Does My Child Have a Cold or the Flu?

Sneezing, coughing, and a runny nose — these symptoms can make it hard to tell whether your child is coming down with a common cold or something more serious like the flu. While both illnesses affect the respiratory system, there are a few key differences to watch for.

Colds vs. the Flu: What’s the Difference?

Colds and influenza (the flu) are both caused by viruses and often share similar symptoms. However, they differ in intensity, duration, and how quickly they come on.

Colds: Gradual and Milder

The common cold usually develops slowly and causes mild symptoms such as:

  • Runny or stuffy nose

  • Sneezing

  • Sore throat

  • Mild cough

  • Occasional low-grade fever

  • Fatigue (usually mild)

Most colds clear up within 7–10 days and don’t require medical attention unless symptoms persist or worsen.

Flu: Sudden and More Intense

The flu tends to come on suddenly and may cause more severe symptoms, including:

  • High fever (often 38.5°C / 101.3°F or higher)

  • Chills or shaking

  • Body aches and muscle pain

  • Headache

  • Extreme tiredness or weakness

  • Persistent dry cough

  • Nausea or vomiting (especially in children)

Flu symptoms can last longer than a cold and may lead to complications like ear infections, pneumonia, or asthma flare-ups — particularly in young children or those with underlying conditions.

When to See a Doctor

If you’re unsure whether your child has a cold or the flu, or if they have any of the following symptoms, consult your family doctor or pediatrician:

  • High fever lasting more than 3 days

  • Trouble breathing

  • Severe or persistent vomiting

  • Signs of dehydration (e.g. dry mouth, low urine output)

  • Excessive sleepiness, confusion, or unusual irritability

Young children — especially those under 5 — are more vulnerable to complications and should be monitored closely.

Supportive Care for Colds and Flu

There’s no cure for colds or flu, but you can help your child feel more comfortable with:

  • Plenty of rest

  • Fluids like water, broth, and diluted juice

  • A cool mist humidifier for congestion

  • Age-appropriate fever and pain relief

Medpac offers a Children’s Pain & Fever Relief Suspension (for ages 2–11) that can help reduce fever and discomfort. Always follow the dosing instructions and speak to your healthcare provider if you have questions about which product is appropriate.

Disclaimer: This article is for informational purposes only and should not be considered medical advice. If you are concerned about your child’s symptoms or health, consult a qualified healthcare provider.

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Fever Symptoms & Warning Signs in Children