D.C.: Is is safe to travel to Central America?
Richard Wenzel: I have not heard of any reports of influenza in Central America, but it is likely that some cases will come to light in the next few weeks. CDC will suggest postponing non-essential travel to Mexico today. So the best advise is to stay alert to their travel advisories.
Fredericksburg, Va.: What is the possibility of EU countries closing borders to international travel from the United States?
Richard Wenzel: Whenever there are risks of transmission of new infections from one country to another, there is always some risk that travel restrictions will result. We saw that with SARS and could see that with swine flu if the numbers and severity increase in the US.
Cleveland, Ohio: The case of swine flu in Ohio occurred in Elyria, which is very close to Cleveland. Is it possible that Tamiflu will be made available for people in our area to take now as a precautionary measure? You mentioned that people who have been "exposed" to the virus should take it, but how does one know if one has in fact been exposed?
Richard Wenzel: This is a difficult question. The exposures that qualify for prophylaxis include those within families or those with prolonged exposure such as that of a school. Unless the outbreak is wide spread, general prophylaxis is not indicated.
State College, Pa.: Why is this virus receiving such rapid, mass attention when there are so many viruses passed around all the time?
Richard Wenzel: This is a new virus not seen before, it may have caused 100 deaths in Mexico, and it has been quickly identified in countries on three continents. Influenza is more than a common cold with respect to its ability to harm patients. These are some of the reasons for the attention given to the new virus.
Washington, D.C.: I'm having a little trouble reconciling the president's "there no immediate danger" comments as well as the Post's Check-up blog that basically says "chill out folks" with your comments suggesting everything from face masks to foregoing handshakes to consternation that the threat level has not been elevated. Which is it?
Richard Wenzel: This is a serious problem and now is the time to prepare for all contingencies. We need to be extra cautious until we know the extent of transmission and of the virulence of the virus. It is also a time for scenario playing, i.e. the what ifs: Communication, drug supply and delivery, infection control recommendations for hospitals, development of hot lines that might be needed etc. In summary, this is the time for special precautions, but not panic or alarm.
Penn Quarter, D.C.: Is this the same swine flu that was around in the mid 1970s? Will the shot I got then help me now?
Richard Wenzel: Unfortunately this is different virus, and it is unlikely that you are protected, but I have not seen specific antibody analyses yet.
Virginia Beach, Va.: Are there any special precautions or drugs that my son should take as a patient currently undergoing chemotherapy, hence with a very compromised immune system?
Richard Wenzel: At this point, I would not recommend prophylaxis. However, if the epidemic spreads to your city, it may be prudent to offer prophylaxis for a period of time. You should consult with his oncologist about the timing for such an approach.
20002: Can this virus be spread through the air? Or does you have to touch something that has the virus on it and then touch your mouth, nose, etc.
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- 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
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- 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
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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:
- 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.
- Headaches. I personally never had this sugar withdrawal but I have heard some say they do.
- 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.
- 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.
- 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
- 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)
- 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.
It is not clear, however, if frequent heartburn actually causes people to develop asthma. Although many people who have heartburn also have asthma and vice versa, the reasons for this overlap aren't clear.
Experts think stomach acid can trigger nerves in the chest to constrict your breathing tubes in order to keep acid from entering. Again, a simple pH test to look for acid in your esophagus may help you get to the bottom of the problem.
Photo: Getty Images
Nausea is associated with so many things that it can be hard to attribute it to reflux. But, says Dr. Coyle, "in some people, the only manifestation they have of reflux is nausea. If you have nausea and can't figure out why, one of the things [to] think about is reflux."
And if the nausea tends to come on right after meals, that's even more of an indication that it might be acid reflux. If so, a regular antacid treatment such as an over-the-counter acid-countering medicine could cut down on your discomfort.
Photo: Getty Images
If your mouth all of a sudden starts producing extra saliva, it could be water brash, which is highly suggestive of acid reflux, Dr. Coyle says.
It involves the same nerves and reflex as when you vomit. "It is your body trying to wash out an irritant in your esophagus," he says.
Photo: Getty Images
Over time, the continuous cycle of damage and healing after acid reflux causes scarring, Dr. Pfanner says. This, in turn, causes swelling in the lower-esophagus tissue, resulting in a narrowing of the esophagus and difficulty swallowing.
Eine Grippe (Influenza) kann sehr unterschiedlich ablaufen: Milde, erkältungsähnliche Grippesymptome sind ebenso möglich wie eine schwere Erkrankung, die im Extremfall sogar tödlich enden kann.
Gerade anfangs kann man die Grippe leicht mit einer Erkältung verwechseln. Der Unterschied zwischen Influenza und Erkältung zeigt sich im Verlauf und in der Schwere der Erkrankung.
Die Grippe ist eine plötzlich auftretende, fieberhafte Viruserkrankung, die durch verschiedene Grippeviren entsteht. Da sie im Winter häufiger vorkommt, wird sie auch "saisonale Grippe" genannt.
Typischerweise tritt die Grippe zeitlich und örtlich gehäuft auf: Dann spricht man von einer Grippewelle oder Epidemie. In größeren Zeitabständen von mehreren Jahren bis Jahrzehnten breitet sich die Influenza länderübergreifend beziehungsweise weltweit aus – dies bezeichnet man als Pandemie.
