Nose flu

Hello, everyone.
Today i (25 M, 1,74m 56 Kg) am unable to sleep. and am writing this at 2:30 AM. Its not been the first time this happened (the issue im about to tell, not the sleep thing), but this time feels the worse.
Everytime i get the flu, or any other sort of respiratory infection, when im going to sleep it seems that my nose just closes internally. Sometimes even if i dont have anything, my nostrils close internally and make me suffocate.
If i blow air really strongly from my nostrils it makes an "elephant like" sound, opens for a moment, then closes shut again. It simply opens again randomly.
I normally just ignore this condition, but today its worse, i cant even sleep.
I tried to look for answers online, but i only find things about mucus, that inst the case, its an dry part of the inside of my nostril that closes.
Anyone know what it mighy be? and how to at least remedy it for now?
thank you all for your attention, and sorry for any mispelling, as english inst my first language (Im from Brazil)

I was on a trip with my partner we still are very Covid cautious. We got home from a trip took a home test and we both got a faint line no symptoms. Later in the day we both get a stuffy nose. We make an appt with urgent care for a pcr test. I have flu A and Covid only stuffy nose still has my symptom. No fever or cough. My vitals were fine. My partner has sinus pressure slight fever. With our health stuff we both got paxlovid. Because i have a small viral load I almost didn’t get it I had to push for it. On the trip And when I got home staying well hydrated and doing nasal rinses.
We’ll see how the next week goes I guess.

Hello. I started feeling under the weather Thursday afternoon and ended up having a stuffy nose and sniffles later in the day. Throughout Thursday night through Friday morning, I had frequent urination, hot feeling piss temperature, body felt hot, more stuffed and sinus dripping than earlier in the day with some ear ache. I only ever pee once or twice a night, but I went about 6-8 times. I started having body aches Friday 12am til about Friday 1pm with hot and cold chills and aches in my leg and lower back and abdominal area. I took a hot epsom salt bath and slept the rest of the day. Wasn’t sure I had Covid or maybe it was a cold or flu. I started feeling a little bit better 9pm Friday night but still with lots of sniffles and drop and stuffed nose and ear ache. I went back to sleep around 11pm. From 11pm Friday night til about 2am Saturday morning I had what can only be described as a what the fuck dream? Like it was genuinely freaky and terrifying that I woke up and still saw my dream play out in front of me? I kept opening and closing my eyes to get rid of it and it wouldn’t go away so I started freaking out and screaming (but low volume screaming because my throat felt hoarse and I was too scared so it really came out like a whimper?) I kept trying to get off my bed but was super clumsy and couldn’t feel like I could stand up so I kept slamming my head on my bed to get away from whatever it was I saw? I can’t quite remember the dream, just that it was not pleasant at all and it got such a jerk reaction from me. I think I calmed down after I shut my eyes and cried a bit but it was definitely terrifying. I still feel a little fuzzy about it. I took a Covid test and it came back positive. I took another one and it was also positive. I have never ever went through something like this before and I’m actually freaked out by this. Has anyone had something similar like this happen to them?

With the recommendation of my doctor, I went on Lexapro two weeks ago for anxiety and OCD. I’ve been on Lexapro several years ago and it worked great, until my health insurance ran out and I tapered off since I couldn’t afford it.
I was on 5mg and took it for about 5 days, but had to call it quits. I was having every side effect including: nausea, diarrhea, dizziness, cold sweats, yawning and runny nose, increased anxiety and extreme brain fog. It felt like I had the worst flu and I couldn’t continue because I can only take so much time off of work.
It’s been exactly a week since I stopped 5mg cold turkey, but my GI system is still messed up! I still have intermittent nausea and diarrhea that even Imodium won’t stop. Has anyone else experienced this? How long did it take you to feel normal again?

Ok I got the flu this is day 8 in total but day 5 of loss of smell and taste . My flu started out with high fever and body aches chills no problem breathing or smelling and then when that subsided stuffy nose loss of smell and cough started and still ongoing . I have been using saline spray bit it's not helping . I thought maybe I'd try decongestant cuz I have not yet was waiting for this to clear up on its own . It's not terribly congested but still a bit and enough for me not to smell anything.

it's a bit complicated, both my bf and I have tested negative for covid, but his dad tested positive (we live with him) so we are unsure if it's flu or covid. cat has been sneezing lately and when I saw him today his nose had pink going up his bridge. all he's been doing is sneezing but I think his eyes are more glossy. I didn't know it was transmittable to cats if I did I wouldve kept him locked away, but my question is will he be ok? does this warrant a vet visit or will he be ok?

Wanted to know if this is just me or if other people have the same issues and any suggestions to overcome them.
When I'm taking Dex it seems to suppress the start of me getting sick, I think the decongestant effects stop my nose from running like crazy or getting blocked and the stim effects stop me feeling tired and rundown like I'd get with a cold/flu otherwise.
I don't historically get sick that often but 3 times over the past 6 months I havent noticed I'm sick so I don't slow down and get some rest to recover. Instead I seem to run myself down and end up severely sick and/or with a sinus infection. I normally stop taking my meds once I notice I'm pretty sick along with taking a few days rest to let my body do its immune thing & recover. If i do take them though they don't seem to be effective (maybe due to exhaustion?). This ineffectiveness seems to continue for as long as 2 weeks after I've started to get better.
Wondering if meds stop anyone noticing their sick or ways you deal with it? And does anyone else have issues with meds not working for a while after? Maybe while still fully recovering?

