Category: Respiratory conditions

  • You’re Built For Breathing

    Respiratory conditions

    Women blowing a handful of paper confetti.

    Focusing on your breathing is a great way to destress and reduce anxiety. Next time you need to calm down, simply pay attention to your breathing. Count your inhalations and exhalations.

    Your lungs are vital to living, and you need strong ones to live a healthy life. Whether or not you use tobacco, there are ways you can improve and protect your lungs:

    *  Don’t smoke or use tobacco, and avoid secondhand smoke whenever possible.

    *  Protect yourself from air pollution. Pay attention to the “air quality index” where you live. Stay inside during high-ozone days.

    *  Buy a radon kit to test your home. Next to tobacco use, radon exposure is the second-leading cause of lung cancer.

    Health at Home Lifetime book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Breathe Healthy

    Respiratory conditions

    Man standing outside, arms open, eyes closed, breathing fresh air.

    Take a slow, deep breath while counting to 5. Now blow it out slowly to the count of 5. Isn’t it amazing how the simple act of taking a breath can make you feel calm? You have your lungs to thank. Together, they provide oxygen for every cell in your body and influence every part of your health. When your lungs are healthy, the rest of you can be too. But unhealthy lungs make everyday activities a struggle.

    To breathe easier, protect your lungs from irritants like cigarette smoke and pollutants, exercise for optimal lung health, and practice deep breathing to exercise your lungs.

    Health at Home Lifetime book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • 10 Action Steps To Prevent The Spread Of Cold & Flu Viruses

    Respiratory conditions

    Family smiling with bandage on upper arms noting they all had a vaccine.

    1.  Get your yearly flu vaccine! Stay up to date with COVID-19 booster shots.

    2.  Wash your hands often. Do this for 15 to 20 seconds each time. Keep them away from your mouth, nose, and eyes. Use an alcohol-based hand sanitizer when you can’t wash hands.

    3.  When you can’t use soap and water, use alcohol-based hand wipes or gel sanitizers. Carry one in your pocket, purse, lunch bag, and car.

    4.  Cover coughs and sneezes. Use a tissue. Throw the tissue away after you use it. Or cough or sneeze into your sleeve.

    5.  Clean and disinfect door handles, railings, light switches, remote controls, and other objects that easily collect germs.

    6.  Wash and dry your hands well or use a hand sanitizer after using public restrooms, ATM keypads, shopping carts, escalator railings, elevator buttons, and gas pumps.

    7.  Use a disinfecting wipe to clean your office phone, computer keyboard, mouse, and desk once a day. Disinfect objects touched by others, too, such as copy machines and door handles.

    8.  Try to avoid contact with sick people. Try not to touch their things when they have a cold or the flu. Consider wearing a face mask when you are around them.

    9.  If you get sick, stay home. Limit contact with others to keep from passing germs to them. Consider using a face mask.

    10. Refrain from asking for an antibiotic to treat a cold or the flu. Infections caused by bacteria, not viruses, are treated with antibiotics. Using them for viruses is the main cause of antibiotic resistance.

    Health at Home Lifetime book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Bronchitis

    Respiratory conditions

    Acute bronchitis is swelling of the air passages of the lung. Chronic bronchitis is swelling of the air passages of the lung that persists for a long time or occurs again and again.

    Acute Bronchitis

    Signs & Symptoms

    *  A cough starts out dry. Then mucus or phlegm come with the cough. Hoarseness or a sore throat can also occur.

    *  Chills. Fever less than 102ºF.

    *  Feeling of pressure behind the breastbone or a burning feeling in the chest.

    These symptoms can last from 3 days to 3 weeks. They go away when the acute episode is over.

    Causes

    *  A viral or bacterial infection.

    *  Pollutants, such as smog.

    These attack the mucus membranes within the windpipe or air passages in your respiratory tract leaving them red and inflamed. Acute bronchitis often develops after a cold or other respiratory infection.

    Treatment

    Most of the time, this type is caused by a virus and goes away without treatment. Sometimes, a doctor may prescribe:

    *  Bronchodilators. These medicines open up air passages in the lungs.

    *  An antibiotic if you smoke, are older than age 40, or if you have a condition or take medication that makes it hard for you to fight infections.

    Chronic Bronchitis

    Signs & Symptoms

    *  A cough with mucus or phlegm for 3 or more months at a time. This occurs for more than 2 years in a row.

    *  Shortness of breath with exertion (in early stages).

    *  Shortness of breath at rest (in later stages).

    Many people, most of them smokers, develop emphysema (destruction of the air sacs) with chronic bronchitis. This is chronic obstructive pulmonary disease (COPD).

    Causes

    *  Cigarette smoking. This is the most common cause.

