Erkältung: Ebbt schnell ab - und es droht kein Fieber

Viele Betroffene verwechseln allerdings Grippe und Erkältung miteinander, da sich die Symptome sehr ähneln. Doch eine Erkältung kann bis zu viermal im Jahr auftreten. Auch diese wird durch Viren ausgelöst - allerdings sind es unterschiedliche Virentypen - und auch hier treten Schnupfen, Halsschmerzen und Kopfweh auf.

Doch es gibt einen gravierenden Unterschied: Eine Erkältung beginnt sehr langsam und ebbt meist auch wieder nach ein paar Tagen ab. Zudem "beeinträchtigt sie zwar die Befindlichkeit, aber man ist nicht schwer krank", so Walger. Außerdem ist hierbei das wichtigste Kriterium nicht vorhanden: das Fieber. Das bedeutet konkret: Wer erkältet ist, wird davon glücklicherweise verschont. Wenn Sie allerdings bereits unter hohem Fieber leiden, dann sollten Sie am besten schnell einen Arzt aufsuchen. Das gilt besonders für:

  • Senioren
  • Menschen mit Herz-Kreislauf-Erkrankungen
  • Menschen mit Lungenkrankheiten
  • Diabetiker
  • Menschen mit schwachem Immunsystem
  • Kleinkinder

Wer nicht zur Risikogruppe gehört, aber mit Verdacht auf Grippe zusätzlich unter Atemnot, Kreislaufstörungen oder sogar Schwindel leidet, sollte ebenfalls einen Arzt aufsuchen. Das gilt übrigens auch für diejenigen, die eine langanhaltende Erkältung plagt oder nach ein paar Tagen ein neuer Schub kommt. Schließlich könnte sich dahinter sogar eine Lungenentzündung verbergen. Doch auch andere Organe könnten betroffen sein:

Studie überrascht: Jeder fünfte Grippe-Infizierte zeigt gar keine Symptome

Dagegen erstaunt eine Studie des Lancet Respiratory Medicine von 2014 – die besagt, dass sich während einer Grippewelle jeder Fünfte mit Influenza-Viren ansteckt. Doch jetzt kommt der Hammer: Die meisten wissen es nicht einmal, da sie gar keine Symptome haben. Das Team um Andrew Hayward vom University College London konnte nachweisen, dass es sich sogar um drei Viertel der Infizierten handelt. Daher sollen auch nur einige wenige "Unglückliche" in der Folge zum Arzt gegangen sein.

Und das ist auch richtig so – eine Influenza ist schließlich eine ernstzunehmende Erkrankung, die bei Komplikationen am Ende sogar tödlich enden kann. Daher macht es auch Sinn, dass es gegen die "echte" Grippe eine Impfung gibt – gegen Erkältung nicht. Der Impfstoff unterscheidet sich dabei von Jahr zu Jahr, je nachdem, welche Grippeviren gerade im Umlauf sind.

Chances are, you’re here to look for answers about eczema (eg-zuh-MUH) and find support.

You might have first noticed an itchy, red patch on your baby’s cheeks, chin, or chest that she or he scratched until it became even more irritated. Sound familiar? Or maybe you experienced something similar on your own neck, inner elbows, or behind your knees.

Eczema can appear anywhere on the body

That’s probably when you made an appointment with your doctor, who looked at it, talked to you about your symptoms, asked you questions about your family history and the types of products you use on your skin and in your home. Then your doctor told you it was eczema.

So what exactly is eczema? Who can get it and why? And what should you do, now that you or your child has been diagnosed?

Learning more about what kind of eczema you have and what may have triggered it, is the best starting point to treating and managing it, so that your eczema doesn’t get in the way of your everyday life.

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Les diverses souches d'influenza A produisent les mêmes types de symptômes. Parmi ceux-ci, on retrouve:

  • des courbatures;
  • des frissons;
  • une toux;
  • de la fatigue;
  • une fièvre;
  • des maux de tête;
  • une perte d'appétit;
  • un mal de gorge.

Certaines personnes infectées par le virus de la grippe H1N1 ont également signalé des vomissements et de la diarrhée.

Les symptômes peuvent varier de légers à graves et peuvent parfois nécessiter une hospitalisation. Dans certains cas, des complications graves comme la pneumonie et l'insuffisance respiratoire peuvent causer le décès. Tout comme la grippe saisonnière, la grippe H1N1 peut aggraver des problèmes de santé chronique existants.

Des tests diagnostiques en laboratoire peuvent être demandés par le médecin pour aider à identifier le virus de la grippe. Si vous avez séjourné dans une région où il y a une éclosion de cas de grippe H1N1 et que vous éprouvez l'un des symptômes de la grippe, vous devriez consulter votre médecin. Mentionnez sans faute à votre médecin la région visitée. Téléphonez à l'avance avant de vous rendre chez votre médecin pour préparer votre visite.

La souche H1N1 est comprise dans le vaccin antigrippal saisonnier. Des médicaments sont également disponibles pour aider à prévenir et à soigner la grippe H1N1. Ce sont les médicaments dénommés antiviraux. Deux classes d'antiviraux sont disponibles: les inhibiteurs de la protéine M2 (par ex. l'amantadine*) et les inhibiteurs de la neuraminidase (par ex. l'oseltamivir, le zanamivir).

La majorité des cas signalés antérieurement de personnes ayant contracté la grippe H1N1 ont pu se remettre complètement sans recourir à des soins médicaux ni à des médicaments antiviraux. Cependant, l'incidence des éclosions nous renseignent que le traitement à l'aide d'antiviraux pourrait être nécessaire, surtout pour les personnes qui présentent des symptômes modérés ou graves et celles qui risquent de subir des complications de la grippe (par ex. les personnes qui ont des troubles médicaux sous-jacents).

