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Dr. Bryan Betty: Hay fever vs the Common Cold

Author
Dr. Bryan Betty,
Publish Date
Sat, 1 Nov 2025, 11:52am
Photo / Getty
Photo / Getty

Dr. Bryan Betty: Hay fever vs the Common Cold

Author
Dr. Bryan Betty,
Publish Date
Sat, 1 Nov 2025, 11:52am

Often people experience sneezing and congestion and are unclear of the difference between a cold and hay fever - very common in spring. 

What is the difference? 

  • This time of the year can be confusing especially with a late carry over of winter illnesses.
  • Basically, hay fever is an allergic reaction to pollen, dust or pets.
  • The common cold is an infection caused by a virus most often: rhinovirus.
  • Hay-fever comes on suddenly, lasts for days to weeks, often frequent sneezing, and red itchy watery eyes, itchy throat, nose. No temperature.
  • Common Cold: Comes on gradually over days, last 5 to 10 days, thick yellow nose discharge, mild eye irritation, less sneezing, often temperature and muscle ache.  

How should you tell the difference? 

  • If itch eyes and nose think hay fever.
  • If you feel achy and unwell more likely a cold.
  • Hay fever does tend to occur at certain times of the year – especially spring, or lawn mowing.
  • With a cold often have ben in contact with someone who is sick 

  

How do you treat them? 

Hay fever : 

  • It is important to try and avoid irritants : keep windows closed especially on windy days, shower after being outside. 
  • We use anti-histamines (stops itch, sneezing), often eye drops(stops watery eyes) and nasal spray(stops nasal congestion). 

Common Cold: 

  • Antibiotics do not help – it’s a virus.
  • Stay at home - don’t spread.
  • Paracetamol or ibuprofen for aches and temperature.
  • Nasal spray decongestants for nose
  • Throat lozenges for sore throat.
  • Usually, will improve over a week. 

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