How to distinguish between viral cold and bacterial cold

Written by Wu Xiao Sheng
Pulmonology
Updated on January 06, 2025
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The majority of colds are caused by viral infections, with only a very small portion caused by bacterial infections, or accompanied by bacterial infections. The distinction between viral and bacterial colds is primarily made from the following two aspects: First, in terms of clinical symptoms, those caused by viral colds are mostly short-lived, usually healing quickly within about a week, while the clinical symptoms caused by bacterial colds tend to persist longer, often exceeding a week. Secondly, in terms of blood work, viral colds mostly show normal results, or a lower white blood cell count; whereas bacterial colds often exhibit an increased white blood cell count, or an increased proportion of neutrophils.

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Written by Qiu Xin Hui
Traditional Chinese Medicine
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How to treat a cold caused by exposure to cold?

In traditional Chinese medicine, the common cold due to exposure to cold, also known as "wind-cold cold," is primarily caused by a decrease in the body's resistance, leading to the invasion of wind and cold. If the wind-cold is not expelled in time, symptoms such as nasal congestion, clear nasal discharge, sneezing, headache, and chills may arise. At this point, consuming warm and heating foods can help dispel the wind and cold, and relieve the body surface. One can drink ginger brown sugar water, as ginger effectively warms the middle, dispels cold, and expels wind, while brown sugar can enhance the body's resistance. Drinking it while it's hot causes the body to slightly heat up and sweat, which can quickly alleviate the symptoms of the cold due to exposure. (Please consult a professional physician before using any medication, and do not self-medicate.)

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Written by Wang Chun Mei
Pulmonology
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Does the common cold have phlegm?

The common cold, also known as acute upper respiratory infection, is generally caused by a viral infection for most patients. For the first three days before catching a cold, patients typically experience a dry cough without phlegm. After symptoms persist for two to three days, some patients may develop a bacterial infection as well. Therefore, at this point, some patients with the common cold might also experience varying degrees of phlegm production. In the case of the common cold, once a diagnosis is confirmed, it is important to promptly administer appropriate treatments such as antivirals and heat-clearing detoxifying medications to alleviate the acute clinical symptoms of the patient. By effectively alleviating these symptoms, it prevents the patient from developing additional bacterial infections, thus avoiding the occurrence of a cough with phlegm.

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Written by Hu Bai Yu
Pulmonology
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How to treat cold and cough with food therapy?

Colds and coughs can be treated through dietary therapy. For instance, you can stew pears with rock sugar or stew pears with Fritillaria and add some honey, both of which can help alleviate coughs. Additionally, if it's just a dry cough without phlegm, you can take an uncooked egg before going to bed at night, place it in a bowl, sprinkle a large spoonful of sugar on top without stirring, and steam it in a pot until cooked. Eating it hot, along with the soup and egg, can help relieve dry coughs. Also, it should be noted that using scallion whites and white radishes, boiled into a soup to drink like tea two to three times a day, can also be beneficial in alleviating coughs.

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Written by Qiu Xin Hui
Traditional Chinese Medicine
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Can you eat watermelon when you have a cold caused by wind-cold?

In Traditional Chinese Medicine, it is believed that the common cold caused by wind-cold primarily occurs when the body's resistance is weakened, and the body is exposed to the pathogenic influences of wind and cold. These influences then linger within the body producing a series of symptoms. To treat a cold caused by wind-cold, it is appropriate to take medicines that expel wind and dispel cold. This means using warm-natured medicines to regulate and cure the cold. Therefore, during this time, one should not eat watermelon. Watermelon has cooling properties, which can cause the wind-cold to remain within the body instead of being expelled, potentially worsening the symptoms of the cold. Hence, eating watermelon should be avoided when suffering from a wind-cold type of cold.

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Written by Hu Bai Yu
Pulmonology
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What soup to drink for a cold?

During a cold, it is advisable to eat some liquid foods appropriately. If it is a cold caused by wind-cold, at this time, you can appropriately drink some brown sugar ginger water, which can expel the coldness in the body and alleviate some symptoms of the wind-cold cold. If it is a wind-heat cold, then you can drink some rock sugar pear water or Fritillaria pear water at this time, which has the effects of clearing heat and detoxifying, reducing fire, moisturizing the lungs, and relieving cough. At the same time, it is recommended that everyone must pay attention to getting more rest during a cold, not to overwork, eat more fresh fruits and vegetables, supplement vitamins, and increase their resistance. Additionally, it is also appropriate to drink some millet juice or vegetable juice, and yam juice, etc., which can supplement the body's vitamins and meet the body's needs for vitamins.