Pour les personnes atteintes, améliorez votre état et prévenez la propagation du virus en prenant les précautions suivantes:

  • demeurez à la maison si vous avez contracté le virus. Ne vous rendez pas au travail ni à l'école;
  • gardez au moins 1 mètre de distance entre les autres personnes;
  • reposez-vous et buvez beaucoup de liquide;
  • couvrez-vous la bouche et le nez avec un papier-mouchoir lorsque vous toussez ou éternuez. Jetez-le ensuite à la poubelle. Si vous n'avez pas de papier-mouchoir à votre portée, couvrez-vous le nez et la bouche avec votre manche ou vos mains. Lavez soigneusement vos mains par la suite;
  • lavez-vous les mains régulièrement avec du savon et de l'eau. Prenez soin de laver vos mains avec du savon pendant au moins 15 secondes. Utilisez un désinfectant pour les mains à base d'alcool si vous n'avez pas accès au savon ni à l'eau.

Il existe des façons de vous protéger contre le virus de la grippe H1N1. Recevoir le vaccin contre l'influenza juste avant la saison annuelle de la grippe (en général de novembre à avril en Amérique du Nord) représente de beaucoup la mesure de prévention la plus efficace. Les personnes qui séjournent dans des régions où il y a une éclosion du virus doivent prendre des précautions particulières pour réduire leur risque d'exposition au virus de la grippe H1N1. Voici quelques conseils pour prévenir la grippe:

  • évitez le contact étroit avec des personnes infectées et qui présentent des symptômes de grippe H1N1 (par ex. de la fièvre, une toux);
  • lavez-vous fréquemment et soigneusement les mains avec du savon et de l'eau. Pour pratiquer un bon nettoyage, vous devez vous laver les mains avec du savon et frotter pendant au moins 15 secondes. Utilisez un désinfectant à base d'alcool si vous ne pouvez pas vous laver les mains.

*Tous les médicaments ont à la fois une dénomination commune (un nom générique) et un nom de marque ou marque. La marque est l'appellation qu'un fabricant choisit pour son produit (par ex. Tylenol®). Le nom générique est le nom du médicament en médecine (par ex. l'acétaminophène). Un médicament peut porter plusieurs noms de marque, mais il ne possède qu'un seul nom générique. Cet article répertorie les médicaments par leur nom générique. Pour obtenir des renseignements sur un médicament donné, consultez notre base de données sur les médicaments. Pour de plus amples renseignements sur les noms de marque, consultez votre médecin ou un pharmacien.

One cause of IBS: SIBO (Small intestinal bacterial overgrowth)

You may be happy to hear that there are a small group of medical doctors out there who don’t brush off IBS as a psychological condition.

In fact, they believe they’ve found the cause of IBS and the cure. Their theory is that IBS is caused by an overgrowth of bad bacteria in the small intestine. This condition is known as SIBO or small intestinal bacterial overgrowth.

The doctor leading the SIBO theory is Dr. Mark Pimentel. He wrote this book about it.

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There are many different flu viruses. Each year, a new flu vaccine is developed. It is designed to fight 4 flu viruses that scientists expect to be most common that year. This yearly vaccine is also called the "seasonal flu vaccine" or the "annual flu vaccine." "Seasonal" doesn't mean you need to get a flu vaccine every spring, summer, fall, and winter. You only need it once a year.

The Centers for Disease Control and Prevention (CDC) does not recommend the nasal spray this flu season. Studies found the nasal spray offered little or no protection for children ages 2 through 17 last flu season.

The flu vaccine works most of the time. Each year's flu vaccine fights the 4 most common flu viruses for that year. If they come in contact with a different flu virus, they could still get the flu. But getting the flu vaccine is always better than not getting it.

The inactive flu viruses in the vaccine trick the body into thinking it is being infected, so the body builds immunity against the flu. Then, if a real flu virus tries to infect that person, their body is ready to fight against it.

Can you still get the flu after you get a flu shot?

Yes, but even if you get the flu, the vaccine can help lessen the symptoms. The flu vaccine takes about two weeks to work.

No, a flu shot cannot cause flu illness.

Someone I know didn't feel well after getting the flu vaccine. Why?

Flu vaccines have been given since the 1940's, hundreds of millions of times. Almost all people who get one have no serious problems. Sometimes people get sore at the spot where they get a vaccine. Very rarely, some people get a fever, pain or weakness after getting the flu shot. In both cases, this usually goes away in a day or two.

A vaccine, like any medicine, may cause serious allergic reactions in very rare cases. Get medical help right away if hoarseness or wheezing, hives, paleness, weakness, a fast heartbeat, or dizziness occur after getting the shot. Also, about 1 person in a million can get an illness called Guillain-Barre Syndrome (GBS) following the flu vaccine.

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promising treatment for pulmonary influenza-related injury

…promising treatment for pulmonary influenza-related injury; electron micrograph Colorized transmission of avian influenza virus a H5N1. Credit: Public Domain (Medical Xpress) –Influenza is highly contagious, and often causes…

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…90-year-old driving across the country, an increase of 12,400 from the current number of 70,000 in 2017. Older of 80 years on the road also increased, from 22 percent from…

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No more effective than observation

Cochrane review of seven RCTs14

No more effective than placebo for reducing duration or severity of cold symptoms

RCT = randomized controlled trial.

Information from references 7, 11, 14, and 23 through 28.

Therapies Not Effective for the Common Cold in Adults

Cochrane review of nine RCTs7

No difference in symptoms or purulent rhinitis compared with placebo

Antihistamine monotherapy (sedating and nonsedating)

Cochrane review of three RCTs11

No more effective than placebo

Cochrane review of 32 RCTs23

No more effective than placebo

Cochrane review of two RCTs11

No more effective than placebo for cough

American College of Chest Physicians24

RCT with viral challenge25

No more effective than placebo for cold symptoms

No more effective than placebo

Nasal irrigation with hypertonic or normal saline

No more effective than observation

Cochrane review of seven RCTs14

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Cat flu is quite a nasty illness for your pet. If you have never seen a cat with flu then count yourself lucky. It is far worse than cat colds.