    *  Air pollution.

    *  Repeated infections of the air passages in the lungs.

    Chronic bronchitis causes permanent damage to the respiratory tract. It can make you more prone to respiratory infections like acute bronchitis and pneumonia. Chronic bronchitis is not contagious.

    Treatment

    *  Not smoking. Avoiding secondhand smoke.

    *  Avoiding or reducing exposure to air pollution, chemical irritants, and cold, wet weather.

    *  Medical treatment as needed, for airway infections and heart problems.

    *  Oxygen, as prescribed.

    Questions to Ask

    Self-Care / Prevention

    *  Don’t smoke. Avoid secondhand smoke.

    *  Reduce your exposure to air pollution. Use air conditioning, air filters, and a mouth and nose filter mask if you have to. Stay indoors during episodes of heavy air pollution.

    *  Rest. Drink plenty of liquids.

    *  Breathe air from a cool-mist vaporizer. Bacteria grows in vaporizers, so clean your unit after each use. Breathing in mist with bacteria can make bronchitis worse. Use distilled (not tap) water in the vaporizer.

    *  Take an over-the-counter medicine for fever, pain, and/or inflammation as directed.

    *  Instead of cough suppressants, use expectorants.

    *  Use bronchodilators and/or take antibiotics as prescribed by your doctor.

    Resources

    American Lung Association

    800.LUNG.USA (586.4872)

    www.lungusa.org

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Covid-19 Booster Shots

    Respiratory conditions

    Older female receiving vaccine shot.

    Booster shots are recommended for everyone who has received a COVID-19 vaccine, if they are 12 years and older.

    All three of the COVID-19 (COVID) vaccines approved for use in the U.S. prevent COVID and reduce risk of severe disease, hospitalization, and death. However, Pfizer-BioNTech or Moderna (m-RNA vaccines), are preferred for better protection. Johnson & Johnson’s Janssen vaccine is recommended in some situations. Vaccination is the best way to protect yourself and reduce the spread of the virus. This includes helping to prevent new variants of the virus from emerging.

    Studies now show vaccine protection against the virus and the ability to prevent COVID infection likely decrease over time, especially if variants of the virus emerge. That’s why getting a booster shot after your original vaccination series is now recommended for everyone 12 years and older. These booster shots are the same as the current COVID vaccines.

    What are the risks to getting a booster shot?

    CDC reports that the risks of getting a booster are like getting the second shot or the single-dose shot of vaccine. Most common side effects were mild to moderate and included headache, fatigue, and pain at the injection site. Serious side effects are rare but may occur.

    Which Booster Shot Should I Get?

    If You Received Pfizer-BioNTech or Moderna:

    *  Persons 12 years and older should get a booster. Only the Pfizer-BioNTech vaccine is recommended for those aged 12-17 years.

    *  Get a Pfizer-BioNTech or Moderna vaccine booster at least 5 months after completing your first series of these COVID vaccinations.

    If You Received Johnson & Johnson’s Janssen:

    *  Adults 18 years and older should get a booster.

    *  Get a booster at least 2 months after completing your primary COVID Johnson & Johnson’s Janssen vaccination.

    *  Pfizer-BioNTech or Moderna vaccine boosters are preferred in most situations.*

    * Ask your doctor if a Johnson & Johnson/Janssen vaccine booster is recommended for you.

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Cold & Flu

    Respiratory conditions

    Cold symptoms mostly affect you above the neck. Flu symptoms affect the body all over. Signs and symptoms for colds and flu vary from person to person. On average, adults get about 1 to 3 colds a year. Children get about 6 colds a year.

    Signs & Symptoms

    Is it a cold or the flu chart.

    More Information

    Colds and flu are very contagious.

    Cold symptoms usually appear 2 or 3 days after you pick up a cold virus. A cold can last from 2 to 14 days. Most people recover in a week. The cough that comes with a cold can last a few weeks after other symptoms go away. If you get cold symptoms often or they last much longer than 2 weeks, you might have an allergy, not a cold.

    People infected with the flu may be able to infect others from 1 day before they get sick to 5 to 7 days after getting sick. Children and people with weakened immune systems could be contagious for more than 7 days.

    Causes & Risk Factors

    Colds and flu are caused by viruses. These spread:

    *  Through breathing air droplets made when an infected person coughs, sneezes, or talks.

    *  By touching an object with the virus on it and then touching your nose, mouth or eyes.

    Common Cold

    The common cold is caused by more than 200 viruses. This is one reason why there is no cure for the common cold.

    Flu

    Flu is short for influenza. There are many kinds of flu. These include:

    *  Seasonal flu. This flu comes every year during fall and winter, but can last through May. Each year, different strains of type A and/or type B viruses cause this kind of flu. Scientists try to match the viruses in the flu vaccine to those that are most likely to cause flu for that  flu season.

