8 Doctor-Backed Ways to Avoid a Cold This Fall (and What Doesn't Work)

8 Doctor-Backed Ways to Avoid a Cold This Fall (and What Doesn't Work)
By Editor • Dec 17, 2011 • MD

You can’t completely prevent a cold, because more than 200 viruses cause them, but you can lower your odds. Wash your hands, keep them away from your eyes, nose and mouth, aim for seven or more hours of sleep, stay active, manage stress and don’t smoke. And if you do catch one, the CDC says most colds last less than a week.

Office season, school season and holiday-party season all seem to arrive at once, and so do the sniffles. Here are eight habits that actually help, the myths you can stop worrying about, and how to tell when it’s more than a cold.

This article is general information, not medical advice. If you’re unsure about your symptoms, or you’re pregnant or have a health condition, check with your doctor or pharmacist.

1. Protect your sleep

This is the habit that does the most for the least effort. Dr. Westley Spiro, a board-certified emergency medicine physician at Mount Sinai, told ELLE that people who sleep under six hours “are several times more likely to get sick after exposure” than people who sleep seven or more.

There’s research behind that. In a study in the journal Sleep, 164 healthy adults wore sleep trackers for a week, then were given nasal drops containing a cold virus. Those who slept under six hours a night were about four times as likely to develop a cold as those who slept more than seven. It was a small study, so treat the exact number loosely, but the message is clear: short sleep makes you easier prey.

If the clocks changing has thrown off your rhythm, these tips for sleeping well when daylight saving time ends can help.

2. Keep your vitamin D in a healthy range, and skip the megadoses

Spiro lists keeping vitamin D “in a healthy range” among the basics that help your immune system do its job, and notes that vitamin D levels tend to dip in fall. If you’re not sure where yours are, ask your doctor rather than guessing with high-dose supplements.

What about oranges and orange juice? They won’t prevent or cure a cold, according to ELLE, though the fluids can help you feel better when you’re sick. A normal, balanced diet is enough; there’s no need to stock up on garlic.

3. Wash your hands, and keep them off your face

Cold viruses don’t only spread through the air. The CDC says droplets from coughs and sneezes can get into your body if you touch a contaminated surface, or shake hands with someone who’s sick, and then touch your eyes, nose or mouth.

That makes Spiro’s two basics a pair: wash your hands, and keep them away from your face. Wash before eating, after your commute and whenever you’ve been around someone sniffly.

4. Stay hydrated, especially once you’re sick

Eight glasses of water a day won’t stop you from catching a cold. But fluids matter once you’re sick. Spiro says rest and hydration help your body clear the virus, and warm drinks, broth or chicken soup are comforting and hydrating.

What you choose to wear while working out can have a significant impact on your comfort and performance. One essential item is the sports bra. Lack of proper support can lead to discomfort and muscle tissue damage. Choosing a good sports bra can help prevent these problems and ensure a great workout!

5. Keep moving

Regular exercise is on Spiro’s list of habits that help your immune system. You don’t need a marathon; a brisk walk counts. Just ease off hard workouts if you’re already coming down with something.

6. Manage stress, and don’t smoke

Spiro also names managing stress and not smoking among the basics. Stress tends to shift with the season, along with sleep schedules. Anything that genuinely helps you unwind counts, whether that’s a walk, a call with a friend or a phone-free evening.

7. Understand why fall feels like cold season

Cold weather itself doesn’t give you a cold. Colds are caused by viruses, and the CDC notes you can catch one any time of year. But Spiro says several things stack up in fall:

  • People move indoors and back into schools and offices, so there’s more close contact.
  • Cold, dry air dries out the lining of your nose, making it easier for viruses to take hold.
  • Sleep schedules and stress shift with the season.
  • Vitamin D levels tend to dip.

He adds that rhinoviruses, the biggest cause of colds, peak in spring and fall. Some of what feels like a cold at the change of season can also be allergies.

8. Wind down with a warm bath

A warm bath or shower won’t kill a virus, but it’s a lovely way to switch off before bed. Then get into cozy pajamas and go to sleep a little earlier, which brings you right back to tip number one.

Cold, flu or allergies?

According to Spiro, the speed of onset is the biggest clue.