pic for reference 👀
24F, 5’6 100lbs, taking amox-clav, non-smoker
I get sick at least every month (lately every few weeks) for the past year with terrible cold and flu symptoms (productive cough, runny nose, sore throat, ear pain.) My mucus is blue every time. I have chronic shortness of breath the last year and a MicroGenX swab didn't show anything to indicate why my phlegm is blue. I'm on a second round of amoxicillin-clav per an allergist.
Does anyone have any idea what could be causing my terrible immune system, SOB, and blue mucus? Thank you so much.
https://ibb.co/gzrdn98

I 34F came down with extreme chills and dizziness/fever 2 days ago. This is the third time I’ve been sick since March (similar cold/flu symptoms). I’ve tried testing for Covid and have been negative this round and previous round (not sure about March infection, I was on vacation)
Yesterday I was trying to combat my chills by overheating myself with a blanket cocoon, hoping to sweat it out. Afterwards, I noticed what I thought was eczema-looking blisters.
My family has history of eczema and I think I have it too, but haven’t had it looked at or treated as they were self-resolving.
Then overnight, things changed when my feet started to itch, in which I tried to run my feet through some cold water. After doing that twice over 1-2 hours, I slept a little and woke up to my feet being super inflamed.
It’s not super painful unless I’m putting pressure on my feet (standing/walking). I just feel it super inflamed and very uncomfortable when I’m resting.
It has also spread to my elbows and my hands, and around my nose area.
So I decided to go to the nearest emergency to get it checked out since I couldn’t get an appointment with my family doctor.
The doctor says that they think it’s chilblains, and that there’s nothing they can do other than for me to eat Advil/tylenol. He was unconcerned that I still feel chills even today, and he did not want to prescribe a steroid cream to help in case this needed dermatologist intervention.
Nothing was prescribed to me at this time and I feel like my condition has gotten worse.
Should I visit a bigger emergency? Or do I have to just ride it out.
And is there something I can do to mitigate it? Ice it? Keep it warm?
At my wits end here
Pics: https://ibb.co/pz6bdWc https://ibb.co/bjtqRdG https://ibb.co/r7pNjN3

Hello guys.
I have been dealing with dry VR (just swelling turbinates, no other symptoms) for over a year now. Many of us think this is caused by a deviated septum, that's what I heard from an ENT too. Now, the funny thing is, a slightly deviated septum is actually a normal septum

About 70% to 80% of people have a septal deviation noticeable to an examiner

source
So it is normal not to have a perfectly straight septum and sounds super unlikely this can be the cause of the swelling turbinates. Nevertheless, it will make the condition worse due to the further airflow restriction. The thing is it is not the root cause of the problem.
Often times people dealing with this shitty condition say it started after an infection (cold / flu / Covid). There were also stories of excessive smoking or mucosa damage. Based on these as well as everything else that I heard, I believe the dry VR among healthy individuals (no underlying conditions) comes from a local nerves damage.
This would explain why the nasal steroids do nothing (they will not heal the nerves) and the surgery only provides a temporary relief (a few years if you are lucky). The turbinates are reduced so you don't feel the congestion, but the nerves keep being overreactive so the problem comes back in the future when the turbinates regrow.
In contrary to the wet VR (runny nose, sneezing, PND etc), I have not heard a single story of the dry VR disappear after a few years, moving to a different country or anything else. Dry VR is just always there, some days are better, some days are worse, but it is always there. This makes me think that the damage is irreversible and the key to deal with this problem is trying to avoid the triggers.

“Symptoms before the cats’ deaths included stiff body movements, wobbliness, circling, runny noses and blindness. Researchers examined two of the dead cats and found evidence that the virus had infected their whole bodies. But it may have been brain infection that killed the cats. “Unfortunately, it’s not great news if we get to that point,” Davis says.
….. Water, footwear or equipment contaminated with bird droppings also might be potential sources of infection, according to the World Organization for Animal Health.”
More good tidbits here : https://www.sciencenews.org/article/bird-flu-h5n1-infect-cats-people
Be sure to click on the link “contaminated bird poop droppings” highlighted in blue. An informational pamphlet from WOAH will open.
Or click it here: https://www.woah.org/app/uploads/2023/07/qa-avian-influenza-in-cats.pdf

Anyone else get sick in the last few weeks with some nasty virus that mainly affects the lungs, nose, and throat? Prednisone is barely helping the lung symptoms which is very odd considering I’m at a very high dose. Prednisone always helps my lungs symptoms a ton! I’m coughing and sneezing out extremely thick yellowish brown mucus. I also have severe facial/sinus pain that I had many times during influenza. But I went to urgent care a few days ago and I’m Covid, flu, strep, and RSV negative. But I’ve been sick with this since Sunday and not getting much better. Just kind of plateaued. Same with my clients. We all seem to have a nasty cold that won’t go away. Anyone else?