    *  H1N1 flu. This is caused by H1N1 virus. It was first detected in people in Mexico and the U.S. in April of 2009. It used to be called swine flu.

    *  Pandemic flu. This is any type of flu that causes a global outbreak of serious illness that spreads easily from person to person. H1N1 flu was declared a pandemic in June of 2009.

    *  Bird (avian) flu. This is caused by avian influenza A (H5N1) virus which normally infects wild birds. Contact with infected birds or surfaces they contaminate can spread this virus to humans. The viruses may be able to change to a form that could spread from person to person and result in a widespread infection in humans.

    Prevention

    Wash your hands often with soap and water. Take at least 20 seconds each time.

    When you can’t wash your hands, use alcohol-based wipes or gels to clean your hands. Rub the gel form into your hands until they are dry.

    *  Avoid touching your eyes, nose, and mouth.

    *  Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue away. If you do not have a tissue, cough or sneeze into your elbow or upper sleeve.

    *  Try to avoid close contact with people and their things when they have a cold or flu symptoms.

    *  Keep your distance from others if you are sick.

    *  When possible, stay home from work, school, and errands when you are sick. Don’t send your children to childcare or school if they are sick.

    *  Clean and disinfect commonly used objects and surfaces. Examples are doorknobs, phones, railings, light switches, and remote controls.

    Good Times to Wash Your Hands

    *  After you cough, sneeze, or blow your nose

    *  Before you touch your eyes, nose, and mouth

    *  After using the bathroom

    *  After shaking hands

    *  After you touch door handles, phones, and other objects and surfaces that others touch or cough or sneeze on

    *  Before you eat and/or prepare food

    *  When you come into contact with someone who is sick

    *  Follow your doctor’s advice for vaccines, antiviral medicines, and other ways to help protect you from the flu.

    *  Stay healthy to fight off infections:

    – Eat nutritious foods.

    – Do regular exercise.

    – Manage stress.

    – Get enough sleep.

    *  The single best way to protect against getting the flu is to get a yearly vaccine for seasonal flu.* All persons aged 6 months and older should get a flu vaccine. It comes in two forms:

    – A flu shot. Note: Consult your health care provider if you have had a severe reaction to the vaccine in the past or have a severe allergy to eggs or any part of the vaccine.

    – A nasal spray. This is approved for people aged 2 to 49 years. Pregnant women should not get this form.

    {*Get up-to-date advice for vaccines at 800.CDC.INFO (232.4636) orwww.cdc.gov/vaccines.}

    Image of the correct and wrong way to cough.

    Medical Care

    Antibiotics do not treat cold and flu viruses. Antibiotics treat infections from bacteria.

    *  Taking antibiotics for viruses is the main cause of antibiotic resistance. With this, bacteria that were once fought off by antibiotics have become stronger than the medicine.

    *  Certain bacteria have become so resistant that it is hard to find an antibiotic that is able to treat the infection. An example is Methicillin-resistant Staphylococcus aureus (MRSA). This  can cause an infection that affects the skin or causes pneumonia. MRSA resists treatment with usual antibiotics.

    *  If you get the flu, call your doctor’s office. Describe symptoms. Ask if flu testing, an antiviral medicine, or medical care is needed.

    *  Prescribed antiviral medications can make flu symptoms milder and help you get better sooner if started:

    – Within 48 hours of the start of symptoms for adults

    – Within 36 hours of the start of symptoms for children

    Get up-to-date information on treatment for different kinds of flu from The Centers for Disease Control and Prevention (CDC) at 800.CDC.INFO (232.4636) orwww.cdc.gov/flu.

    Reasons to Contact a Doctor

    *  You wheeze or have trouble breathing.

    *  A baby less than 3 months old has a fever between  99.5°F and up to 100.4°F.

    *  A person age 3 to 65 years old has a fever over 104°F.

    *  A person age 65 years and older has a fever of 102°F or higher.

    *  A child between 3 months and 3 years old has a fever of 102.2°F or higher.

    *  A bad smell comes from the throat, nose, or ears.

    *  An earache persists.

    *  A sore throat is bright red or has white spots.

    *  Pain or swelling over the sinuses worsens with bending over or moving the head, especially if you also have a fever.

    *  Yellow or green sputum or nasal discharge lasts longer than 5 days.

    *  Flu symptoms last longer than a week and self-care brings no relief.

    *  Cold symptoms get worse after 4 to 5 days or don’t get better after 7 days.

    *  Symptoms other than a slight cough last for more than 14 days.

