Thursday, January 12, 2012

Sick from the Flu Shot? and Other Cold and Flu Myths - Feed a Cold, Starve a Fever? 10 Superstitions Debunked

Got a virus? You’ll be told to starve your fever, take lots of vitamin C and never go outside with wet hair. But most of that info is just plain wrong. Here’s the 411 on how to stop cold and flu symptoms in their tracks…

Your throat is scratchy and your head is swimming. You’re coming down with a cold or flu, but how did you get it in the first place? Was it the guy with the hacking cough in seat 24F? Or that early-morning jog in 20˚ weather?

From the perils of cross-country flying to venturing outside with wet hair, it can be hard to tell fact from fiction. And everyone, from the mailroom guy to your well-meaning spouse, has suggestions about how to nip that virus in the bud.

“There’s a lot of misinformation out there,” says Michael Koller, M.D., associate professor of internal medicine at Loyola University Chicago’s Stritch School of Medicine. “Superstitions and family remedies aren’t going to keep anyone from getting sick and won’t make them better if they do.”

Here’s the truth about 10 common cold and flu myths:

1. Air travel can trigger cold and flu symptoms.
Many people believe that cabin air is riddled with germs, and that they can catch a cold merely by breathing in-flight. But that’s not true, according to a 2005 study published in the British medical journal Lancet.

In fact, “the perceived risk is greater than the actual risk,” the study reported.
The ventilation system on most planes continually circulates air through high-grade air filters that remove many airborne bacteria, so it’s cleaner than air at a restaurant or department store.

Then why do we get sick more often after taking a flight? Blame your fellow passengers.

“You’re exposed to more people than usual in a smaller space,” explains Sharon Lewin, M.D., an internist and infectious-disease specialist in Manhattan.

“If the person next to you is incubating a virus, wipes his nose and touches the armrest you’re sharing, you can pick [it] up,” she says. The best way not to catch a cold or flu virus while flying? If the person next to you appears ill, ask the flight attendant if you can switch seats with someone else. If there are seats available, your request will most likely be honored.

And clean your hands after touching potentially contaminated surfaces such as armrests, tray tables, bathroom doors and sinks, and overhead-bin latches.

2. You can catch a cold by braving frosty weather with wet hair.
Not possible, says Lewin.

“If you do get sick, you were probably already [infected with a virus] before you went out the door,” Lewin says. “You can only catch a cold by coming into contact with another human carrying the cold virus.”
Also, people get sick more often in winter because they spend more time indoors in close contact with others. That increases the chances of spreading illnesses.

However, going outside with wet hair once you’re sick can make you feel even more chilled and uncomfortable – so avoid it if you can.

3. Antibiotics can relieve cold and flu symptoms.
No, they can’t, says Lewin. Antibiotics kill bacteria, and colds and flu are caused by viruses. So antibiotics won’t get rid of your sniffles.

In fact, using antibiotics to treat colds can cause other health problems later. That’s because they “can create a resistance to bacteria,” Lewin explains.

Plus, you might have side effects from antibiotic treatment – for example, diarrhea and stomach cramps – that can make you feel worse than cold and flu symptoms do.

Serious flu cases, however, may sometimes be complicated by a secondary bacterial infection, which can be cured by antibiotics.

Most flu sufferers begin to feel better after 7-10 days. If you’re not better by day 10, see a doctor.

4. You should feed a cold and starve a fever.
There’s no logic to either of these approaches, says Koller. With a cold or flu, it’s important to eat healthy to help your immune system fight the virus.
Also important: Stay hydrated.

If you’re feverish, you’ll need to replace fluids lost through perspiration. Liquids can also loosen congestion.

Water, juice and warm beverages, like tea and broth, can replenish fluids, soothe sore throats and loosen mucous, making breathing easier.

But stay away from hot toddies and other alcoholic beverages, coffee and caffeinated sodas, which all dehydrate your body.

5. You can get sick from a flu shot.
Not true.

“The flu shot protects you from the virus,” says Koller, who has supervised Loyola’s influenza program for more than a decade.

That’s because the flu shot’s viruses are inactive, according to the Centers for Disease Control and Prevention.