For the last 2-3 days, he asked me two times about our second date plans and on the day of the date, he realized that he has piano lessons. And then says, but I don’t know actually if I’ll be able to be part of the class. I have flu! And then says, Well. I have headache and a running nose. I feel like I want to stay home and be taken care of. But I don’t know if you would be up to that.
Isn’t that a weird ask?! We have seen each other a total of 3 times in big social hangouts and once one-on-one.
Am I being taken advantage of?!

hi all!!
i was just recently diagnosed audhd after suspecting for a couple of years (yay?). i feel as though i have been in some sort of burnout for at least the last year, if not longer. i don’t think i knew what to call it earlier so i just dismissed it.
i work full time and i am looking to go back to school full time in september, and work part time as well. i am worried this will surely kill me but i really don’t know what else to do given this has been my plan for so long and i really dislike the job i work now. and i need to pay for rent and food lol
i currently have atleast 1 meltdown every 2 days. when too much is going on or i am particularly depressed i can have 3 in one day while im working (from home). i usually deal with them and then keep on working, i only have so much sick time and i really can’t take half days 3x a week after sobbing at my desk. they absolutely exhaust me and take a while to recover from usually.
unfortunately i worry i am slowly killing myself. i have gotten “the flu” like 4 times in the past 2.5 months. it’s always the same sore throat, cough, runny nose with extreme body aches and chills and it is always accompanied by a heavy brain fog that stops me from doing literally anything.
i was having a horrible week the last week; waking up depressed which usually doesn’t happen unless i’m really low and struggling to eat very much. lo and behold tuesday afternoon/evening i am running a fever. this is of course the day after i’m pushing myself at work to meet productivity. i don’t even go out?? is it even possible to get the flu this often??
i spoke to an NP and she advised me to get blood tests done but i feel like this must be associated to my mental health somehow? obviously there is still a chance that it could be something medical, and i will go get everything checked out asap (when i have the spoons to call my doctor) but if it is burnout-related, is there any way to prove it???
i’m just wondering if anyone has any experience getting time off work for burnout. i will definitely meet the diagnostic criteria for depression if i’m tested, so that might be enough to get me out of there but i am struggling to see a long term solution and that’s the only way my brain works.
has anyone had a similar experience and was successful getting approved for disability/time off work??? i worry that if i’m honest with my depression symptoms i may be admitted, but idk how to stress how much i’m struggling without being 100% honest…if that makes sense.
thanks in advance :)))) hope everyone has a good start to pride month <3

Title: Understanding Fentanyl: Uses, Risks, and Controversies
Introduction: Fentanyl, a potent synthetic opioid, has gained significant attention in recent years due to its role in the opioid epidemic. This article aims to provide a comprehensive overview of fentanyl, including its medical uses, associated risks, and the controversies surrounding its widespread misuse.
Medical Uses: Originally developed for managing severe pain, especially in cancer patients, fentanyl is an analgesic that is 50 to 100 times more potent than morphine. It is commonly used in medical settings for pain management during surgeries, chronic pain conditions, and palliative care.
Risk Factors: While fentanyl is effective in controlling pain when administered under medical supervision, its misuse poses serious health risks. The drug's high potency increases the likelihood of overdose, leading to respiratory depression and, in extreme cases, death. Illicitly manufactured fentanyl, often mixed with other substances, has been a major contributor to the rising number of opioid-related deaths.
Controversies and Illicit Use: The illicit use of fentanyl has sparked controversy and public health concerns. The drug is often clandestinely produced and added to other drugs, such as heroin or cocaine, without the user's knowledge. This has resulted in a surge in overdoses, as individuals may unintentionally consume lethal doses of the opioid.
Law Enforcement and Regulation: Governments and law enforcement agencies worldwide are grappling with the challenges posed by the illicit production and distribution of fentanyl. Efforts to regulate its manufacturing and distribution are ongoing, with stricter controls in place to prevent diversion into illegal channels.
Treatment and Harm Reduction: Addressing the fentanyl crisis requires a multi-faceted approach, including expanded access to addiction treatment, harm reduction strategies, and public awareness campaigns. Naloxone, an opioid receptor antagonist, has proven effective in reversing opioid overdoses and is increasingly available to first responders and the general public.
Conclusion: Fentanyl, with its remarkable pain-relieving properties, has become a double-edged sword in the realm of healthcare. While it serves a crucial role in medical settings, its misuse poses severe risks to public health. Efforts to combat the opioid epidemic must focus on education, regulation, and treatment to strike a balance between managing pain effectively and preventing the tragic consequences of its illicit use.
Narcan, also known by its generic name naloxone, is a medication used to rapidly reverse opioid overdose. It works by binding to the same receptors in the brain that opioids target, effectively reversing the life-threatening effects of opioid toxicity. Narcan is commonly administered in emergency situations where an individual is experiencing respiratory depression or unconsciousness due to opioid overdose.
Emergency responders, healthcare professionals, and even some non-professionals, such as family members of individuals at risk of opioid overdose, may carry naloxone. The medication is available in various forms, including nasal sprays and injectable formulations, making it accessible for different situations.
The prompt administration of Narcan can restore normal breathing and consciousness, providing crucial time for the affected person to receive further medical attention. It is an essential tool in harm reduction strategies aimed at preventing opioid-related deaths and is a key component of public health initiatives addressing the opioid epidemic.
Suboxone is a prescription medication used in the treatment of opioid dependence and addiction. It is a combination of two active ingredients: buprenorphine and naloxone.

1. Buprenorphine: This is a partial opioid agonist, meaning it binds to the same receptors in the brain that opioids bind to but with less intensity. It helps to reduce cravings and withdrawal symptoms, allowing individuals in recovery to better manage their addiction.
   
2. Naloxone: Naloxone is an opioid receptor antagonist, which means it blocks the effects of opioids. When taken as directed, naloxone remains largely inactive. However, if someone were to misuse Suboxone by injecting it, the naloxone component can counteract the opioid effects, reducing the risk of misuse.
   