    Reasons to Get Medical Care Fast

    *  Breathing is very fast (over 40 breaths per minute).

    *  Extreme shortness of breath or trouble breathing

    *  The skin, lips, or fingernails have a bluish color.

    *  Severe wheezing or a severe cough

    *  A baby less than 3 months old has a fever of 100.4°F or higher. A child 3 months to 3 years old has a fever of 104°F or higher.

    *  Not waking up or not responding

    *  Coughing up true, red blood

    *  Pain or pressure in the chest or abdomen

    *  Severe or persistent vomiting

    *  Sudden dizziness. Confusion.

    *  A red or purple rash does not fade when pressure is applied to the skin.

    *  Stiff neck; seizure; or a severe headache  that persists

    *  A child is so irritable that he or she does not want to be held.

    *  Flu symptoms improve, but return with a fever and a worse cough.

    Self-Care

    Self-care measures treat most cases of colds and flu. People with chronic health problems should consult their doctors or health care providers for advice to manage symptoms.

    *  Rest and drink lots of liquids.

    *  Take an over-the-counter (OTC) medicine to lower fever and relieve pain, if needed. {Do not give aspirin to anyone under 19 years old. Aspirin and other medicines with salicylates have been linked to Reye’s syndrome.}

    *  Use a cool-mist vaporizer to add moisture to the air.

    *  For nasal congestion, use salt water drops or a saline nasal spray.

    *  Have chicken soup to help clear mucus.

    *  Gargle every few hours with warm salt water. (Dissolve ¼ teaspoon of salt with 1 cup of  warm water.)

    *  Suck on a piece of hard candy or medicated lozenge. Note: Do not give these to children younger than 5 years old.

    *  If you use OTC medicines for cold and cough symptom relief, be careful. Read the warnings on the label. Ask your doctor or pharmacist which products are safe for you to use. Note: Do not give OTC cold and cough medicines to children under 6 years old. For children 6 years old and older, follow their doctor’s advice.

    *  To soothe a sore throat, have warm drinks, such as tea with lemon and/or honey. Note: Do not give honey to a child under 1 year old due to the risk  of botulism.

    *  Check with your doctor or health care provider about using zinc lozenges, echinacea, and/or vitamin C when cold symptoms start.

    *  To avoid spreading cold and flu viruses, follow tips in “Prevention.”

    Respiratory Syncytial Virus (RSV)

    Respiratory Syncytial Virus (RSV) is an infection of the lungs and breathing tubes.

    *  In adults and children over 3 years old, symptoms are like those of a cold.

    *  In children under 3 years old, RSV can cause a lower respiratory infection, such as pneumonia. Infants 2 to 6 months old are more prone to this.

    Get medical care right away if your baby has signs and symptoms of RSV:

    *  Blue color around the lips, fingernails, or skin

    *  Quick breathing or trouble breathing

    *  Grunting sounds with breathing

    *  Fever of 100.4ºF or higher in a baby less than 3 months old; 104ºF or higher in a child between 3 months and 3 years old.

    *  Severe cough or severe wheezing

    Resources

    Centers for Disease Control and Prevention (CDC)

    800.CDC.INFO (232.4636)

    www.flu.gov

    www.cdc.gov/flu

    Cold and Flu brochure by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Copd

    Respiratory conditions

    The letters COPD are for chronic obstructive pulmonary disease. This is lung disease that worsens over time. With COPD, airways are narrowed and blocked. The lungs are damaged. Having COPD makes it hard to breathe in and out. In the U.S. and throughout the world, COPD is a major cause of illness and death. Most often, COPD is due to one or both of these problems:

    *  Chronic bronchitis. This causes swelling and the build-up of mucus in the lungs.

    *  Emphysema. This damages the walls of the air sacs in the lungs.

    Illustration of COPD.

    Signs & Symptoms

    *  A chronic cough. The cough brings up mucus or phlegm.

    *  Shortness of breath. This is usually worse with exercise or when you exert yourself.

    *  Feeling like you can’t take a full, deep breath

    *  Chest tightness

    *  Wheezing. This is a whistling sound when you breathe.

    *  Frequent colds and other respiratory infections

    *  Swelling in the legs, ankles, and feet

    Symptoms of COPD usually start after 40 years of age and slowly worsen over time.

    Diagnosis

    COPD is usually diagnosed with a breathing test called spirometry. Spirometry measures how much air your lungs can hold and how fast you can blow air out of your lungs. It is a simple and fast test. Your doctor or nurse technician will ask you to take a deep breath and then breathe out as hard and as fast as you can into a mouthpiece. The spirometer will measure and record the results.

    A chest X-ray or CT scan can also diagnose COPD. Sometimes, a blood sample is taken  to test levels of oxygen and carbon dioxide in the blood.