Die Erkrankungs- und Sterberate schwankt bei der Influenza allerdings stark. In manchen Jahren steigt die normale Sterblichkeitsrate trotz Grippefällen gar nicht an. Doch während einer einzelnen Grippesaison können auch mehrere Tausend Menschen mehr als sonst sterben. So gab es beispielsweise durch die besonders heftige Grippewelle 2012/13 in Deutschland über 20.000 zusätzliche Todesfälle. Daher ist eine Influenza nie als harmlos anzusehen.
Typisch für die echte Grippe (Influenza): Man fühlt sich schlagartig richtig krank.
Fluzone Quadrivalent, Fluzone Intradermal Quadrivalent, and Fluzone
High-Dose vaccines are given to help prevent influenza disease caused by influenza A and B strains contained in each vaccine. Fluzone Quadrivalent vaccine is given to people 6 months of age and older. Fluzone Intradermal Quadrivalent vaccine is given to people 18 through 64 years of age. Fluzone High-Dose vaccine is given to people 65 years of age and older.
For more information about Fluzone Quadrivalent, Fluzone Intradermal Quadrivalent, or Fluzone High-Dose vaccine, talk to your health care professional and see complete Patient Information.
IMPORTANT SAFETY INFORMATION
Fluzone Quadrivalent, Fluzone Intradermal Quadrivalent, and Fluzone
High-Dose vaccines should not be administered to anyone with a severe allergic reaction (eg, anaphylaxis) to any vaccine component, including eggs, egg products, or thimerosal (the multidose vial is the only presentation containing thimerosal), or to a previous dose of any influenza vaccine.
- 1.CDC. How flu spreads. http://www.cdc.gov/flu/about/disease/spread.htm. Accessed October 12, 2017.
- 2.CDC. Vaccine effectiveness - how well does the flu vaccine work? http://www.cdc.gov/flu/about/qa/vaccineeffect.htm. Accessed October 12, 2017.
- 3.CDC. Children, the flu, and the flu vaccine. http://www.cdc.gov/flu/protect/children.htm. Accessed October 12, 2017.
- 4.CDC. Misconceptions about seasonal flu and flu vaccines. http://www.cdc.gov/flu/about/qa/misconceptions.htm. Accessed October 12, 2017.
- 5.CDC. Flu symptoms and complications. http://www.cdc.gov/flu/consumer/symptoms.htm. Accessed October 12, 2017.
- 6.Affronti M, Mansueto P, Soresi M, et al. Low-grade fever: how to
distinguish organic from nonorganic forms. J Clin Pract.
- 7.Hamborsky J, Kroger A, Wolfe C. Influenza. In: Hamborsky J, Kroger A,
Wolfe C, eds. Epidemiology and Prevention of Vaccine-Preventable Diseases (The Pink Book). 13th ed. Washington, DC: Public Health Foundation; 2015:187-208.
- 8.Treanor JJ. Influenza viruses, including avian influenza and swine
influenza. In: Mandell GL, Bennett JE, Dolin R, eds. Mandell, Douglas,
and Bennett's Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, PA: Churchill Livingstone Elsevier; 2010:2265-2288.
- 9.CDC. Prevention and control of influenza with vaccines:
Recommendations of the Advisory Committee on Immunization
Practices (ACIP), 2010. MMWR.2010;59(RR08):1-62.
- 10.CDC. The flu: A guide for parents. http://www.cdc.gov/flu/pdf/freeresources/updated/a-flu-guide-for-parents.pdf. Accessed October 12, 2017.
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A person infected with flu virus may be contagious:
- 24 hours before showing symptoms
- Up to 7 days after onset of symptoms, and sometimes even a bit longer.
Young children and seniors can be contagious for up to 14 days following onset of symptoms.
If you have the flu, avoid direct contact as much as possible with people most at risk of complications. This way, you reduce the risk of transmitting the illness to them.
The best way to protect yourself from complications of the flu is through vaccination.
Where to get Vaccinated
For information on the Flu Vaccination Campaign for each region of Québec, see the Where to get vaccinated section.
Certain protection and cleanliness measures can also help prevent transmission of the flu.
- Wash your hands often
- Keep your immediate environment clean, such as furniture surfaces and counters
- Follow advice for Preventing Transmission of Viruses and Bacteria
- Stay at home as soon as you notice symptoms of the flu. Unless otherwise advised by a doctor, home is the best place for treatment. By staying at home, you limit contact with other people or with other infections that may cause complications. You also limit transmission of the virus
- Follow advice for Coughing or Sneezing Without Contaminating
Last update: February 9, 2018 4:32 PM
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Welcome to the Allergic Diseases Resource Center. Whether you are a health professional, a person with allergies, or a caregiver to someone with allergies, WAO's Allergic Diseases Resource Center has something for you.
By following the links below, you will find clear information about allergic diseases and up-to-the-minute news of developments in allergy management and treatment, written by the World's leading allergy experts.
The disease summaries for Health Professionals have been written to provide an up-to-date overview of the main allergic diseases. The materials can be referenced in publications using the following citation:
Title of Disease Summary. Name of Author. World Allergy Organization website. Accessed (date).