrine andPhenylephrine: These medications can help relieve nasal
congestion by narrowing blood vessels in the nasal passages. They are available in
oral forms. Pseudoephedrine is often kept behind the pharmacy counter and
requires a prescription in some locations.
Antihistamines:
Diphenhydramine (Benadryl), Loratadine (Claritin), Cetirizine (Zyrtec):
Antihistamines can help relieve symptoms such as sneezing, runny nose, and
itching. They may cause drowsiness, so it's essential to be cautious, especially if
driving or operating machinery.
Cough Suppressants:
Dextromethorphan: A cough suppressant that can help reduce the urge to cough.
It's available in various formulations, including liquid and lozenge forms.
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Expectorants:
Guaifenesin: This medicationhelps thin and loosen mucus, making it easier to
clear from the airways. It is often found in cough syrups.
Topical Nasal Decongestants:
Oxymetazoline (Afrin), Phenylephrine (Neo-Synephrine): These are nasal
sprays that can provide quick relief from nasal congestion. However, they
should not be used for more than a few consecutive days to avoid rebound
congestion.
Antiviral Medications:
In some cases, antiviral medications may be prescribed by a healthcare
professional, particularly if the cause of the common cold is identified as
influenza (flu). These medications may help reduce the severity and duration of
symptoms if taken early in the course of the illness.