But some people may suffer side effects – mild flu-like symptoms like muscle aches, low-grade fever – that generally last only 1-2 days after getting a vaccine.

And you still can get the flu immediately after the shot because its protective effects take two weeks to kick in. If you were exposed to a flu virus just before getting vaccinated or during the 14-day incubation, you could still get sick.

6. Vitamin C and echinacea help prevent and shorten colds.
The evidence is mixed.

Many people insist they feel better sooner when taking supplements of the wild flower echinacea at the beginning of a cold or flu, and a recent 2010 study of 700 people in the Annals of Internal Medicine seems to support that.

Patients taking echinacea reported slightly milder cold and flu symptoms, and their viruses ended about 7-10 hours sooner than those who didn’t take the herb.

The effects were minimal, lead researcher Bruce Barrett says. But he adds that people who have found echinacea to be beneficial shouldn’t stop using it.

Lewin agrees that moderate doses of vitamin C and echinacea probably won’t do any harm, but says they “won’t help get rid of colds.”

That’s backed by a review on vitamin C conducted by Laramie Reproductive Health in Wyoming and published in the Journal of the American Academy of Nurse Practitioners in 2009.

“Vitamin C isn’t effective at preventing the common cold in the general-adult population,” researchers concluded.
The cold virus, she notes, stays in your system 7-10 days; by day 7 you should start to feel better, even without vitamin C or herbal supplements.

7. Doctors can’t help you heal faster.
Physicians can’t cure a cold and/or the flu, but there’s one tool in the medical bag that might speed your recovery: compassionate understanding.

People with colds recovered a day earlier if they believed their doctors showed concern and listened to them, according to a 2009 study at the University of Wisconsin School of Medicine and Public Health.

It “somehow boosted their immunity” and relieved cold symptoms, says David Rakel, M.D., director of Integrative Medicine at the university and the study’s lead author.

If you want more concrete results, there’s Tamiflu, a prescription medication that is effective if you start taking it within 1-2 days of developing flu symptoms.

If you know for sure that you’ve been exposed to the flu virus, a course of Tamiflu can keep you from getting sick – but you have to take it for several days, and it’s costly (anywhere from $28-$130 per dose).

8. Flu season hits everywhere at the same time.
In the Northern Hemisphere, flu season generally runs from late December through March. But no month in the calendar is flu-free.

“We see flu cases all year long,” Lewin says. “If unvaccinated people travel to South America or Australia, where they have winter [and flu season] during our summer, travelers can catch that year’s virus and bring it back when the season is over here.”

The flu vaccine is designed to protect for a year. So people should get flu shots as soon as they become available, usually in late September to early October. That way, you’ll be fully protected during peak flu season and the rest of the year.

If you haven’t had a flu shot by December or January, it’s still not too late to benefit from its protection during the worst of the flu season, or in coming months.

9. Flu shots protect against all flu viruses.
Not true: The strains used in flu shots vary annually. That’s why doctors recommend getting one every year.

“Each year, epidemiologists try to anticipate which flu strains are most likely to be present,” explains Lewin. Those are then included in that year’s vaccine.
They mostly guess right, and in some cases, the vaccine can provide protection against related strains that aren’t targeted in the shot.

However, 2010's H1N1 virus (also known as swine flu) was a new mutation, so it required a separate vaccination.

The swine-flu strain is now included in the flu shot, Lewin says.

10. You won’t get sick if you’re fit.
Being in good shape won’t prevent infection, but it might reduce the severity of cold and flu symptoms, according to a 2010 Appalachian State University in North Carolina study.

That’s because aerobic exercise may temporarily boost immune-system cells, the researchers say.

“Eating right and staying fit is always a good thing for the body’s immune system,” Koller agrees. “Your body is in better shape to fight off infections, and if you do catch a virus, you’ll probably be sick for a shorter period of time.”
How Much Do You Really Know About Home Remedies?
Chicken soup for a cold? Holding your breath to halt your hiccups? Friends and family swear by these common cures. But you're not so sure. You've heard all the age-old remedies, but can you decipher fact from fiction?

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