How to tell if you have Covid, flu, RSV or just a cold – key symptoms to look out for

While we’re no longer required to test for these winter viruses – if unwell try to stay at home and avoid contact to prevent spread of infections to more vulnerable groups

Not all viruses are easy to detect(Getty Images/iStockphoto)

As temperatures plummet across the country, winter viruses will be once again making the rounds, but not all of them will be easy to detect.

Most of us will get ill at one point during the winter, and in most cases, will only ever experience mild cold or flu symptoms. In rarer cases, urgent medical care may be required.




Here are the key symptoms to look out for if you start to feel under the weather this winter – and what to do if your symptoms worsen.

How can I tell if I have Covid, the flu, Respiratory Syncytial Virus (RSV) or a common cold?

Whether you’re battling the flu, Covid or the common cold, the three viruses can be hard to distinguish because they’re often very similar. All report symptoms such as headaches, coughs, runny/blocked noses, sore throats, fevers, chills, achy and sore muscles. One of the more standout symptoms for Covid-19 is that patients usually experience a loss or change to their sense of taste and smell.

Almost all children are infected with RSV by the time they’re two years old, and while most will only ever experience mild symptoms, urgent medical care will be needed if you or your child is having difficulty breathing, not drinking enough fluids, or if you are experiencing worsening symptoms.

Some unlucky patients with respiratory infections will be prone to vomiting and diarrhoea which may also require further attention. In any case where symptoms grow unbearable or a patient is struggling to breathe, you must seek ugent medical attention.

Dr Sam McConkey, consultant in infectious diseases at Beaumont Hospital, Dublin, explains: “It’s nearly impossible to know which virus you have. For example, SARS-CvC-2 [Covid] is mostly causing coughs, headaches and sore throats now, while in 2020, before we were all vaccinated, it was causing respiratory failure and pneumonia.”

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