Flu Season and You

 

            Contents:

·        Influenza

·        What To Do If You Get the Flu

·        Tips From Here and There

 

Influenza

--ReRoute, Evansville, IN

 

     The flu is caused by a virus that spreads from infected people to the nose or throat of others. Symptoms usually appear within two to four days after being infected.  A person is considered contagious for another three to four days after symptoms appear.  The flu season in the U.S. generally runs from November to April every year. 

     Flu symptoms are fever, chills, dry cough, nasal congestion, sore throat, headache and muscle aches. Complications can lead to hospitalization and death. Twice as many Americans die from the flu every year as die from AIDS, breast cancer, or prostate cancer. Why do you need a flu shot every year?  Because the flu virus changes, at least one of the vaccine’s viruses must be replaced with a newer one every year, so the shot only lasts about a year.

     When does a shot start working?  Protection develops one or two weeks after you get your flu shot.  Who should get a flu shot?  Anyone over six months old who wants or needs to reduce their chance of getting the flu.  Those over age 65 (a must!), everyone with a chronic medical condition, like heart disease or asthma (a must!), pregnant women, breast-feeding mothers, healthcare givers, students and everyone with special holiday plans as the flu season often hits the last week of December.

     When is the best time to get a flu shot?  Between September and mid-November.  Can you get the flu from the flu shot?  Flu vaccines contain no live virus, so it’s impossible to get the flu from a flu shot.  How effective are flu shots?  The shot is almost 90% effective in preventing type A and Type B influenza.  If you do manage to get the flu, it will be a milder case if you’ve gotten the shot.

 

What to do  If You Get the Flu

--ReRoute, Evansville, IN

 

     The flu brings with it headaches, upset stomach, diarrhea, muscle aches and pains.  The advice to drink plenty of fluids and rest in bed remains sound medical advice for your general attack of the virus.  But if your case of the flu includes diarrhea, the following may be helpful.

     For those with a colostomy, it is usually wise not to irrigate during this time.  Your intestine is really washing itself out.  After diarrhea, you have a sluggish colon for a few days, so, leave it alone.  Start irrigation again after a few days when your colon has had a chance to return to normal.  In colostomy patients, drugs or certain foods can cause constipation, prevented during a cold by drinking plenty of liquids.  

     For those with an ileostomy, diarrhea is a greater hazard.  Along with the excess water discharge, there is a loss of electrolytes and vitamins that are necessary in maintaining good health.  This loss is usually referred to as a loss of fluid, which in turn, brings a state of dehydration.  Therefore, you must restore electrolyte balance.

     First, eliminate all solid food.  Second, obtain potassium safely and effectively from tea, bouillon and ginger-ale.  Third, obtain sodium from saltine crackers or salted pretzels.  Fourth, drink a lot of fluids, including water. Cranberry juice and orange juice also contain potassium, while bouillon and tomato juice are good sources of sodium.

     Increased water intake in the ileostomy patient results in increased urine output rather than increased water discharge through the appliance.  Vomiting also brings the threat of dehydration.  If it is severe and continuing, your doctor should be notified.  You should know also that diarrhea may be symptomatic of partial obstruction or acute gastroenteritis.

     Since the treatment of these two entities is entirely different, a proper diagnosis should be sought immediately.  It is very important to determine whether the diarrhea is caused by obstruction or gastroenteritis.  If you do not know, check it our with your doctor.  Do not guess—always call your physician unless you are 100% certain what you are doing.

     For those with a urostomy, be sure to keep electrolytes in balance. Follow the general instruction for colostomies and ileostomies.  No ostomate should take medicine for pain or a laxative without the physician’s order.  Do not use an antibiotic for cough or flu unless ordered by the doctor.  When returning to a normal diet, use fiber-free foods at first, then gradually increase to a regular, normal diet.  Prompt attention to symptoms of distress of colds and flu could bring a happier, and hopefully, healthier winter.

 

      Tips From Here and There

                The New Outlook, Chicago's North Suburban Chapter UOA

 

Once again winter is upon us, and you know that means a risk of the Flu.   It's best to be prepared and know what to do.

 

For new ostomates, this could be a time of real concern and a new experience in coping, for flu not only brings on headaches, muscle aches and pains, and upset stomach.  That "bogeyman" for the ostomate, diarrhea, often occurs.   Whether induced by flu or other causes, diarrhea can present a serious challenge to ostomates.  Vomiting must also be taken seriously because of the risk of dehydration.

 

The first advice for any person--ostomate or not--suffering flu is: always drink plenty of liquids and get proper rest!  By all means, call your doctor if either vomiting or diarrhea symptoms are severe and continuing.

 

Ostomates must take special care not to take medicine for pain or a laxative without a doctor's order.  That goes for antibiotics, too!  Antibiotics have no effect on a virus but do kill bacteria, both friendly and unfriendly, and can change the proper balance of normal bacteria in the colon, if you still have one.  Disturbing this balance can actually bring on or exacerbate diarrhea.

 

Your diet will change during flu, but during recovery, adopt a fiber- free diet at first, gradually moving to a regular, normal diet.  Prompt attention to symptoms of colds and flu should bring to each of us a happy and hopefully healthy winter season.   Now to the specific tips for each category of ostomate:

 

·        The colostomate with diarrhea would be wise not to irrigate, for nature is actually doing the job.  After the diarrhea stops, the colon will be sluggish for a few days, so leave it alone a little longer.  Give the colon a chance to return to normal before resuming irrigation.

 

·        Carry an extra supply of "security" pouches.   Editors note: I customarily wear a closed appliance, but when diarrhea strikes, I wear a drainable bag until the siege is over.   My diet during stomach flu is hot tea, ginger ale and pretzels.

 

·        Drugs or certain foods can cause constipation in colostomates recovering from flu, or at any other time, but this can be prevented by drinking plenty of fluids.

 

·        Diarrhea can present an even greater problem to the ileostomate.  Besides an excess of discharge, the ileostomate will suffer loss of electrolytes and vitamins necessary to maintaining good health.  You may experience thirst, slowly rising fever, weakness, mental fuzziness, and reduced urine output.  

 

·        Drinking plenty of fluids will increase urine output and will not cause increased water discharge through the appliance during colds or flu.   More serious results could be muscle contractions, abdominal distention, lack of alertness, and, in extreme cases, convulsions.

 

·        The ileostomate must restore electrolyte balance as soon as possible.   Eliminate solid foods.  Regain lost potassium by drinking tea, Gatorade, bouillon, ginger ale, and plenty of water.  Regain lost sodium by eating saltine crackers or salted pretzels.

 

·        The urostomate should take special care to keep electrolytes in balance and follow the same general instructions as for persons without ostomies.

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