Suboxone is often prescribed as part of medication-assisted treatment (MAT), a comprehensive approach to opioid addiction that includes counseling, therapy, and support services. It can be used in the detoxification phase as well as for long-term maintenance therapy. The goal of Suboxone treatment is to help individuals gradually reduce their dependence on opioids, manage cravings, and improve their overall quality of life during recovery.
It's important to note that Suboxone should only be used under the supervision of a qualified healthcare professional, as improper use or abrupt discontinuation can lead to withdrawal symptoms or other complications.
Precipitated withdrawal refers to the accelerated onset of withdrawal symptoms, often more severe than typical, when an opioid antagonist is introduced to the body. This occurs because the antagonist displaces the opioid from receptors, leading to a sudden and intense withdrawal reaction.
For example, if someone is currently dependent on opioids and receives a medication like naloxone or naltrexone, which are opioid antagonists, it can rapidly trigger withdrawal symptoms. This is a safety mechanism, as these medications are often used to reverse opioid overdose or as part of addiction treatment.
The term is commonly associated with medication-assisted treatment for opioid use disorder, where medications like buprenorphine (a partial opioid agonist) are used. If buprenorphine is administered before other full opioids have cleared from the system, it can displace those opioids from receptors, leading to precipitated withdrawal. This is why healthcare providers carefully time the initiation of medications like buprenorphine to avoid this intensified withdrawal reaction.
Understanding the potential for precipitated withdrawal is crucial in the context of addiction treatment to ensure safe and effective transitions between medications and to minimize discomfort for individuals in recovery.
Using Suboxone involves adherence to a specific treatment plan under the guidance of a qualified healthcare professional. Here are some key aspects related to the use of Suboxone:

1. Prescription and Medical Supervision: Suboxone is a prescription medication, and its use should be initiated and supervised by a qualified healthcare provider, typically in the context of medication-assisted treatment (MAT) for opioid use disorder.
   
2. Dosage: The healthcare provider will determine the appropriate dosage based on the individual's specific needs and response to the medication. It's essential to follow the prescribed dosage and not adjust it without consulting the healthcare provider.
   
3. Administration: Suboxone is often administered sublingually, meaning it is placed under the tongue and allowed to dissolve. This method allows for the absorption of the medication into the bloodstream.
   
4. Timing: The timing of Suboxone administration is crucial. It is often started when the individual is in a mild to moderate state of withdrawal to reduce the risk of precipitated withdrawal. The healthcare provider will provide guidance on the appropriate timing.
   
5. Regular Monitoring: During Suboxone treatment, individuals are regularly monitored by healthcare professionals to assess progress, manage side effects, and adjust the treatment plan as needed.
   
6. Counseling and Support: Suboxone is typically part of a comprehensive treatment plan that includes counseling, therapy, and support services. This holistic approach addresses both the physical and psychological aspects of opioid addiction.
   
7. Gradual Tapering: Depending on the treatment plan, there may be a gradual tapering of Suboxone dosage as the individual progresses in their recovery. Tapering is done under medical supervision to minimize withdrawal symptoms.
   
8. Avoiding Other Opioids: It's crucial to avoid the use of other opioids while taking Suboxone. Combining opioids can lead to dangerous interactions and diminish the effectiveness of the treatment.
   
9. Side Effects and Reporting: Like any medication, Suboxone may have side effects. Common side effects include headache, nausea, and constipation. Any unusual or severe side effects should be promptly reported to the healthcare provider.
   
10. Pregnancy Considerations: If an individual is pregnant or planning to become pregnant, it's important to discuss this with the healthcare provider, as the use of Suboxone during pregnancy requires careful consideration.
    

Always follow the guidance of your healthcare provider and inform them of any concerns or changes in your condition during Suboxone treatment. Successful recovery often involves a combination of medication, counseling, and support tailored to individual needs.
Suboxone, when used as prescribed under the supervision of a healthcare professional as part of medication-assisted treatment (MAT) for opioid use disorder, has a lower potential for abuse and addiction compared to full opioid agonists. This is because Suboxone contains buprenorphine, a partial opioid agonist, which has a ceiling effect on its opioid effects.
Buprenorphine's partial agonist properties mean that it activates opioid receptors in the brain to a lesser extent than full agonists like heroin or oxycodone. As a result, the euphoria and respiratory depression associated with opioid abuse are less pronounced with buprenorphine.
However, it's essential to emphasize that any medication, including Suboxone, should be taken exactly as prescribed by a healthcare professional. Misuse, such as taking larger doses or combining Suboxone with other substances, can increase the risk of dependence or addiction.
Abruptly stopping Suboxone can lead to withdrawal symptoms, emphasizing the importance of a gradual tapering plan under medical supervision when discontinuing the medication. It's crucial for individuals using Suboxone to work closely with their healthcare provider to ensure proper management of their opioid use disorder and to address any concerns or side effects during the course of treatment.
Withdrawal symptoms from Suboxone, or buprenorphine (the active ingredient in Suboxone), can occur when someone who has been using the medication for an extended period stops taking it abruptly. It's important to note that withdrawal symptoms can vary in intensity and duration based on factors such as the individual's overall health, the duration of Suboxone use, and the dosage.
Common withdrawal symptoms from Suboxone may include:

1. Nausea and vomiting
2. Diarrhea
3. Muscle aches and pains
4. Sweating
5. Insomnia or sleep disturbances
6. Anxiety
7. Irritability
8. Runny nose and teary eyes
9. Goosebumps (piloerection)
10. Dilated pupils

