When A Cold Is Not A Cold

Recently a friend of mine told me that her daughter had been sick with a cold for two months.
“That's not a cold,” I told her. “It's an allergy.”
“Ridiculous!” my friend responded. “She doesn't have allergies.”
“If it was a cold,” I went on, “it would have been over and done with in a week, max.”
“Is that why she's not responding to the antibiotics?” my friend asked.

Here's two important facts you need to know about colds:
If it's a cold, it is caused by a virus, not a bacteria. Therefore, antibiotics will be useless.
Colds only last about a week. If it lasts longer, it's not a cold.
So how do you tell if it's a cold or an allergy?
First of all, if you have nasal stuffiness, sneezing, or runny nose for longer than a week, start to look at patterns. Do you notice it at a certain time of day? Do you notice that you get a runny nose after eating a particular thing? Is it possible that this happened the last time you ate it?
I had a friend several years ago whose daughter's nose would run every morning after breakfast. She called it “The Breakfast Cold.” Basically, the child was reacting to the food she ate every morning.
Secondly, does your runny nose or sneezing happen at a certain time of year? Do you have what seems to be a month-long cold every March? If so, chances are it's allergies and not a cold. Environmental allergies often mimic colds in their symptoms. The only difference is the duration.
Third, do not underestimate the effect of emotions. If you find yourself in the midst of a month-long cold after the death of a loved one, it's probably your body trying to work out the grief you still feel.
And emotions can be tricky, too! I was treating a patient once for his mold allergies. “My mold allergy is always the strongest in the fall,” he told me. Interesting, I thought; in California, the fall is the dryest time of year, and mold is usually at an all-time low in the fall. I tested him, and found that he wasn't allergic to mold at all. So when I tested again to find out what it was that was triggering his allergy each fall, it turned out to be an emotion...and, long story short, it was in the fall that his father had died several years earlier. After clearing the emotion, his autumn allergy disappeared.

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