Our cats have always been vaccinated and have never caught the feline flu, but because Little Mo came from an animal shelter, we did not know her previous history and she caught the flu soon after we re-homed her.

Cat Flu is the common name given to a group of viruses, which affect the upper respiratory tract in cats.

Healthy cats are normally able to cope with the illness and it is not usually fatal, but it can be much nastier and dangerous to kittens and cats with a weaken immune system.

Anyway we all know how unpleasant the flu can be in ourselves, so it is something that we should try and protect our pets from catching it in the first place.

This is a very serious condition which can cause long term damage to some cats such as blindness. It can also kill young cats and which is why vaccination is so important.

The disease affects the:

  • eyes, nose, mouth and windpipe. In severe cases it may even spread to the lungs and bronchi.

The viruses are spread:

  • Via sneezing and contact with the discharges.

The Spread of the virus needs to be contained. The best method is to:

  • Cats infected with the feline flu should be kept separate from other animals to prevent spreading the disease.

If you notice your cat displaying any of the following symptoms, you should take them to the vets immediately to have the illness diagnosed professionally and treated quickly.

The symptoms of cat flu can last between 7 and 14 days depending on the strain of virus.

Viral infections cannot be cured but the symptoms can be managed. Depending on the symptoms your cat is showing your vet may prescribe, eye drops and or antibiotics.

In severe cases where the cat cannot eat or drink due to mouth ulcers, your vet may want to keep your cat at the clinic so that they can be fed intravenously.

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Für die saisonale Influenza ist der Mensch das einzige Reservoir und damit die einzige Infektionsquelle. Ansteckend sind vor allem Erkrankte während der ersten 4-5 Tage, da sie dann große Mengen von Viren aushusten. Bei Kindern, schwer Erkrankten und insbesondere bei stark Abwehrgeschwächten kann die Ausscheidung von Viren auch länger anhalten (bis zu 2 Wochen, in Einzelfällen mehrere Monate). Eine Ausscheidung ist auch schon 1-2 Tage vor Symptombeginn möglich.

Die Übertragung von Influenzaviren erfolgt überwiegend durch Tröpfchen, die insbesondere beim Husten oder Niesen entstehen und über eine geringe Distanz auf die Schleimhäute der Atemwege von

Kontaktpersonen gelangen können. Selbst beim normalen Atmen oder Sprechen können solche infektiöse Tröpfchen entstehen und länger in der Luft schweben. Darüber hinaus ist eine Übertragung auch durch direkten Kontakt der Hände zu Oberflächen, die mit virushaltigen Sekreten kontaminiert sind, und anschließendem Hand-Mund-/Hand-Nasen-Kontakt möglich (z.B. durch Händeschütteln).

Die Inkubationszeit, also die Zeit von der Infektion bis zum Ausbruch der ersten Krankheitsanzeichen, beträgt bei der Grippe meist nur ein bis zwei Tage. Typisch für eine Influenza ist der plötzliche Beginn der Erkrankung Die Hauptsymptome sind:

  • hohes Fieber bis zu 41°C, häufig mit Frösteln
  • trockener Husten und Heiserkeit
  • Halsschmerzen
  • Kopf- und Gliederschmerzen
  • schweres Krankheitsgefühl

Weitere häufige Symptome sind allgemeine Schwäche, Appetitlosigkeit, Schweißausbrüche, Schnupfen und Augenschmerzen. In einigen Fällen können auch Schüttelfrost, Lichtscheu und Geräuschempfindlichkeit hinzukommen. Bei einem Teil der Patienten liegt auch eine Beteiligung des Magen-/Darmtrakts vor mit Übelkeit/Erbrechen und Durchfall.

Allerdings können auch viele weitere, meist virale Atemwegserreger einige dieser Symptome verursachen. Gerade anfangs kann man die Grippe leicht mit einer Erkältung verwechseln, für die ebenfalls mehrheitlich Viren verantwortlich sind. Der Unterschied zwischen Influenza und Erkältung zeigt sich meist im Verlauf und in der Schwere der Erkrankung (siehe Unterschiede zwischen Grippe und Erkältung). Abhängig von einer vorbestehenden Immunität, vorliegenden Grunderkrankungen aber auch von der individuellen Konstitution erkranken nicht alle Influenza-Infizierten mit den typischen Symptomen. Als Faustregel kann gelten, dass es bei etwa einem Drittel der Infektionen zu einem hochfieberhaften, einem weiteren Drittel zu einem leichteren und dem letzten Drittel zu einem Verlauf ohne Symptome kommt.

Das hohe Fieber dauert meist 3 bis 4 Tage. Ein erneuter Fieberanstieg kann auf den Beginn einer zusätzlichen bakteriellen Infektion (Superinfektion) der Atemwege hinweisen. Die Krankheitsdauer liegt in der Regel bei 5 bis 7 Tagen, kann im Einzelfall jedoch auch deutlich länger sein, insbesondere bei Komplikationen und Risikofaktoren. Der quälende Reizhusten hält nicht selten über Wochen an. Einige Patienten leiden noch Wochen nach Abklingen einer Influenza an einer ausgeprägten allgemeinen Leistungsschwäche, Appetitlosigkeit und Unwohlsein bis hin zur Depression. Schwerwiegende Komplikationen treten zwar nur bei einem kleinen Teil aller Infizierten auf, in Anbetracht der meist sehr großen Zahl von Erkrankten während der jährlichen Grippesaison sind sie dennoch relativ häufig.

