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How to differentiate between a cold, flu and COVID-19 and step wise action plan for covid treatment

By Dr Karthiyayini Mahadevan, Head, Wellness and Wellbeing at Columbia Pacific Communities     Features Cold Flu COVID-19 Presenting Symptoms Most common       Less common   Running nose, sneezing       Fever, sore throat   Headache, running nose, fever     Sore throat   Sore throat, fever, body ache, loss of smell, taste and have diarrhoa H/o Contact

By Dr Karthiyayini Mahadevan, Head, Wellness and Wellbeing at Columbia Pacific Communities

 

 

Features Cold Flu COVID-19
Presenting Symptoms

Most common

 

 

 

Less common

 

Running nose, sneezing

 

 

 

Fever, sore throat

 

Headache, running nose, fever

 

 

Sore throat

 

Sore throat, fever, body ache, loss of smell, taste and have diarrhoa

H/o Contact tracing with COVID positive individual either as primary or secondary contact  

 

Not present

 

 

Not present

 

 

Sometimes present

Onset of symptoms with exposure to symptomatic individuals (Cold, sore throat, cough, fever)  

 

1-3 days

 

 

1-4 days

 

 

2-14 days

Symptoms appearing 6 weeks post the second dose of vaccination against COVID  

 

Possible

 

 

Possible

 

 

Unlikely

 

Even though the symptoms are similar, the colonisation of the causative organism makes a difference. In COVID-19 there is a strong colonisation in the nasopharynx, hence bringing in the symptom of loss of smell and taste.

 

Algorithm to consider for COVID care is:

 

Symptomatic treatment includes

  • Warm sips of fluids
  • Saline/Betadine gargling
  • Adequate hydration
  • Steam inhalation

 

 

Precautions

  • Avoid crowded places
  • Maintain social distancing of 6 feet
  • Always wear a mask when stepping out and definitely in indoor spaces.
  • Maintain hygiene by frequently washing and sanitising your hand
  • Avoid any contact with your eyes, nose and mouth before washing hands when you are outdoors. After returning from outdoors, avoid any contact with your eyes, nose and mouth, until you wash and sanitise your hands.
  • Consume a well-balanced diet and engage in adequate physical activities.

 

As we see the mutation in the SARS CoV2, the virulence of this omicron is less even though it is highly infectious. A booster dose may reduce the chances of getting infected.

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