ColdFluAllergies
How it startsCreeps in over a day or twoHits fast; fine in the morning, wiped out by afternoonFlares when you meet a trigger
Typical symptomsScratchy throat first, then congestion, sneezing, runny noseFever, chills, body aches, exhaustionItchy eyes and nose, sneezing fits, clear watery mucus
FeverLittle or none; the CDC says usually low grade in adultsCommonNo
Body achesMild if anyCommonNo
How longThe CDC says usually under a weekVariesAs long as the trigger is around, often weeks

COVID-19 can look like any of these, Spiro says, so if you’re unsure, test. The CDC adds that flu, RSV and COVID-19 can cause cold-like symptoms but aren’t colds, and are more likely to cause severe illness. It recommends getting tested if you suspect COVID-19 or flu, especially if you’re at higher risk, because antiviral treatments work best when started soon after symptoms begin.

At the first sign of a cold

Spiro’s advice is to treat the first scratchy throat like the start of any illness: “Slow down early rather than pushing through.”

  • Rest. Prioritize sleep, and skip hard workouts and late nights for a few days.
  • Drink plenty of fluids. Water, warm drinks and broth all count.
  • Ease symptoms. Saline nasal rinses, warm fluids and honey for a cough can make you more comfortable, though Spiro cautions they won’t necessarily change the course of the illness. Honey isn’t safe for babies under one.
  • Zinc, maybe. Spiro says zinc lozenges taken within the first day or so “may shave a day or two off for some people,” but the evidence is mixed and they can upset your stomach. Check with a pharmacist if you take other medications.

Colds are caused by viruses, so antibiotics won’t help. For more on that, read our things you should know about colds and flu.

Cold myths to drop

  • "Dairy makes more mucus." Mostly a myth, says Spiro. Milk can feel like it coats your throat for a moment, but studies haven’t shown it makes colds worse.
  • "Orange juice will knock it out." It won’t prevent or cure a cold, though fluids help.
  • "Being cold gives you a cold." Colds are caused by viruses, and you can catch one any time of year, according to the CDC. Fall’s real culprits are close contact, dry air and disrupted sleep.
  • "A hot toddy helps." Spiro says alcohol is worth avoiding while you’re sick because it dehydrates you and disrupts sleep.
  • "Once you’ve had a cold, you’re covered." With so many cold viruses, catching one doesn’t give lasting protection against the next, Spiro explains.

Get your flu shot (it’s not a cold shot)

The flu vaccine won’t stop colds, but the flu is a bigger deal than a cold and is worth preventing. The CDC says everyone 6 months and older should get a flu vaccine every season, with rare exceptions. For more ways to stay well, see our list of ways to avoid getting sick in cold and flu season.

When to see a doctor

Most colds run their course on their own. Spiro says to see a doctor if:

  • You’re not improving after ten days.
  • You develop a high fever.
  • You have trouble breathing.
  • Your symptoms get worse after starting to improve.

Also check in sooner if you’re pregnant, have a chronic health condition, or are caring for a baby or an older relative who’s sick.

FAQ

Can you actually prevent a cold?

Not completely; more than 200 viruses cause colds, and you’ll be exposed to some of them. But hand-washing, keeping your hands away from your face, enough sleep, exercise, managing stress and not smoking all lower your odds.

Why do people get more colds in the fall?

More time indoors in close contact with others, cold dry air that dries out the lining of the nose, changes in sleep and stress, and dipping vitamin D levels, according to emergency physician Dr. Westley Spiro. Rhinoviruses, the most common cause of colds, also peak in spring and fall.

How can you tell a cold from the flu or allergies?

A cold creeps in with a scratchy throat, congestion and little or no fever. The flu hits fast with fever, chills and body aches. Allergies cause itchy eyes, sneezing and clear mucus, with no fever or aches. If you’re unsure, especially about COVID-19 or flu, get tested.

Does dairy make a cold worse?

No. Dr. Spiro says dairy doesn’t make your body produce more mucus, and studies haven’t shown it makes colds worse.

When should you see a doctor for a cold?

If you’re not improving after ten days, you develop a high fever or trouble breathing, or you get worse after starting to feel better.

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