Experte: Wissenschaftliche Beratung und Ausarbeitung: Prof. Dr. Thomas Löscher, München

Literatur:
Lehnert R et al. Antivirale Arzneimittel bei saisonaler und pandemischer Influenza. Ein systematisches Review. Dtsch Arztebl Int 2016; 113: 799
Rationelle Diagnostik und Therapie in der Inneren Medizin in 2 Ordnern; Meyer, J. et al. (Hrsg.); Elsevier 11/2016
Salzberger B, Schmidt B: Neues zur Influenza. Dtsch med Wochenschr 2016; 141: 1451

Dizziness, a feeling of being off balance or lightheaded, is a common symptom in people with MS. A less common symptom for people with MS is vertigo, which causes the sensation that they or their surroundings are spinning or that the ground suddenly rushes upwards. Vertigo can be exacerbated by lying down or inclining one’s head or in situations where vision cannot be used, such as in a darkened room.

The symptoms of dizziness and vertigo result from lesions (damaged areas) on the nerve pathways responsible for transmitting input from the inner ear to the brain for the purpose of maintaining balance or equilibrium. Damage to the eighth cranial nerve, which serves both the balance (vestibular) and acoustic processes of the ear, can cause dizziness or vertigo.

If dizziness or vertigo become significant problems for you or continue for a long time, your doctor may be able to give you a medication to help resolve the symptom.

Medications for treating motion sickness, including antihistamines such as Antivert ® (meclizine), Dramamine® (dimenhydrinate), and Benadryl (diphenhydramine), may be useful, as well as select drugs in the benzodiazepine family, including Valium (diazepam), Klonopin (clonazepam), Ativan (lorazepam), and Xanax (alprazolam). A drawback with both antihistamine and benzodiazepine medications is that they can make you feel drowsy. So, you should work with your doctor to find the lowest dosage that resolves your symptoms.

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Better plans and designs while creating dams and irrigation schemes can prevent this disease from spreading among the nearby population.

Symptoms of AIDS are caused by the deterioration of the immune system and the decline of CD4+ T cells, which are the immune system's key infection fighters. As soon as HIV enters the body, it begins to destroy these cells. Some common symptoms include:

  • Diarrhea that lasts for more than a week
  • Dry cough
  • Memory loss, depression and neurological disorders
  • Pneumonia
  • Profound, unexplained fatigue
  • Rapid weight loss
  • Recurring fever or profuse night sweats
  • Red, brown, pink or purplish blotches on or under the skin or inside the mouth, nose or eyelids
  • Swollen lymph glands in the armpits, groin or neck
  • White spots or unusual blemishes on the tongue, in the mouth, or in the throat

Because people with AIDS have weakened immune systems, they're more prone to infections, called opportunistic infections. Opportunistic infections are caused by organisms that typically don't cause disease in healthy people but affect people with damaged immune systems. These organisms attack when there's an opportunity to infect.

Deterioration of the immune system is caused by the decline in CD4+ T cells, which are key infection fighters. As soon as HIV enters the body, it begins to destroy these cells.

Symptoms of opportunistic infections common with AIDS include:

  • Coma
  • Coughing and shortness of breath
  • Difficult or painful swallowing
  • Extreme fatigue
  • Fever
  • Mental symptoms such as confusion and forgetfulness
  • Nausea, abdominal cramps and vomiting
  • Seizures and lack of coordination
  • Severe, persistent diarrhea
  • Severe headaches
  • Vision loss
  • Weight loss

Many opportunistic infections associated with AIDS cause serious illness. Some may be prevented. Below is a list of infections and how they affect the body.

Cryptoccoccal Menigitis — This is a yeast-like fungus infection that usually involves the brain and lungs, although it can affect almost any organ. The fungus that causes this condition is found in soil throughout the world. It is most common in soil contaminated by bird droppings. This disease most often occurs when a person's CD4+ T cell count falls below 100 cells per cubic millimeter of blood.

HIV-related Encephalopathy — Encephalopathy is a term for diseases that alter brain function or structure, leading to problems with cognitive function, or mental processes, and memory. In people with HIV and AIDS, encephalopathy is usually caused by an infectious agent, such as a bacteria, virus or prion.

Encephalopathy most often occurs when a person's CD4+T cell count falls below 50 cells per cubic millimeter of blood. Toxoplasma-seropositive patients who have a CD4+T cell count of less than 100 cells per cubic millimeter of blood should be treated with prophylaxis to prevent developing encephalopathy.

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    Dans le choix d’un vaccin, il est important de tenir compte du fardeau relatif de la maladie grippale imputable à chacun des différents sous-types d’influenza (c’est-à-dire, la souche A(H1N1), la souche A(H3N2) et la souche B) au sein du groupe d’âge en question, ainsi que de l’efficacité, de l’immunogénicité et du profil d’innocuité des vaccins offerts 3.

    † Le vaccin Fluzone trivalent à dose standard n’est ni en vente ni offert au Canada.
    ** Le critère de supériorité statistique prédéfini pour le principal critère d’évaluation (limite inférieure de l’IC à 95 % bilatéral de l’efficacité du vaccin FLUZONE MD Haute dose par rapport à celle de FLUZONE MD > 9,1 %; valeur p contre H0: EV MD Haute dose ou dans un groupe recevant FLUZONE MD Trivalent. L’étude a été effectuée pendant deux saisons grippales (2011-2012 et 2012-2013). FLUZONE MD Haute dose contient 60 μg d’HA de chaque souche alors que FLUZONE MD Trivalent contient 15 μg d’HA de chaque souche. La population soumise à l’analyse conforme au protocole pour l’évaluation de l’efficacité du vaccin comprenait 15 892 sujets ayant reçu FLUZONE MD Haute dose et 15 911 sujets ayant reçu FLUZONE MD Trivalent. Le critère d’évaluation principal de l’étude était la survenue d’une grippe confirmée en laboratoire, définie comme une nouvelle manifestation (ou une exacerbation) d’au moins l’un des symptômes respiratoires suivants: maux de gorge, toux, production d’expectorations, respiration sifflante ou difficulté à respirer, en présence d’au moins l’un des signes ou symptômes généraux suivants: température > 37,2 °C, frissons, fatigue, céphalées ou myalgie.