It's important to distinguish between withdrawal symptoms and precipitated withdrawal. Precipitated withdrawal can occur if someone takes Suboxone too soon after using a full opioid agonist, leading to a more rapid and intense onset of withdrawal symptoms.
Withdrawal from Suboxone is generally considered less severe than withdrawal from full opioid agonists, and the symptoms tend to peak within the first 72 hours after discontinuation. However, the duration and severity can vary from person to person.
If an individual is considering stopping Suboxone or adjusting their dosage, it's crucial to do so under the guidance of a healthcare professional. Tapering the medication gradually, rather than stopping abruptly, can help minimize withdrawal symptoms and increase the chances of a successful transition to recovery. Seeking support from healthcare providers, counselors, and support groups is essential during this process.
Kratom is a tropical tree native to Southeast Asia, specifically in countries like Thailand, Malaysia, Indonesia, Papua New Guinea, and Myanmar. The leaves of the Kratom tree have been traditionally used for various purposes, including as a stimulant, a pain reliever, and to manage opioid withdrawal symptoms.
The active compounds in Kratom, called alkaloids, interact with opioid receptors in the brain, producing effects that can vary depending on the strain and dosage. These effects can include:

1. Stimulation: At lower doses, Kratom may act as a stimulant, promoting increased energy, alertness, and sociability.
   
2. Sedation: At higher doses, Kratom may have sedative effects, leading to relaxation and pain relief.
   
3. Pain Relief: Kratom has been used traditionally for its analgesic properties, and some people use it as a natural remedy for pain.
   
4. Mood Enhancement: Some users report improved mood and reduced anxiety after consuming Kratom.
   

However, it's important to note that Kratom is not regulated by the U.S. Food and Drug Administration (FDA), and its safety and effectiveness for various uses have not been clinically proven. There are potential risks associated with Kratom use, including dependence, addiction, and adverse effects such as nausea, constipation, and increased heart rate.
Due to these concerns, Kratom has been a subject of regulatory scrutiny in various countries, with some regions imposing restrictions or outright bans on its sale and use. It is essential for individuals to exercise caution, seek reliable information, and consult with healthcare professionals before considering the use of Kratom, especially for medicinal purposes or to manage opioid withdrawal.
Methadone is a synthetic opioid medication used primarily in the treatment of opioid dependence, particularly in the context of medication-assisted treatment (MAT). It is a long-acting opioid agonist, meaning it activates the same opioid receptors in the brain that other opioids, like heroin or morphine, do.
Key points about Methadone include:

1. Opioid Dependence Treatment: Methadone is often used as a maintenance medication to help individuals reduce or quit the use of illicit opioids. It helps by reducing cravings and withdrawal symptoms.
   
2. Long-Lasting Effect: One significant advantage of methadone is its long duration of action. A single daily dose can help stabilize individuals, preventing the highs and lows associated with short-acting opioids.
   
3. Supervised Administration: In some cases, methadone is provided through supervised administration in specialized clinics to ensure proper use and minimize the risk of diversion.
   
4. Tolerance and Dependence: Like other opioids, individuals using methadone can develop tolerance and dependence. Therefore, the dosage needs to be carefully managed, and discontinuation should be done gradually under medical supervision.
   
5. Reduction of Illicit Drug Use: When used as part of a comprehensive treatment plan, methadone has been shown to reduce illicit opioid use, lower the risk of overdose, and improve overall health outcomes.
   
6. Potential Side Effects: Methadone can have side effects, including constipation, sweating, drowsiness, and changes in libido. It's important for individuals to report any adverse effects to their healthcare provider.
   
7. Regulated Use: The use of methadone is tightly regulated, and it is typically dispensed through specialized clinics or healthcare providers who are authorized to prescribe it for opioid use disorder treatment.
   

Methadone treatment is part of a broader approach that often includes counseling, therapy, and support services. It has been a valuable tool in harm reduction strategies aimed at addressing the opioid epidemic and helping individuals achieve and maintain recovery.
Narcotics Anonymous (NA) is a 12-step program that provides support for individuals recovering from addiction, particularly those struggling with substance abuse issues. It is important to note that NA, like other 12-step programs, does not have an official stance or opinion on specific medical treatments, including medication-assisted treatment (MAT) for withdrawal.
The approach to medication assistance in withdrawal can vary among individuals within the NA community. Some may find success and support in MAT, while others may choose alternative methods or prefer an abstinence-based approach. NA encourages individuals to share their experiences, strength, and hope, but it does not dictate specific treatment choices.
The primary focus of NA is on mutual support, fellowship, and following the 12-step principles, which include admitting powerlessness over addiction, seeking spiritual awakening, and helping others in recovery. Members of NA are encouraged to respect each other's choices and paths to recovery.
It's essential for individuals seeking support for addiction to find a treatment plan that aligns with their needs and values. Consulting with healthcare professionals, attending support groups, and considering various treatment options can be part of a comprehensive approach to recovery.
SMART Recovery (Self-Management and Recovery Training) is a science-based, secular alternative to traditional 12-step programs like Narcotics Anonymous. SMART Recovery emphasizes self-empowerment and utilizes evidence-based techniques to support individuals in overcoming addiction.
Regarding Medication-Assisted Treatment (MAT), SMART Recovery takes a neutral stance. The program acknowledges that MAT, when prescribed and monitored by healthcare professionals, can be a valid and effective part of a comprehensive approach to addiction treatment. SMART Recovery recognizes that different individuals may have unique needs, and treatment plans should be tailored to the individual's circumstances.
SMART Recovery's focus is on teaching self-reliance, coping skills, and strategies for managing urges and behaviors associated with addiction. The program encourages participants to make informed decisions about their recovery, including the consideration of medications that may be prescribed by healthcare providers.
Ultimately, SMART Recovery emphasizes a holistic and individualized approach to recovery, allowing participants to choose the methods and tools that best suit their needs and align with their values. This includes being open to the potential benefits of MAT for some individuals as part of their overall recovery plan.
Several treatment modalities are available for individuals struggling with opioid use disorder. The most effective approach often involves a combination of different strategies. Here are some key treatment modalities for opioid addiction:

1. Medication-Assisted Treatment (MAT): MAT involves the use of medications, such as methadone, buprenorphine (Suboxone), and naltrexone, to help manage cravings, reduce withdrawal symptoms, and support recovery. These medications are often used in combination with counseling and therapy.
   
