Cold vs Sinusitis Quiz

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Cough with green or yellow phlegm

Nasal congestion

Runny nose

Sneezing

Green mucus from nose

Sore throat

Mucus drips into throat

Headaches worsen in the morning

Facial pain

Fever

Dry cough

Face pain when I look down

Not seeing your symptoms? No worries!

Overview

The common cold and sinusitis (sinus infection) both affect the upper respiratory tract and can share overlapping symptoms like nasal congestion and facial pressure. However, the cold is a viral infection that typically resolves in a few days, while sinusitis involves inflammation or infection of the sinuses, often lasting longer and possibly caused by bacteria. Colds are self-limiting, whereas sinusitis may require medical treatment if symptoms persist or worsen.

Disease Summaries

Common cold: Common cold is an infection of the nose and throat. Symptoms include coughing, runny nose, and throat pain. Most colds are caused by viruses; a few are caused by bacteria.

Sinusitis: Sinusitis is the infection of the sinuses, which are cavities around the nose and face. The infection can be acute (lasting about a week) or chronic (lasting more than three months). Most often infections start as a viral upper respiratory infection and then bacterial infection sets in. The symptoms include fever, facial pain or pressure, and nasal obstruction or drainage. Imaging including CT scans may be necessary.

Comparing Symptoms

Overlapping Symptoms

  • Nasal congestion
  • Runny nose
  • Sneezing
  • Headache or facial pressure
  • Fatigue

Common cold Specific Symptoms

  • Mild symptoms lasting 5–10 days
  • Sore throat
  • Cough (often dry)
  • Watery nasal discharge
  • Low-grade or no fever

Sinusitis Specific Symptoms

  • Facial pain or pressure, especially around eyes or forehead
  • Thick yellow or green nasal discharge
  • Tooth pain or bad breath
  • Decreased sense of smell
  • Symptoms lasting more than 10 days or worsening after improvement

Treatment Approaches

Common cold Treatment Approaches

The common cold usually resolves on its own and does not require specific treatment. Healthcare professionals can suggest ways to alleviate symptoms.

Sinusitis Treatment Approaches

Treatment depends on the duration and severity. Short courses of symptoms can be managed with nasal rinses, analgesics, and nasal steroid sprays. Symptoms lasting longer than a week may require oral antibiotics and/or even oral steroids. In chronic or recurrent cases, surgery may be necessary. Control of allergic rhinitis may be necessary as well. In children, surgery is often focused on removing adenoid tissues in lieu of doing surgery on the sinuses unless the infection extends outside the sinuses into the eye or brain.

Reviewed By:

Kenji Taylor, MD, MSc

Kenji Taylor, MD, MSc (Family Medicine, Primary Care)

Dr. Taylor is a Japanese-African American physician who grew up and was educated in the United States but spent a considerable amount of time in Japan as a college student, working professional and now father of three. After graduating from Brown, he worked in finance first before attending medical school at Penn. He then completed a fellowship with the Centers for Disease Control before going on to specialize in Family and Community Medicine at the University of California, San Francisco (UCSF) where he was also a chief resident. After a faculty position at Stanford, he moved with his family to Japan where he continues to see families on a military base outside of Tokyo, teach Japanese residents and serve remotely as a medical director for Roots Community Health Center. He also enjoys editing and writing podcast summaries for Hippo Education.

Yoshinori Abe, MD

Yoshinori Abe, MD (Internal Medicine)

Dr. Abe graduated from The University of Tokyo School of Medicine in 2015. He completed his residency at the Tokyo Metropolitan Health and Longevity Medical Center. He co-founded Ubie, Inc. in May 2017, where he currently serves as CEO & product owner at Ubie. Since December 2019, he has been a member of the Special Committee for Activation of Research in Emergency AI of the Japanese Association for Acute Medicine. | | Dr. Abe has been elected in the 2020 Forbes 30 Under 30 Asia Healthcare & Science category.

From our team of 50+ doctors

Content updated on May 1, 2025

Following the Medical Content Editorial Policy

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Maxwell J. Nanes, DO

Maxwell J. Nanes, DO

Emergency Medicine

Waukesha Memorial Hospital, Waukesha Wisconsin, USA

Caroline M. Doan, DO

Caroline M. Doan, DO

Internal Medicine

Signify Health

Benjamin Kummer, MD

Benjamin Kummer, MD

Neurology, Clinical Informatics

Icahn School of Medicine at Mount Sinai

Charles Carlson, DO, MS

Charles Carlson, DO, MS

Psychiatry

U.S. Department of Veterans Affairs

Dale Mueller, MD

Dale Mueller, MD

Cardiothoracic and Vascular Surgery

Cardiothoracic and Vascular Surgery Associates

Ravi P. Chokshi, MD

Ravi P. Chokshi, MD

Obstetrics and gynecology

Penn State Health

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Link to full study:

https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1

References