    Lors de la première année de l’étude, le composant de souche B du vaccin et la majorité des cas de grippe de type B étaient de la lignée Victoria; lors de la deuxième année, le composant de souche B du vaccin et la majorité des cas de grippe de type B étaient de la lignée Yamagata.

    Communiquez avec les bureaux de santé publique de votre province afin de savoir si le coût de FLUZONE MD Haute dose est couvert pour vos patients de 65 ans et plus.

    • Financé par l’État pour les patients de 65 ans et plus résidant dans des foyers de soins personnels au Manitoba 14.

    FLUZONE MD Haute dose est indiqué pour l’immunisation active, contre la grippe causée par les souches spécifiques du virus de l’influenza contenues dans le vaccin, des adultes de 65 ans et plus. La vaccination annuelle contre la grippe avec le plus récent vaccin est recommandée parce que l’immunité diminue dans l’année qui suit la vaccination i.

    • FLUZONEMD Haute dose ne doit pas être administré à une personne qui a des antécédents de réactions allergiques graves aux protéines d’Œuf ou à tout composant du vaccin, ou qui a déjà reçu FLUZONE MD Haute dose ou un vaccin contenant les mêmes composants ou constituants ii.
    • FLUZONE MD Haute dose n’est pas indiqué chez les personnes âgées de moins de 65 ans iii.
    • Comme c’est le cas pour tout vaccin, la vaccination avec FLUZONE MD Haute dose peut ne pas protéger 100 % des individus. La protection se limite aux souches de virus à partir desquelles le vaccin a été préparé ainsi qu’aux souches qui leur sont étroitement apparentées iv.
    • Ne pas administrer FLUZONE MD Haute dose par injection intravasculaire. Ne pas administrer le vaccin dans une fesse v.
    • La vaccination doit être reportée en cas de maladie fébrile ou aiguë modérée ou grave vi.
    • Administrer FLUZONE MD Haute dose avec prudence aux personnes présentant des troubles de la coagulation ou suivant un traitement anticoagulant vii.
    • Il arrive que des personnes immunodéprimées (en raison d’une maladie ou d’un traitement) n’obtiennent pas la réponse immunitaire attendue viii.
    • Il faut éviter de vacciner les personnes qui ont présenté un syndrome de Guillain-Barré (SGB) dans les 6 semaines suivant une vaccination antigrippale ix.

    Consultez la monographie de produit à l’adresse www.sanofipasteur.ca/fr/node/18002 pour obtenir des renseignements importants qui n’ont pas été discutés dans ce document en ce qui concerne les effets indésirables, les interactions médicamenteuses et la posologie. Il est aussi possible d’obtenir la monographie du produit auprès de notre service médical. Appelez-nous au 1 888 621-1146.

    Références:
    1. Sanofi Pasteur Limitée. FLUZONE MD Haute dose (vaccin trivalent contre le virus de l’influenza des types A et B [à virion fragmenté]). Monographie de produit. Date d’approbation: Mai 2017. 2. Agence de la santé publique du Canada (ASPC). Surveillance de l’influenza. Du 3 au 9 mai 2015. 3. Agence de la santé publique du Canada (2016). Une déclaration du comité consultatif (DCC) Comité consultatif national de l’immunisation (CCNI): Chapitre sur la grippe du Guide canadien d’immunisation et Déclaration sur la vaccination antigrippale pour la saison 2017-2018. 4. Profil d’indicateurs de la santé Statistique Canada. (2014). Profil d’indicateurs de la santé, estimations annuelles, selon le groupe d’âge et le sexe, Canada, provinces, territoires, régions sociosanitaires (limites de 2013) et groupes de régions homologues, *Archivé*. Tableau 105-0501. Obtenu auprès de Statistique Canada le 12 juin 2017: http://www.statcan.gc.ca/pub/82-624-x/2015001/article/14218-fra.htm 5. Statistique Canada (2013). Projections démographiques pour le Canada (2013 à 2063), les provinces et les territoires (2013 à 2038): Section 2 – Résultats à l’échelle nationale, 2013 à 2063. (Numéro de catalogue 91-520-X). Obtenu auprès de Statistique Canada le 12 juin 2017: http://www.statcan.gc.ca/pub/91-520-x/2014001/section02-fra.htm 6. Grau, A. J. et al. Influenza Vaccination Is Associated With a Reduced Risk of Stroke. Stroke. 2005; 36(7):1501-1506. 7. Udell, J. A., et al. Association between influenza vaccination and cardiovascular outcomes in high-risk patients: a meta-analysis. JAMA. 2013;310(16):1711-1720. 8. Centers for Disease Control and Prevention (CDC). Prevention and Control of Seasonal Influenza with Vaccines Recommendations of the Advisory Committee on Immunization Practices — United States, 2016–17 Influenza Season. MMWR Recommendations and Reports, vol. 65, n°5 26 août 2016. 9. Husein, N. et al. Comité d’experts des lignes directrices de pratique clinique de l’Association canadienne du diabète sur l’immunisation contre la grippe et les infections à pneumocoques. Canadian Journal of Diabetes. 2013;37 Supplément 93. 10. Chen, C.-I. et al. Influenza Vaccination is Associated with Lower Risk of Acute Coronary Syndrome in Elderly Patients with Chronic Kidney Disease. Medicine (Baltimore). 2016;95(5). 11. Gozalo, P. L. et al. The impact of influenza on functional decline. Am Geriatr Soc 2012;60(7): 1260–1267. 12. DiazGranados, C. A. et al. (2014). Efficacy of High-Dose versus Standard-Dose influenza Vaccine. The New England Journal of Medicine, 371, 635-645 13. Sanofi Pasteur Inc. Données internes. Distribution Letter Fluzone® High-Dose Influenza Vaccine - Doses Distributed. 16 novembre 2017. 14. Gouvernement du Manitoba (2017). Manitoba First in Canada to introduce New Flu Vaccine for Personal Care Home Residents http://news.gov.mb.ca/news/index.html?item=42125&posted=2017-09-05. 5 septembre 2017