    Causes

    *  Smoking. This is the main cause. More than 90 percent of people with COPD are smokers or former smokers.

    *  Breathing in other lung irritants over a long period of time. These include air pollution and dust or chemicals used in the mining and textile industries.

    *  In some rare cases, having a genetic disorder called Alpha-1 antitrypsin deficiency. This is due to a defective protein in the blood.

    When to Seek Medical Care

    Reasons to Call Your Health Care Provider

    *  You have a much harder time catching your breath.

    *  You have sudden tightness in your chest.

    *  You cough a lot more, it becomes difficult to cough, or you cough up yellow, green, brown or red-colored mucus.

    *  You have a fever.

    *  You have heart palpitations or a faster pulse   than usual.

    *  You have a sudden increase or loss of appetite.

    *  You have blurry vision or see double.

    *  You become unusually dizzy or sleepy or you can’t think clearly.

    *  You are anxious or depressed.

    Reasons to Get Emergency Care

    *  Your lips or fingernails are blue or gray.

    *  It is hard for you to talk or walk.

    *  Your breathing is fast and hard, even after taking medicine.

    *  Your heart is beating very fast or irregularly.

    Prevention

    The best way to prevent COPD is to not smoke. If you smoke, commit to quit! Talk to your doctor about over-the-counter or prescribed medications that can help you quit. To increase your chances of success, take part in a stop smoking class or program.

    *  Avoid secondhand smoke and other lung irritants.

    *  If you work in an at-risk industry, wear protective clothing and equipment. Follow the safety measures of your workplace.

    You can get help to quit smoking from:

    1-877-44U-QUIT (448-7848)

    1-800-QUIT-NOW (784-8669)

    www.lungusa.org

    www.smokefree.gov

    Treatment

    Work with your health care provider to develop and follow a treatment plan to meet your needs.

    Medications

    *  Bronchodilators relieve shortness of breath and keep airways open.

    *  Anticholinergics relax airway muscles.

    *  Inhaled steroids reduce swelling in the airways.

    *  Antibiotics and antiviral drugs treat infections that occur with COPD and that make it worse.

    Oxygen Therapy

    Your doctor may prescribe oxygen therapy if oxygen levels in your blood are too low. Oxygen is provided by an oxygen cylinder or concentrator and delivered through a nasal tube. It can help you be more active and lead a better life.

    *  Use your oxygen, as advised by your doctor or care specialist.

    *  Do not smoke or let people around you smoke while oxygen is in use.

    *  Before you travel, ask your doctor how to have your oxygen needs met. Discuss where you plan to go and your method of travel. If you are flying, check with the airline for rules about traveling with oxygen. You may need a letter from your doctor or copies of your oxygen prescription, so plan ahead.

    Vaccines

    People who have COPD are more likely to be sicker longer and may have more serious health problems when they get the flu or pneumonia.

    *  Get a yearly flu shot. Get information fromwww.cdc.gov/fluor 1-800-CDC-INFO (232-4636).

    *  Get a pneumonia vaccine, as advised by your doctor.

    *  Lower your risk of illness. Wash your hands often with soap and water and keep them away from your eyes, nose, and mouth. When you can’t wash your hands, use alcohol-based hand cleaners. Avoid crowded places when possible.

    Pulmonary Rehabilitation

    You work with a team of health care providers to create a personal treatment plan and set goals. You learn to manage your COPD to live a more normal life. Pulmonary rehabilitation includes:

    *  Exercise. This strengthens your muscles and improves your endurance. It makes it easier for you to move, do activities, and take care of yourself. You will find out how often to exercise, for how long, and how hard to push yourself.

    *  Emotional Support. Many people who have COPD also deal with depression, anxiety, and low self-esteem. Some programs offer emotional support, group counseling, and/or relaxation training.

    *  Disease Education. You will learn how to quit smoking, eat healthy, and manage symptoms.

    Self-Care

    Quit smoking! This is the most important thing you can do to manage your COPD.

    Learn your triggers and know how to avoid them.

    *  Don’t smoke.

    *  Control household triggers, such as dust. Wear a filter mask when you vacuum, dust, and do hobbies or work that involve dust and other irritants. Use a damp (not dry) cloth for dusting.

    *  Keep your home well-ventilated.

    *  Do not use aerosols, ammonia, lye, kerosene, powders or solvents. Find out about products that are safe for you and the environment at Indoor Air Quality (IAQ) House atwww.epa.gov/iaqandwww.epa.gov.

    *  Stay inside when air quality is poor. Find Air Quality Index forecasts fromwww.airnow.gov.

    *  Follow your health care provider’s advice for using air filters and air purifiers.

