Common cold · URI · Cough, congestion, sore throat

Common cold evaluation online — cough, congestion, and sore throat

Most colds don't need a prescription — but they do need someone to tell you which one this is. A licensed clinician sorts a plain cold from sinusitis, strep, flu, COVID, or bronchitis, prescribes when there's something to prescribe for, and gives you a plan that actually shortens the misery.

Board-certified clinicians · No membership required · Medicare, commercial insurance or $50 self-pay for the Ondoc visit

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Cold treatment
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Medically reviewed by Dr. Ikechukwu Ogbu, MD
MD · Board-Certified, Internal Medicine · Last reviewed

Antibiotics only when they help

A viral cold does not improve with antibiotics. We treat what's treatable — bacterial sinusitis, strep, or a secondary infection — and skip the prescription that just gives you diarrhea.

Prescription-strength relief

When over-the-counter isn't cutting it: prescription cough suppressants, steroid nasal sprays, inhalers for cough-variant asthma, and targeted symptom care.

Ruling out the bigger things

Colds and pneumonia, strep, flu, COVID, and RSV all start the same way. A clinician screens for red flags and orders testing when it will change what you do.

What you get

  • Evaluation for cold and URI symptoms; see current available times
  • Strep, flu, COVID, or RSV testing ordered when useful
  • Prescriptions — antibiotics only for bacterial illness
  • A symptom plan for cough, congestion, and sore throat
  • Work or school note when needed

Missing work or school? Get a doctor's note for work or school from a licensed clinician online.

FAQs

How long does a cold last?

Typically 7–10 days, with a lingering cough that can last 2–3 weeks. Symptoms usually peak on days 2–3 and then slowly improve. Getting worse after day 7, or improving then relapsing, suggests a bacterial sinus infection or something else.

Do I need antibiotics for a cold?

No. Colds are viral and antibiotics do nothing for them. Antibiotics are appropriate for bacterial sinusitis (usually 10+ days of symptoms or worsening after improvement), strep throat, or pneumonia.

Is green mucus a sign I need antibiotics?

No — colored mucus is normal in viral colds and reflects your immune cells, not a bacterial infection. Duration and trajectory matter far more than color.

What actually helps a cold?

Hydration, rest, saline nasal rinses, honey for cough (not for infants under 1), acetaminophen or ibuprofen for aches, and a short course of decongestant if your blood pressure allows. Zinc within 24 hours may modestly shorten it.

When is a cough worth a visit?

Cough with fever over 101°F, shortness of breath, chest pain, coughing up blood, cough lasting more than 3 weeks, or cough in someone with asthma, COPD, or immunosuppression should be evaluated.

Cold, flu, COVID, or RSV — how do you tell?

Onset speed and fever are the biggest clues: flu and COVID come on fast with fever and body aches, a cold builds slowly and stays in the head. RSV skews toward wheezing and shortness of breath. When it matters clinically, we test.

Can I get a sick note for a cold?

Yes — if the clinician determines you should stay home, they can issue a dated work or school note through your visit.