A runny, yet stuffy nose. An annoying cough. A scratchy throat. Something’s settling in, but at this time of year, is it a cold or seasonal allergies?

Since both the common cold virus and allergies can linger year-round, flare up more regularly during certain times of the year and share similar symptoms, it can be hard to know exactly what’s happening when the sniffling starts.

Some estimates show that people in the U.S. suffer from 1 billion colds each year. And when it comes to allergies, as many as 30% of adults and 40% of children have them.

So, how can you tell the difference between cold symptoms and seasonal allergy symptoms? Here’s what you need to know.

Allergies vs. colds: A side-by-side look at the common signs

While seasonal allergies and colds share some of the same symptoms, how your symptoms feel and how common they are can be unique. Here’s a side-by-side chart comparing allergy and cold symptoms that gives an overview of the similarities and differences.

Symptoms Allergies Cold
Fever Never Temperature of less than 100°F
Sneezing Common Common
Running or stuffy nose Common Common
Itchy, watery eyes Common Rare
Itchy ears Common Never
Headache Common Common
Cough Dry (typically) Hacking
Circles under eyes Typical Never
Muscle pain or body aches Rare Common
Sore throat Rare Common
Tiredness Common Common

How you can tell the difference between cold and seasonal allergy symptoms

With both allergies and colds, it’s typical to have congestion or a runny nose, and to sneeze often. You may also feel tired and drowsy. But there are several other symptoms that don’t often overlap between allergies and a cold. Here are some of the telltale differences between cold symptoms and allergy symptoms.

1. Allergies follow a pattern and symptoms tend to stick around longer

If you have allergies, your symptoms will flare up at certain times throughout the year when the allergens you’re sensitive to are present. For example, if you have a tree pollen allergy, your symptoms will first appear in the early spring.

This also means that your symptoms can last for several weeks until that particular allergy season has ended. To put that into perspective, colds usually only last about a week.

Cold viruses are present all year, so you can catch one at any time. However, the winter cold season is when getting sick is more likely.

2. Allergies do not cause fevers

People often wonder if allergies can cause a fever. The answer is no. Allergies cannot cause a fever, though you could have an allergy flare at the same time you’re experiencing a fever from another infection.

With a cold, your temperature can run warmer, but typically it will be less than 100 degrees Fahrenheit.

3. A wet, hacking cough screams cold

While a cough is common for both allergy flares and colds, the type of cough for each is different. A cold cough is wet and hacking, and often produces mucus or phlegm that gets progressively thicker, often taking on a green or yellow tinge.

Allergy-related coughs usually feel like you have a tickle in your throat. That’s because allergens often irritate the lining of your nose, which triggers your nasal passages to create a watery mucus. This can drip out of your nose and down the back of your throat, creating that tickling sensation.

4. Itchy eyes, ears, nose and throat usually signals allergies

Allergies have a significant itch factor. If you’re experiencing itchy eyes, ears, nose or throat, it’s almost certainly allergies. That’s because the same allergens that can cause other symptoms like sneezing or coughing, can also affect the lining of your eyes.

5. Allergies rarely cause sore throats or body aches

The only ache you may feel with allergies is a headache from all that congestion. Your throat may also feel dry or scratching. But if you’re experiencing a sore throat or mild body aches, they’re more likely a sign of a bad cold.

Can allergies cause chills? No. If you have chills, it’s more likely you have a cold, the flu or another infection (depending on your other symptoms).

What about COVID-19? How do symptoms differ from a cold or allergies?

The common cold, seasonal allergies and COVID-19 all affect your respiratory system, which means they have several symptoms in common. Some of those shared symptoms include:

  • Runny or stuffy nose (congestion)
  • Cough
  • Scratchy or sore throat
  • Headache
  • Tiredness

One of the main differences that sets them all apart is the type of cough. As we mentioned, a cold cough is wet and often produces mucus or phlegm. Allergy and COVID-19 coughs are both dry, but COVID-19 can often cause persistent coughing that can leave you short of breath.

For a closer look at how to tell the difference between other types of conditions, check out these other helpful resources:

What should I do if I think I have a cold or seasonal allergies?

Start with some home remedies for cold and allergy symptoms

When you start feeling icky, some simple home remedies can provide temporary relief. For starters, try to get more rest. Both allergies and colds can cause tiredness, so listen to your body and take it easy.

Also, take advantage of saltwater to soothe irritated nasal passages and scratchy or sore throats.

For your nose, use a neti pot. A neti pot can be picked up at any local drugstore or online, and typically comes with packets to mix with warm, distilled water to create a saltwater solution to pour through your nasal passages.

For your throat, simply mix a quarter or half teaspoon of table salt into an 8-ounce glass of warm water. Take a sip and gargle for a few seconds like you would with mouthwash. Then spit and repeat until the solution is gone. You can do this a couple times a day.

Use over-the-counter medications to help relieve and manage symptoms

Cold medications

If you think you have a cold, and you’re experiencing a slight fever, headache or muscle aches, take acetaminophen (Tylenol) or ibuprofen (Advil) – as long as you’re not allergic to these medications. These medicines can help lower your temperature and provide some pain relief.

If your child is the one with cold symptoms, make sure you’ve spoken to their doctor about which medications are safe to administer, and follow pain reliever dosing instructions very carefully.

Warning: Do not give aspirin (acetylsalicylic acid) to children or teenagers who have the flu, as it comes with a small risk of causing the potentially fatal Reye’s Syndrome.

Seasonal allergy medications

How do you find relief from seasonal allergies? Taking an oral antihistamine can be your first step.

Benadryl is a popular option, but it may cause drowsiness. (And for kids under age 6, it can sometimes cause hyperactivity.) But newer medications like Claritin, Allegra, Xyzal and Zyrtec – and lower-cost generic versions – have reduced this side effect.

There are also antihistamines available in the form of eye drops to help those itchy, watery eyes. One option is called Zatidor (ketotifen).

Can antihistamines work for cold symptoms, too? Technically, yes. Antihistamines help relieve congestion symptoms such as runny or stuffy nose, sneezing and itchy, teary eyes. So, if you’re experiencing any of those symptoms during a cold, an antihistamine can help.

Medications to help with colds and allergies

Whether you’re experiencing cold or allergy symptoms, there are a couple treatments you can find at your local drug store:

  • Nasal spray (like Flonase and Nasacort) to bring down inflammation in your nose and sinuses.
  • Decongestants (like Sudafed) can relieve congestion when allergies are at their worst. But they can have other side effects, so they should only be used short-term when allergies are severe. Do not take if you have certain medical conditions such as high blood pressure or a heart condition.

Talk with a doctor or clinician to create a personalized treatment plan

If you aren’t sure if it’s a cold or allergies, or if your symptoms are severe or long-lasting, it’s best to connect with a care provider to get an official diagnosis and treatment plan.

If your allergy symptoms are left untreated, you could become more prone to getting sinus infections or other upper respiratory infections, or may lead to poor asthma control.

Also, a common cold can turn severe. So, if your cold has had you laid up longer than a day or two, get in touch with your doctor.

You have a couple options:

Make an appointment for face-to-face care from a primary care doctor or clinician. Whether you choose a video visit or in-person appointment, your doctor will listen to your symptoms, answer questions and work with you to create a tailored treatment plan – including connecting you with an allergist or an otolaryngologist (an ear, nose and throat doctor) if needed.

Schedule an appointment

Start a virtual visit anytime, anyplace through Virtuwell. With Virtuwell, no appointment is necessary – and treatment is available 24/7. Getting started is easy. We’ll ask you a few questions, and you’ll get your diagnosis and treatment plan from a board-certified nurse practitioner. Each visit is just $59 or less, depending on your insurance.

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