    Manage your coughing.

    *  Do not take over-the-counter cough or other medicines unless your doctor tells you to. Your health care provider can teach you techniques for coughing comfortably and productively.

    *  Unless you are told by your doctor to limit your fluids, drink at least 8 glasses of water a day to keep mucus thin and easier to cough up.

    Practice pursed lip breathing to relieve shortness of breath:

    *  Relax. Close your mouth. Breathe in through your nose. Do this slowly and count: one, two.

    *  Purse your lips like you are going to whistle. Breathe out slowly and count: one, two, three, and four.

    *  Do not do this tight-lipped.

    Resources

    The Asthma and Allergy Foundation of America

    800.7.ASTHMA (727.8462)

    www.aafa.org

    National Heart, Lung, and Blood Institute

    301.592.8573

    www.nhlbi.nih.gov

    COPD brochure by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Coughs

    Respiratory conditions

    Image of man coughing into elbow.

    A cough is a reflex action. It clears the lungs and airways of irritants, mucus, a foreign body, etc.

    Signs & Symptoms

    There are 3 kinds of Coughs

    *  Productive. This cough brings up mucus or phlegm.

    *  Nonproductive. This cough is dry. It doesn’t bring up any mucus.

    *  Reflex. This cough is from a problem somewhere else like the ear or stomach.

    Causes

    *  Tobacco smoke. Dry air.

    *  Asthma.

    *  An allergy or an infection.

    *  Acid reflux from the stomach.

    *  Certain medications, like ACE inhibitors for high blood pressure.

    *  Something stuck in the windpipe.

    *  A collapsed lung.

    *  A growth or tumor in the bronchial tubes or lungs.

    Treatment

    How to treat a cough depends on what kind it is, what caused it, and other symptoms. Treat the cause and soothe the irritation. Self-care can treat most coughs. If the cause is due to a medical condition, treatment for that condition is needed.

    Questions to Ask

    Self-Care / Prevention

    For Coughs that Bring Up Mucus

    *  Drink plenty of liquids.

    *  Don’t smoke. Avoid secondhand smoke.

    *  Use a cool-mist vaporizer, especially in the bedroom. Put a humidifier on the furnace.

    *  Take a shower. The steam helps thin mucus.

    *  Use an over-the-counter expectorant medicine, as directed. This helps you spit out phlegm or mucus. Try a decongestant for postnasal drip.

    For Coughs that Are Dry

    *  Drink lots of liquids. Hot drinks like tea with lemon and honey soothe the throat.

    *  Suck on cough drops or hard candy. (Don’t give these to children under age 5.)

    *  Take an over-the-counter cough medicine that has dextromethorphan.

    *  Make your own cough medicine. Mix 1 part lemon juice and 2 parts honey. (Don’t give this to children less than 1 year old.)

    Other Tips

    *  Don’t smoke. Avoid secondhand smoke. Avoid chemical gases that can hurt your lungs.

    *  Don’t give children under age 5 small objects that can easily get caught in the throat or windpipe. Examples are buttons, balloons, peanuts, and popcorn. Even adults should be careful to chew and swallow foods slowly so they don’t “go down the wrong way.”

    *  If you cough and have heartburn symptoms when you lie down, try a liquid antacid. Don’t lie down for 2 to 3 hours after you eat.

    Resources

    American Lung Association

    800.LUNG.USA (586.4872)

    www.lungusa.org

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Covid-19 Vaccine Myth Busters

    Respiratory conditions

    Women wearing face mask covering mouth and nose, with bandaid on upper arm where she received a vaccine shot.

    If you are still deciding whether the COVID-19 (COVID) vaccine is right for you, here is some accurate vaccine information to help clear up some common myths and rumors you may have come across while gathering information.

    Can COVID-19 vaccines cause variants?

    COVID vaccines do not create or cause the COVID virus to become a variant. New variants happen because the virus is constantly changing through a natural process. This process is called mutation. Even before the vaccines were developed, there were already several variants of the COVID virus. Plus, moving forward, variants are expected to continue to emerge as the virus continues to change. COVID vaccines can help prevent new variants. With high vaccination coverage, the spread of the virus is reduced so it has fewer opportunities to change into a new variant.

    Is the mRNA vaccine considered a vaccine?

    mRNA vaccines, such as Pfizer-BioNTech and Moderna, are vaccines. They trigger your immune system to respond to fight the COVID virus. Although these vaccines are new, their research and development has been ongoing for decades. These types of vaccines teach your cells to make a “spike protein,” which is found on the COVID virus. Your body recognizes this protein does not belong and works to get rid of it. Your body does this by making antibodies to fight against the virus as if you were infected with the virus. This immune response is what protects you from getting infected if the real virus enters your body.

