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Differences between RSV, the Flu, COVID-19 or a Cold

It can be challenging to determine whether an illness is RSV, the flu, a cold, or COVID-19. However, understanding the differences between them can help you choose the best way to care for your child.

sick child laying in bed looking at thermometer

Susanne Tanski MD, MPH, Pediatrics

  • Differentiating between RSV, flu, COVID-19, and the common cold can be difficult since symptoms often overlap.
  • Flu typically has a sudden, severe onset—symptoms appear quickly and intensely in both adults and children.
  • RSV and common colds usually develop more gradually, starting with mild symptoms like a scratchy throat or runny nose.
  • COVID-19 is unpredictable; some individuals experience gastrointestinal symptoms, while others have respiratory issues.
  • Testing is the only reliable way to distinguish between these viruses, especially for COVID-19, which requires isolation measures.
  • RSV generally requires supportive care—hydration, rest, and monitoring—since most people recover without complications.
     

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