2. Counseling and Behavioral Therapies: Various forms of counseling and behavioral therapies are crucial components of opioid addiction treatment. Cognitive-behavioral therapy (CBT), contingency management, motivational enhancement therapy, and dialectical behavior therapy (DBT) are among the approaches used to address the psychological aspects of addiction and help individuals develop coping skills.
   
3. Support Groups and 12-Step Programs: Participating in support groups like Narcotics Anonymous (NA) or 12-step programs can provide valuable peer support, encouragement, and a sense of community for individuals in recovery.
   
4. Detoxification Programs: Medically supervised detoxification programs help individuals safely manage the acute withdrawal symptoms associated with stopping opioid use. These programs often serve as the initial phase of treatment.
   
5. Residential or Inpatient Treatment: Inpatient treatment programs provide a structured and supportive environment for individuals to focus on recovery. These programs may include a combination of medical supervision, counseling, and therapeutic activities.
   
6. Outpatient Treatment: Outpatient programs allow individuals to receive treatment while living at home. This flexibility can be beneficial for those with work or family commitments. Outpatient treatment often includes counseling, therapy, and medication management.
   
7. Holistic and Alternative Therapies: Some individuals find benefit from holistic approaches, such as acupuncture, yoga, meditation, or mindfulness practices. These can complement traditional treatment modalities and contribute to overall well-being.
   
8. Peer Recovery Support Services: Peer recovery support services involve individuals with lived experience in recovery providing support, guidance, and encouragement to others going through similar challenges.
   

The most effective treatment plans are often individualized, taking into account the specific needs, preferences, and circumstances of each person. Collaborating with healthcare professionals to develop a comprehensive and tailored approach can significantly enhance the chances of successful recovery from opioid addiction.
The withdrawal timeline for fentanyl, a potent synthetic opioid, can vary among individuals based on factors such as the duration and intensity of use, individual metabolism, and overall health. Fentanyl withdrawal symptoms typically start shortly after the last dose and follow a general timeline:

1. Early Symptoms (Within a few hours): Early withdrawal symptoms may include anxiety, restlessness, sweating, and increased heart rate. Individuals may also experience muscle aches and insomnia.
   
2. Peak Intensity (24-72 hours): Withdrawal symptoms usually peak within the first 24 to 72 hours after discontinuing fentanyl. During this time, individuals may experience more intense symptoms such as nausea, vomiting, diarrhea, abdominal cramps, dilated pupils, and flu-like symptoms.
   
3. Subsiding Symptoms (5-7 days): The most acute withdrawal symptoms generally begin to subside within about five to seven days. However, some symptoms, such as insomnia, anxiety, and mood swings, may persist for a more extended period.
   
4. Post-Acute Withdrawal Syndrome (PAWS): Some individuals may experience a more prolonged period of withdrawal symptoms known as post-acute withdrawal syndrome (PAWS). This can include lingering psychological symptoms such as anxiety, depression, irritability, and difficulty concentrating. PAWS can persist for weeks or even months.
   

It's crucial to note that fentanyl withdrawal can be challenging, and seeking professional help is recommended to manage symptoms safely and effectively. Medical supervision can provide support through the detoxification process, and healthcare professionals may use medications to alleviate specific withdrawal symptoms and improve the overall comfort of the individual.
The withdrawal process is highly individual, and some individuals may find additional support through counseling, therapy, and participation in support groups to address the psychological aspects of recovery. Always consult with healthcare professionals for guidance on the safest and most effective approach to fentanyl withdrawal.
Xylazine is a veterinary sedative and analgesic medication. It belongs to the class of drugs known as alpha-2 adrenergic agonists. While it is primarily intended for veterinary use, xylazine has been misused in some cases for recreational purposes, particularly in combination with other substances.
In veterinary medicine, xylazine is commonly used as a sedative and muscle relaxant for various procedures, including surgery and diagnostic imaging. It is often administered to calm and immobilize animals.
However, the use of xylazine outside of veterinary settings, especially when combined with other drugs, can pose serious health risks. Misuse of xylazine has been associated with adverse effects, including respiratory depression, cardiovascular issues, and central nervous system depression.
It's important to emphasize that the use of xylazine for recreational purposes is highly dangerous and illegal. The drug is not intended for human consumption, and its effects can be unpredictable and potentially life-threatening.
If you have concerns about substance use or encounter situations involving illicit drugs, it is crucial to seek help from healthcare professionals, addiction specialists, or local support services. Misuse of veterinary drugs or any substances not prescribed for human use can have severe consequences and should be avoided.
PAWS stands for Post-Acute Withdrawal Syndrome. It refers to a set of prolonged withdrawal symptoms that some individuals may experience after the acute phase of withdrawal from substances like opioids, benzodiazepines, or alcohol. PAWS is not limited to a specific substance and can occur with various drugs.
These symptoms are generally more subtle than the acute withdrawal symptoms but can persist for weeks, months, or, in some cases, years after discontinuing substance use. PAWS can vary widely among individuals and may include symptoms such as:

1. Mood swings
2. Anxiety
3. Irritability
4. Insomnia
5. Fatigue
6. Difficulty concentrating
7. Memory problems
8. Reduced impulse control
9. Cravings for the substance

PAWS can be challenging for individuals in recovery, as these lingering symptoms may contribute to relapse if not effectively managed. Supportive interventions, such as counseling, therapy, and participation in support groups, can be beneficial for individuals experiencing PAWS. Healthy lifestyle choices, including regular exercise, proper nutrition, and adequate sleep, may also contribute to the overall well-being of those in recovery.
It's important to note that PAWS is not experienced by everyone in recovery, and its severity and duration can vary. Seeking guidance from healthcare professionals or addiction specialists can assist individuals in managing PAWS and maintaining long-term recovery.
Quitting substance use "cold turkey" involves stopping the use of a substance abruptly without tapering or gradually reducing the dosage. It's important to note that quitting cold turkey can be challenging, and the level of difficulty varies depending on the substance, the duration and intensity of use, and individual factors.
If you're considering quitting a substance cold turkey, here are some general recommendations:

1. Seek Professional Guidance: Before making the decision to quit cold turkey, it's advisable to consult with a healthcare professional or addiction specialist. They can provide guidance based on your specific situation, assess potential risks, and offer support.
   
2. Create a Support System: Inform friends, family, or a support network about your decision to quit. Having a support system in place can provide encouragement, understanding, and assistance during challenging times.
   
3. Understand Withdrawal Symptoms: Be aware of potential withdrawal symptoms associated with quitting the substance cold turkey. Withdrawal symptoms can vary depending on the substance but may include anxiety, irritability, insomnia, and other physical or psychological effects.
   
4. Stay Hydrated and Nourished: Maintaining proper hydration and nutrition is crucial during the quitting process. Stay hydrated by drinking water and consuming a balanced diet to support your overall well-being.
   
5. Exercise: Engage in regular physical activity. Exercise can help alleviate stress, improve mood, and contribute to your overall physical and mental health.
   
6. Consider Professional Treatment: Depending on the substance and the severity of dependence, professional treatment options, such as inpatient or outpatient programs, may be beneficial. Medical supervision can assist in managing withdrawal symptoms and ensuring safety.
   
7. Therapy and Counseling: Consider participating in therapy or counseling to address the underlying factors contributing to substance use and to develop coping strategies for a successful recovery.
   
8. Plan for Triggers: Identify situations, environments, or emotions that may trigger the urge to use the substance. Develop a plan to cope with these triggers without resorting to substance use.
   

It's essential to approach quitting any substance with a comprehensive strategy, and individual circumstances vary. Seeking professional advice ensures that you make informed decisions about the best approach for your specific situation. If you are experiencing severe withdrawal symptoms or have concerns about quitting cold turkey, it is crucial to consult with a healthcare professional for guidance and support.
Tapering refers to the gradual reduction of the dosage of a substance, typically a medication or a drug, over a specific period. Tapering is commonly used in the context of addiction treatment, where it involves slowly decreasing the amount of a substance to manage withdrawal symptoms and minimize the risks associated with abrupt discontinuation.
Key points about tapering include:

1. Medication-Assisted Treatment (MAT): Tapering is often part of medication-assisted treatment for substance use disorders. For example, individuals dependent on opioids might undergo a gradual tapering of medications like methadone or buprenorphine.
   
2. Reducing Dependence: Tapering is employed to reduce physical dependence on a substance by allowing the body to adjust to lower levels gradually. This helps minimize the severity of withdrawal symptoms.
   
3. Individualized Approach: Tapering plans are typically individualized based on factors such as the substance used, the duration and intensity of use, and the individual's overall health. Healthcare professionals design tapering schedules to meet the specific needs of each person.
   
4. Supervised Tapering: Tapering is ideally done under the supervision of a healthcare professional to ensure safety and effectiveness. This is particularly important in cases where abrupt discontinuation could lead to severe withdrawal symptoms or complications.
   
5. Psychological Support: Tapering is not only about physical adjustments but also addresses psychological aspects of dependence. It provides individuals with an opportunity to develop coping skills and strategies for managing life without reliance on the substance.
   
6. Preventing Relapse: Gradual tapering can help reduce the risk of relapse by easing the transition to complete abstinence. It gives individuals the time and support needed to adjust to life without the substance.
   

Tapering is a careful and structured process that should be guided by healthcare professionals. Abruptly stopping certain substances can lead to severe withdrawal symptoms and potential health risks. Seeking professional advice and support is crucial for a safe and successful tapering process, whether it's part of addiction treatment or the discontinuation of a prescribed medication.
Engaging in activities during withdrawal can help distract from symptoms, provide a sense of accomplishment, and contribute to overall well-being. Here are some ideas for keeping busy during withdrawal:

1. Reading: Escape into a good book or explore topics of interest to keep your mind occupied.
   
2. Movies or TV Shows: Watch movies or binge-watch a TV series to pass the time. Choose lighthearted or inspirational content.
   
3. Exercise: Engage in gentle exercises like walking, yoga, or stretching. Exercise can help improve mood and alleviate some withdrawal symptoms.
   