    Do COVID vaccines contain microchips?

    COVID vaccines do not contain microchips. Vaccines are not given to track your movement. They are given to fight against COVID infection. Vaccines work by stimulating your immune system to produce antibodies, as if you were exposed to the virus that causes COVID. Once vaccinated, you develop immunity to COVID without getting the disease first.

    Can the COVID  vaccine cause you to be magnetic?

    A COVID vaccine will not make any part of your body magnetic. COVID vaccines do not contain any ingredients that can produce an electromagnetic field on your arm where you receive the injection. All COVID vaccines do not contain metals.

    Do the COVID vaccines shed any of their components?

    Vaccine shedding can only occur when the vaccine contains a weakened, live version of the virus. None of the COVID vaccines approved in the U.S. contain the live virus.

    Will the vaccine alter my DNA?

    COVID vaccines do not change your DNA in any way. Both kinds of vaccines (mRNA and viral vector type vaccines) send instructions from your genes to your cells. These instructions tell your cells how to start building protection against the virus that causes COVID. The material from either type of vaccine does not enter the nucleus of the cell, which is where DNA is kept, so it cannot alter the DNA.

    Is it safe for me to get a COVID vaccine if I plan to have a baby one day?

    COVID vaccination is recommended for people who are trying to get pregnant now or in the future. There is no evidence that COVID vaccines lead to problems trying to get pregnant, for women or men.

    Is natural immunity from COVID infection better than immunity from the COVID vaccine?

    Getting a COVID vaccine is safer and more dependable in building COVID immunity than getting sick with COVID first. Having COVID can offer some protection from future illness. But, the amount of protection may vary depending on how mild or severe the illness was and their age. Plus, getting COVID can lead to severe illness.

    Does the COVID vaccine affect mammogram results?

    Getting the COVID vaccine can cause normal and temporary swelling of the lymph nodes in the underarm. This may cause mammogram results to appear abnormal for a period of time after vaccination. Ask your doctor how long you should wait after vaccination to get your mammogram.

    Can the COVID vaccine make me sick with COVID-19?

    None of the approved vaccines in the U.S. can make you sick with COVID because they do not contain the live virus that causes COVID. When you get the vaccine, it teaches your immune system to identify and fight the virus. Sometimes, this process can produce symptoms, such as fever. These symptoms are normal and signal that your body is building protection.

    Will the vaccine cause me to test positive?

    None of the approved vaccines cause you to test positive on the viral tests, which are used to see if you have a current infection. If your body develops an immune response after you receive the vaccine (which is the goal) you may test positive on some antibody tests. Antibody tests will show that you had a previous infection and that you may have some level of protection against the virus.

    Will the vaccine provide 100% protection?

    COVID vaccines will not protect you 100%. No vaccine does, just like virtually no medical treatment is 100% effective, 100% of the time. The vaccine gives you very significant benefits. It vastly reduces the likelihood of you getting COVID and helps protect you from severe illness or death, even if you do get COVID. However, at this time, CDC recommends everyone ages 12 and older get a booster shot. That’s because studies now show vaccine protection against the virus and the ability to prevent infection likely decrease over time, especially if variants of the virus emerge.

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Covid-19

    Respiratory conditions

    Man at grocery store wearing a face mask covering mouth and nose.

    COVID-19 (COVID) is a disease caused by the SARS-CoV-2 virus. Most people recover within a few weeks. Older people and those with certain underlying medical conditions are more likely to become severely ill. Safe and effective vaccines are available to protect against COVID infections.

    Signs & Symptoms

    Symptoms may be mild or severe and appear 2-14 days after exposure to the virus. Symptoms may include:

    *  Fever or chills

    *  Cough

    *  Shortness of breath or difficulty breathing

    *  Fatigue

    *  Muscle or body aches

    *  Headache

    *  Loss of taste or smell

    *  Sore throat

    *  Congestion or runny nose

    *  Nausea or vomiting

    *  Diarrhea

    Post-COVID conditions include a wide range of new, returning, or ongoing health problems for some people. They may occur four or more weeks after first being infected.

    How COVID Spreads

    *  Breathing in air when close to an infected person who is breathing out air that contains the virus. People who are closer than 6 feet from the infected person are most likely to get infected.

    *  Having these virus particles from an infected person land on the eyes, nose, or mouth.

    *  Touching eyes, nose, or mouth with hands that have the virus on them.

    Risk Factors for Severe Illness

    Severe illness means needing hospitalization, intensive care, a ventilator to help breathe, or even death.

    *  Older people: The risk increases for people older than 50. People older than 85 are most likely to get very sick.