    FLUZONE MD est une marque de commerce de Sanofi Pasteur. Sanofi Pasteur 1755, avenue Steeles Ouest, Toronto (Ontario) M2R 3T4
    © 2017 Sanofi Pasteur Limitée. Tous droits réservés. DIN: 02445646 SPCA.FLHD.17.08.0044 F

    I FLUZONE MD Haute dose (vaccin trivalent contre le virus de l’influenza des types A et B [à virion fragmenté]). Monographie de produit. Date d’approbation: Mai 2017.

    ii Ibid.
    iii Ibid.
    iv Ibid.
    v Ibid.
    vi Ibid.
    vii Ibid.
    viii Ibid.
    ix Ibid.
    ix Ibid.

    Symptoms of Typhoid Fever: Cure, Causes and Treatment of Typhoid

    Typhoid Fever is characterized by typical course of temperature and ulceration of the bowels. The fever is of uncertain duration and is infectious.

    • The patient feels weak, cold and tired.
    • Headache, backache, diarrhea, constipation, loss of appetite are other symptoms.
    • Temperature rises and remains high for about 10-14 days. Body temperature typically rises in the evening and drops in the morning.
    • Skin eruptions appear, tongue becomes dry and gets white patches in the center, which causes oily taste in mouth and inflamed bones.
    • Fever comes down gradually by the end of fourth week.
    • Poor sanitation, contaminated water and infected milk are some of the main factors responsible for typhoid.
    • Flies contaminate the food with germs. People carrying the germs can also spread the disease if they prepare or serve food.
    • Wrong dietary habits and faulty lifestyle lead to accumulation of toxic waste in the body and promotes typhoid fever.
    • Typhoid is common in people who eat more meat and meat products.
    • Complete bed rest is essential.
    • Patient should be kept on a liquid diet of orange, barley juice and milk. Orange juice, especially, hastens recovery as it increases energy, promotes body immunity and increases urinary output.

    Implementation of anti-fly measures, proper disposal of sewage, boiling or thorough purification of drinking water and pasteurization of milk are some of the preventive measures.

    Typhoid Fever Questions and Answers

    I was diagnosed with viral fever by my local doctor. After 4 days when the fever did not subside, my doctor asked me to get a blood test done as he is suspecting typhoid.

    [A] What symptoms are you facing for typhoid fever?
    [Q] I have Headache and fever, but commonly occurs at night, temperature not more than 101 degree and irritation in eyes plus tiredness and fatigue.
    [A] And how many days do you have the fever for?
    [Q] About 4 days with sputum in chest.
    [A] How is your appetite? Do you have any appetite?
    [Q] My appetite seems to be ok; I don’t have a problem there.

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    • 1. Loganathan A, Arumainathan UD, Raman R. Comparative study of bacteriology in recurrent tonsillitis among children and adults. Singapore Med J. 2006 Apr;47(4):271-5. PubMed
    • 2. Kocaturk S, Demiray T, Incesulu A, Kandirali E, Erkam U, Mert A. Comparison of adenoid and tonsil core cultures in chronic adenotonsillitis. Kulak Burun Bogaz Ihtis Derg. 2003 Mar;10(3):105-9. PubMed
    • 3. Radosz-Komoniewska H, Rogala-Zawada D, Zientara M, Rudy M, Nowakowska M. Bacterial flora in pharyngitis and tonsillitis. Med Dosw Mikrobiol. 1998;50(1-2):63-8. PubMed
    • 4. Gudima IA, Vasil'eva LI, Bragina LE, Suchkov IIu. Viral-bacterial-fungal associations in chronic tonsillitis in children. Zh Mikrobiol Epidemiol Immunobiol. 2001 Sep-Oct;(5):16-9. PubMed
    • 5. Putto A, Meurman O, Ruuskanen O. C-reactive protein in the differentiation of adenoviral, Epstein-Barr viral and streptococcal tonsillitis in children. Eur J Pediatr. 1986 Aug;145(3):204-6. PubMed

    Created: August 18, 2006
    Last updated: February 24, 2016

    Now that we talked about why you have sugar withdrawals, let’s talk about what the symptoms are. After coming off of sugar over 50 times myself and helping hundreds to the same, I have found that sugar addicts actually have different symptoms when they are coming off of sugar. And I don’t really like to give you a long list of negative things to “expect” because maybe none of these will happen to you, only one of them or a bunch of them. It can be helpful to be kind of prepared though so you don’t think something weird is happening while you are breaking this sugar addiction. Check out this one great tool, a free video that I made for you called The 3 Mistakes Sugar Addicts Make and How to Avoid Them. Here is a list of the sugar withdrawals I personally experienced and those I have seen come off sugar and keep in mind they usually only last for a few days if even that:

    1. Feeling sad or down. I will admit, this is then number one thing I would experience when I would come off sugar. But have hope, it would only last a few days, thank God! That is one thing that really motivated me to stay away from sugar because I hate feeling sad and it started to not be worth it, the trade-off of having sugar to being really down for a few days. For me I know this is a major sugar withdrawal because I do NOT experience sadness on a regular basis, only when I am coming off sugar. Its very important if you struggle with depression already, that you guard yourself against this and make sure are aware of this. The good news is, I have seen many people who struggle with moodiness and depression GREATLY improve when they no longer have a sugar addiction. Personally I think a lot of people who struggle with this would see an improvement when they break the sugar addiction.
    2. Headaches. I personally never had this sugar withdrawal but I have heard some say they do.
    3. Fatigue. If you have been jacked up on sugar all the time, your body is used to that rush but you have also really stressed out your adrenal glands, which can make you more tired. The ironic thing is, since I no longer am a sugar addict if I do have sugar, I am so tired that night, it literally puts me to sleep. I really can’t believe it! And when I wake up the next day, I almost feel hung over I am so tired. I never realized that as much when I ate sugar all the time.
    4. Sleep patterns affected. Remember you are detoxing off a poisonous substance that is toxic so you are going to be detoxing as it gets out of your body. If you were addicted to sugar, your body was all out of whack from having blood sugar spikes to insulin surges and your body needs some time to balance back out.
    5. Sugar cravings. Now this one is the obvious side effect. Once you stop eating sugar, one sugar withdrawal can be ridiculously intense cravings for it. Remember, you may be stopping something that has been a habit of yours for 20 years so give yourself a break! Its normal to crave something that has been a part of your life for so long not only mentally but physically as well. Be encouraged that sugar cravings DO go away.

    Take “The Quiz” to self-diagnose whether you even are a sugar addict or not, click here.

    One of the most important things about breaking a sugar addiction is learning how to think differently about sugar and how you resist temptation in your life. Because if you get off sugar but don’t know how to stay off it, that is something that can be very frustrating. If you want to check out a free internet seminar I am doing click here or go to http://sugaraddictionspecialist.com/internet-seminar/

    Be on the lookout for your own sugar withdrawals and feel free to leave a comment and let us know what yours were so we can all know what to look out for.

    Mold toxicity is often the end result with constant exposure to mold of a toxic substance. A common misconception among allergists who are untrained in this type of toxicity levels in humans, which is technically not their area of expertise unless they have trained specifically in environmental medicine with their background in immunology, is to do general allergen testing. Most tests usually result in an unequivocal result, a 2+ or less. This induces some physicians to order allergy shots, regardless. These shots are absolutely worthless (and could possibly be harmful) to a person who has been heavily exposed to these mycotoxins as they are already in a state of toxicity. If anything, this could exacerbate the problem. Because many doctors are not trained in this field, they may try to "guess" at a diagnosis.

    In laymen's terms, molds produce mycotoxins. These substances, although unseen by the naked eye, are ingested and then enter the body through the skin, mucous and airways. Once ingested, mold has the requirements to colonize and spread. In doing this, it can compromise the immune system and damage everyday processes of the body. Mold and yeast are interchangeable only in their dimorphic state, which is often a big misconception, although both are fungi. There has been a theory of a connection between Autism Spectrum Disorder onset and Candida Albicans in the body. New studies are being conducted during the first quarter of 2006. Updates will follow.

    Fungi, which include yeasts, moulds, smuts and mushrooms, are responsible for causing four types of mycotic (fungal) disease:

    1. Hypersensitivity - an allergic reaction to moulds and spores;

    2. Mycotoxicosis - poisoning by food products contaminated by fungi

    3. Mycetismus - the ingestion of preformed toxin (toadstool poisoning)

    4. Infection (systemic) - (Mycotoxicosis; the subject below)

    The following are a list of the most common symptoms of fungal exposure (bear in mind, people never fit all of below criteria). Most people with some forms of Mycotoxicosis meet at least 8 (recent symptoms) of the following criteria:

    • Fibromyalgia/mps (and several correlated symptoms)
    • Respiratory distress, coughing, sneezing, sinusitis
    • Difficulty swallowing, choking, spitting up (vomiting) mucous
    • Hypersensitivity pneumonitis
    • Burning in the throat and lungs (similar to acid reflux and often misdiagnosed as such)
    • Asthmatic signs; wheezing, shortness in breath, coughing, burning in lungs, etc.
    • Irritable bowel syndrome, nausea, diarrhea, sharp abdominal pains, stomach lesions
    • Bladder, liver, spleen, or kidney pain
    • Dark or painful urine
    • Dirt-like taste in mouth, coated tongue
    • Food allergies/leaky gut syndrome/altered immunity
    • Memory loss; brain fog, slurred speech, occasionally leading to dementia
    • Vision problems
    • Swollen lymph nodes
    • Large boils on neck (often a sign of anaphylaxis )
    • Yellowing of nails, ridges, or white marks under nail
    • Thyroid irregularities, sometimes leading to complete dysfunction; adrenal problems
    • Headaches
    • Anxiety/depression, heart palpitations - confusion, PTSD
    • Extreme blood pressure, cholesterol, or triglycerides irregularities
    • Ringing in ears, balance problems (very common), dizziness, loss of hearing (aspergillus niger)
    • Chronic fatigue (also included under this classification directional confusion)
    • Intermittent face flushing; almost always systemic, Called the Mylar Flush (neurological))
    • Night head sweats, and drooling while sleeping, profuse sweating
    • Multiple chemical sensitivity; only upon exposure to Stachybotrys and Chaetomium
    • Nose bleeds (stachybotrys)
    • Bruising/scarring easily; rash or hives, bloody lesions all over the skin (Often systemic, see images; skin )
    • Reproductive system complications; infertility, changes in menstrual cycles, miscarriage
    • Sudden weight changes (Detoxifier genotypes tend to gain weight, non-detoxifier genotypes tend to lose weight)
    • Cancer
    • Hair loss, very brittle nails, temporary loss of fingerprints (in rare cases)
    • Joint/muscle stiffness and pain
    • Irregular heart beat/heart attack
    • Seizures, inadvertent body jerking, twitching, inadvertent facial movements or numbness in face
    • Hypersensitivity when re-exposed to molds, which can lead to anaphylaxis
    • Anaphylaxis upon re-exposure to mycotoxin producing molds
    • Death, in extreme cases