4. Creative Hobbies: Explore creative outlets such as drawing, painting, writing, or playing a musical instrument.
   
5. Mindfulness and Meditation: Practice mindfulness or meditation techniques to calm the mind and reduce stress.
   
6. Gardening: Spend time outdoors, tending to a garden or plants. Nature can have a positive impact on mood.
   
7. Puzzle Games: Solve puzzles, play Sudoku, or engage in other mentally stimulating games.
   
8. Listening to Music or Podcasts: Create playlists of your favorite music or listen to podcasts on topics of interest.
   
9. Cooking or Baking: Experiment with new recipes and treat yourself to nourishing meals.
   
10. Journaling: Write down your thoughts and feelings. Keeping a journal can be therapeutic during withdrawal.
    
11. Educational Courses: Take online courses or watch educational videos on platforms like Coursera or Khan Academy.
    
12. Board Games or Card Games: Play board games or cards with friends or family for some social interaction.
    
13. Self-Care Activities: Take relaxing baths, practice skincare routines, or indulge in other self-care activities to nurture your well-being.
    
14. Volunteering: If possible, consider volunteering for a cause you're passionate about. Helping others can be rewarding.
    
15. Stay Connected: Reach out to friends and family for support. Having a support system is crucial during withdrawal.
    

It's important to choose activities that align with your interests and energy levels. Remember that withdrawal is a challenging time, and it's okay to prioritize self-care. If symptoms become severe or unmanageable, seeking professional help is recommended.

So. My best friend has this huge surgery next week and is now at risk of postponing it because of me and I feel so bad I don’t know what to say to her.
I have had chronic sinusitis for about 2 years now and know my episodes. I had a pretty bad one about two weeks ago and was on antibiotics until the day before yesterday. I was done with my treatment and went to see her bc I wanted to see her before the surgery. I was still coughing and brought a mask, which I used the entire time (except for a second where I had a runny nose but I was away from her and near a window).
Today she woke up with a runny nose and a sore throat and she thinks I infected her and she won’t be able to do the surgery. I feel so bad because I genuinely thought I couldn’t infect her anymore. I love her so much and don’t know how to come back from this.
I don’t think I did infect her. It would have been too quick of an infection and her dad is also with the flu. She lives with him. But she is mad at me for going either way. What else should I do? I just feel so stupid and guilty

Hi all, I know obviously I should consult a doctor but Im in a position right now where I cannot (long story but I’m gonna have to deal with this for at least a few months until I can consult someone) I was wondering if any of you could tell me if what Im experiencing is similar to any of your symptoms. I’ve had problems with this since a horrible sinus infection last year, and my pressure was manageable but I had the flu 2 months ago and it made it even worse. Here are my symptoms, they are all very centered to the right of my face/head.
1) Pain below my right jaw, kind of a ‘burning’ feeling. Accompanied by a feeling of ‘air bubbles’ /trapped air (??)
2) Lump in the right side of my throat which also kind of burns
3) Clicking in my jaw
4) Pain in jaw initially when eating then subsides
5) Have developed pulsatile tinnitus in my right ear, also have pain occasionally and it feels like theres an air bubble trying to escape
6) Pressure headaches mainly on the right side as well, gets worse as the day goes on
7) Pressure behind eye/nose. Accompanied by eye twitching when it’s really bad
8) Can feel a shooting pain on the right side of my head where my tinnitus is, kinda feels like something is pressing on my vein/nerve?
9) Lastly I have pain in my right shoulder and back when the tension is bad. Its more so shooting pain
I have very mild scoliosis if that has anything to do with this. Please let me know what your thoughts are and if this sounds similar to any of you. Ofc don’t diagnose me but Im planning to ask my doctor about this problem so I would appreciate some advice 🙏

18 months of Age, white male, weighs 23 lbs. he’s had a cold for 5 weeks which has included a ruptured ear drum, and now it’s infected again. He’s seems to be in pain despite ibuprofen and is taking amoxicillin again for a round 2.
I have an 18 month old son. He’s been on and off sick the whole cold and flu season, he’s dropped from the 80 percentile, to the 50th over the season. He’s currently sick again. I went to urgent care about 3 weeks ago when he’d been sick for 2 weeks straight, his symptoms weren’t letting up and he was having on and off fevers and woke up to ear discharge that morning. They gave him oral and ear antibiotics for a ruptured ear drum, said the mucous from his cold cause it…
a week after this visit I went to his pediatrician because he was super irritable and screaming and inconsolable on and off, still running green nose like a tap and coughing up wet mucous.. (this is now like 7 days on antibiotics) he looked in the ears said looks fine, just a cold it takes time and sent us away..
now we’re at like a week and a half later.. and I took him back today. My son has been off antibiotics for just over a week, 3 nights ago he had a low fever that left by morning and hasn’t come back, but since then he’s back to screaming in the car, being inconsolable throughout the day. I’d almost say he’s having periods of delirium where he screams and wants up but then screams and wants down and just doeesnt know what he wants or how to get comfortable..he’s flailing in my arms, throwing himself around… it’s so dramatic.. doctor today saw green fluid behind the ear drums again so reordered another course of oral antibiotics.. I asked about blood work and he kinda shrugged the suggestion off…
my boy is a happy child.. he brings the sunshine everywhere he goes but these fits he’s been having is super extreme opposite of his temperament and pain meds aren’t really touching it.. I asked about blood work because I’m starting to worry.. up until today (which he was dehyrrated and Not drinking much he wore the same diaper from like 6am to 2pm and had maybe a couple super small pees in it..and his overnight diaper wasn’t nearly as full..) he’s had a constant runny nose and wet productive cough.. for at least 5 weeks.. I’m worrying it’s something bigger.. like leukemia or something…
I see him again for his 18 month check up in a bit over a week.. I’m going to demand bloodwork if he’s still a gremlin.. but is my worry kinda overdone or is his doctor blowing us off and I should be concerned? Should I even wait a week if he continues being this crazy?