    *  People with certain underlying medical conditions: Examples include cancer, chronic kidney disease, and chronic lung disease, such as asthma, COPD, cystic fibrosis, and pulmonary hypertension. Others include dementia, diabetes, heart disease, HIV infection, weakened immune system, liver disease, overweight and obesity, sickle cell disease, smoking, and substance use disorders.

    *  Women who are pregnant.

    Treatment

    *  Most people have mild illness from COVID and can recover at home.

    *  Get medical care immediately if you have trouble breathing or have any other emergency warning signs. Treatment may include medications and hospitalization to slow the virus, reduce an overactive immune response, support for the body’s immune function, or treat complications.

    *  One example of a medication used for treatment is monoclonal antibodies, which may help the immune system recognize and respond more effectively to the virus.

    *  Tell your close contacts that they may have been exposed to COVID so they can take precautions to protect their health, and the health of others close to them.

    Prevention

    Get vaccinated, including a booster shot, if recommended. This includes people who already had and not had COVID. These vaccines are safe and effective. They help protect against severe disease and death from variants of the virus. You may have side effects after vaccination, which is normal and should go away in a few days.

    Use these following guidelines to help further prevent infection:

    *  Follow your local public health department’s recommendations to stay safe, especially if you live in or visit an area where there are high numbers of COVID cases.

    *  Follow guidelines issued by your workplace and local businesses.

    *  Wear a mask if you are not fully vaccinated when you are in indoor public places or crowded outdoor settings. You may also be recommended to avoid these areas.

    *  If you are fully vaccinated, you may also be recommended to wear a mask:

    – When in areas of high numbers of cases

    – If your age or an underlying medical conditions puts you at an increased risk for severe illness

    – If someone in your household has a weakened immune system, is at increased risk for severe illness, or is unvaccinated.

    *  Wear a mask in planes, buses, trains, airports, stations, and ride-sharing services.

    *  Stay 6 feet away from others who do not live in your household. If possible, avoid close contact with people inside your household who are sick.

    *  Avoid indoor spaces that do not offer fresh air from the outdoors.

    *  Clean high touch surfaces regularly.

    *  Wash your hands often with soap and water for at least 20 seconds. Or use a hand sanitizer that contains at least 60% alcohol. This includes:

    – Before eating or preparing food

    – Before touching your face

    – After using the restroom

    – After leaving a public place

    – After blowing your nose, coughing, or sneezing

    – After handling your mask

    – After changing a diaper

    – After caring for someone who is sick

    – After touching pets

    *  Cover coughs and sneezes. If wearing a mask, put on a new, clean mask as soon as possible. If you are not wearing a mask, cover your mouth and nose with a tissue, or the inside of your elbow.

    *  Limit the number of visitors and the time spent inside.

    *  Improve ventilation (air flow) in your home, especially when there are visitors. Open doors and windows if safe to do so. Filter the air in your home, using pleater furnace filters and change them every three months. Turn on bathroom and kitchen exhaust fans as well as other fans.

    *  Monitor your health daily. Be alert for symptoms, especially if you have been in a public setting and unable to keep a physical distance of 6 feet.

    *  If you have close contact with someone who has COVID, fully vaccinated people should wear a mask around others for 10 days and get tested at least 5 days after exposure. Unvaccinated people should quarantine. Stay home for 5 days, wear a mask around others and watch for symptoms. Get tested at least 5 days after exposure. If negative, you can leave your home but continue to wear a mask around others until 10 days after exposure. All people should get tested if they have symptoms.

    Triage Questions

    Self-Care

    *  Stay home, except to get medical care. Stay in a specific room away from other people and pets in your household. Use a separate bathroom, if available.

    *  Monitor your symptoms carefully. Follow care instructions from your doctor and local health department.

    *  Your doctor may recommend taking medications, like acetaminophen or ibuprofen, to reduce fever. Other medications may also be recommended or prescribed that you can take while staying at home.

    *  Get rest and stay hydrated.

    *  Cover your mouth and nose with a tissue when you cough or sneeze. Immediately wash your hands.

    *  To find out where you can get tested, contact or visit the website of your local, state, or tribal health department.

    *  Wear a mask over your nose and mouth if you need to be around other people or animals, inside or outside your home.

    *  Wash your hands often with soap and water for at least 20 seconds. This includes:

    – After blowing your nose, coughing or sneezing

    – Going to the bathroom

    – Before eating or preparing food

    *  If soap and water are not available, use hand sanitizer with at least 60% alcohol.

    *  Clean and disinfect high-touch surfaces every day in your “sick” room and bathroom. If other people clean these areas, they should wear a mask and disposable gloves.

    *  Do not share dishes, eating utensils, towels, or other bedding with other people in your home.

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine