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How to Tell If It’s More Than a Common Cold

man sitting on couch in blanket blowing nose due to sickness.

Cold and flu season often brings the telltale signs of sniffles, sneezes, and sore throats. While most colds clear up on their own, lingering or severe symptoms may signal something more serious. If your symptoms seem unusual or persistent, it could be time to consult an ENT (ear, nose, and throat) specialist to uncover the underlying cause.

Signs you may have more than just a cold

Here are five signs your symptoms could point to more than just a cold.

Symptoms last longer than two weeks

A typical cold caused by a rhinovirus usually lasts 3 to 7 days, though some symptoms might linger up to two weeks. However, if your congestion, coughing, or other symptoms persist beyond this timeframe, it may indicate a more significant issue.

Conditions like chronic sinusitis or allergies can extend symptoms well past the two-week mark. If you’re still struggling to feel better after two weeks, it’s a good idea to seek medical advice to identify the root cause and explore treatment options.

You have persistent sinus pressure or a sinus headache

Headaches during a cold are common, but the type of headache matters. A sinus headache often feels like a deep, persistent pressure behind the eyes, nose, or forehead. This type of discomfort may intensify when bending over or lying down, distinguishing it from the more generalized headaches associated with colds.

Sinus headaches can indicate a sinus infection, especially if they are accompanied by facial tenderness or swelling. If these symptoms don’t subside, an ENT specialist can help determine whether a bacterial infection or another condition is to blame.

Symptoms are chronic or seasonal

If your symptoms seem to follow a seasonal pattern—such as recurring every spring—or arise after exposure to specific triggers like dust or pet dander, you might be dealing with allergies rather than a cold.

Sneezing, nasal congestion, and watery eyes that persist over weeks or months are classic signs of allergic reactions. While allergies and colds share some symptoms, the underlying causes and treatments differ. Chronic symptoms should prompt a visit to an ENT specialist for testing and long-term management solutions.

Sore throat that won’t go away

A sore throat is often part of a cold, caused by irritation from postnasal drip. However, a severe or prolonged sore throat could indicate something more serious, such as strep throat, a sinus infection, or another viral or bacterial illness.

Postnasal drip from sinus infections can keep your throat irritated for weeks. If your throat discomfort is severe or lingers beyond a few days, it’s worth consulting a specialist. An ENT physician can evaluate whether your sore throat is due to an infection or another condition requiring targeted treatment.

Stuffy nose lingers after other symptoms resolve

Colds typically involve a stuffy or runny nose, but when nasal congestion persists after other cold symptoms fade, it may indicate a secondary sinus infection.

Sinus infections often occur when fluid becomes trapped in the sinuses, creating a breeding ground for bacteria. This can result in facial pain, pressure, and a dull, throbbing ache that doesn’t go away on its own. ENT specialists can diagnose sinus infections and provide effective treatments, such as medications or, in some cases, minimally invasive procedures.

When to seek help from an ENT specialist

If your symptoms last beyond two weeks, worsen over time, or show signs of chronic or recurring patterns, it’s time to take action. Conditions like sinusitis, allergies, or even structural issues within the nose can mimic or exacerbate cold-like symptoms.

An ENT specialist can offer a thorough evaluation and create a tailored treatment plan to address the root cause of your discomfort. Don’t let lingering symptoms disrupt your life this cold and flu season—find an ENT specialist near you and take the first step toward relief.

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