    Note: despite inaccurate and misleading reports by theorists regarding immuno-compromised, babies, and the elderly being more susceptible, this is a big misconception as exposure to the T-2 mycotoxins found in many types of current indoor molds will poison anyone in time; no one is immune. The reason for this conflicting information is that studies have never been conducted to prove this. If so called experts are going to make such a broad and misleading statement, they may as well say that this same category of people is more susceptible to SARS, West Nile Virus, AIDS, and cancer. The T-2 mycotoxins found in many of these molds are the exact same T-2 mycotoxins that have killed widespread groups of innocent people with Yellow Rain, a biological warfare agent.

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    But the worst was my racing mind. I could not shut it off. I didn't sleep well and during the day it was so bad that it was hard to concentrate and that made me even more tired. The progesterone was amazing. It took a while to fully work. (Maybe six to seven months in all) But it did work. The libido never did get very high but was there.

    I am noticing now, though, that some of the symptoms are returning, so I will work on adjusting my amount of progesterone used each night until I get it right again. I am 42 and know that I have been going through perimenopause (blood test showed it) for the last two years so I'm sure I just need an increase.

    Hope this helps anyone who is going through the hell that this causes. It's hard to feel like a decent wife and mom when you have to deal with this.

    18) I never thought anything of my symptoms of anxiety, low libido, poor memory ever being related until my doctor sent me for tests because I wasn't getting pregnant. Now that I have an idea of what's going on I feel a lot better about it. Hope there is a solution to this though.

    17) I definitely have pmdd. I have not had a period in over three months. I am 43 years old and i feel like i have no life. I can't sleep and when i finally fall asleep i have a difficult time waking up.

    I have bloating, severe indigestion, constipation, and have not had sex in too long. I have had abdominal pain a while back, but still have pain at certain times of the month. my doctor ordered blood work for hormone levels, and thyroid. I have extremely low, practically nonexistent progesterone levels, very low testerone if any. Not to mention estrogen is low. It's not even on the chart. It falls in between a black hole and not quite menopause.

    I have tried hrt, however, i developed a cyst in my breast over a seven week treatment due to hrt, so i stopped taking any hormone replacement medication.

    i have taken all of the other recommended herbal meds, however still no improvement. i have done tons of research and i am a registered nurse but i can't find any solutions, not even one. please help.

    15) I have had some hormone issues and I have been seeing a naturopath doctor for help and the greatest treatment for me has been the wild yam cream. It has natural progesterone and it has helped me get pregnant if you are ttc. I would recommend seeing someone to put in balance the whole body, not just the symptoms. you won't regret it.

    14) I have been in perimenopause for a couple of years.I am currently on hormones,and antidepressants and still not doing much better. Depression, fatigue, memory, concentration loss insomnia and severe bloating, heartburn and digestive problems have taken over my life. I am considering trying Amberen, a natural hormone I read about on the internet.

    I have suffered from chronic depression and anxiety for many years and going through perimenopause doesn't help any. I have had all kinds of tests done and tried all kinds of meds, even herbal stuff and nothing seems to help.

    Please post if you have any suggestions for me! Thanks.

    13) wow. i haven't felt myself for a while now. i have two children and a year ago i stopped taking my pill. i didn't get pregnant and my partner and i went to a fertility specialist who sent us away to get tested.

    i thought it was my partner with the problem but the results came back saying my progesterone levels were lower than a male's levels.

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    Six to 11 years

    One to 10 years

    Syrup, 15 mg per 5 mL

    MDI = metered dose inhaler.

    Information from references 8, 13, and 16 through 20.

    Complementary and Alternative Medicine Products. Several of these therapies provide relief from cold symptoms. Vapor rub applied to the chest and neck has been shown to improve cough severity and quality of sleep for the child and parents, but it has a strong smell that children may not tolerate.19 Studies regarding therapeutic use of zinc sulfate show a trend toward decreased duration of cold symptoms when it is taken within the first 24 hours of symptom onset.20 Adverse effects, such as bad taste and nausea, are more common with zinc lozenges than with syrup or tablets.20 Pelargonium sidoides (geranium) extract (Umcka Coldcare) may help resolve cough and sputum production in children with the common cold.18 Buckwheat honey is superior to placebo for reducing frequency of cough, reducing bothersome cough, and improving quality of sleep for the child.16 Honey should not be used in children younger than one year because of the risk of botulism.

    Nasal Irrigation and Acetylcysteine. During acute illness, nasal irrigation with saline can help alleviate sore throat, thin nasal secretions, and improve nasal breathing and can reduce the need for nasal decongestants and mucolytics.17 A systematic review of six trials published in the 1990s found that acetylcysteine (commonly used in Europe, but not in the United States, as a mucolytic) may decrease cough after six to seven days of therapy in children older than two years.13 The main adverse effect of acetylcysteine is vomiting.

    Inhaled Corticosteroids. Some children with viral cold symptoms also develop wheezing. Although low-dose corticosteroids are ineffective in these children, one review of high-dose inhaled corticosteroids found a trend toward decreased frequency of wheezing episodes that require oral corticosteroids, the duration of episodes, and the number of physician visits.8

    Table 3 summarizes therapies that may be effective for cold prophylaxis in children.14, 17, 20 – 22

    Therapies That May Be Effective for Common Cold Prophylaxis in Children

    One to three years

    5 mL twice daily