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Chlamydia Infections

What is chlamydia?

Chlamydia is a common sexually transmitted disease. It is caused by bacteria called Chlamydia trachomatis. It can infect both men and women. Women can get chlamydia in the cervix, rectum, or throat. Men can get chlamydia in the urethra (inside the penis), rectum, or throat.

How do you get chlamydia?

You can get chlamydia during oral, vaginal, or anal sex with someone who has the infection. A woman can also pass chlamydia to her baby during childbirth.

If you've had chlamydia and were treated in the past, you can get re-infected if you have unprotected sex with someone who has it.

Who is at risk of getting chlamydia?

Chlamydia is more common in young people, especially young women. You are more likely to get it if you don't consistently use a condom, or if you have multiple partners.

What are the symptoms of chlamydia?

Chlamydia doesn't usually cause any symptoms. So you may not realize that you have it. People with chlamydia who have no symptoms can still pass the disease to others. If you do have symptoms, they may not appear until several weeks after you have sex with an infected partner.

Symptoms in women include:

  • Abnormal vaginal discharge, which may have a strong smell
  • A burning sensation when urinating
  • Pain during intercourse

If the infection spreads, you might get lower abdominal pain, pain during sex, nausea, or fever.

Symptoms in men include:

  • Discharge from your penis
  • A burning sensation when urinating
  • Burning or itching around the opening of your penis
  • Pain and swelling in one or both testicles (although this is less common)

If the chlamydia infects the rectum (in men or women), it can cause rectal pain, discharge, and/or bleeding.

How is chlamydia diagnosed?

There are lab tests to diagnose chlamydia. Your health care provider may ask you to provide a urine sample. For women, providers sometimes use (or ask you to use) a cotton swab to get a sample from your vagina to test for chlamydia.

Who should be tested for chlamydia?

You should go to your health provider for a test if you have symptoms of chlamydia, or if you have a partner who has a sexually transmitted disease. Pregnant women should get a test when they go to their first prenatal visit.

People at higher risk should get checked for chlamydia every year:

  • Sexually active women 25 and younger
  • Older women who have new or multiple sex partners, or a sex partner who has a sexually transmitted disease
  • Men who have sex with men (MSM)
What other problems can chlamydia cause?

In women, an untreated infection can spread to your uterus and fallopian tubes, causing pelvic inflammatory disease (PID). PID can cause permanent damage to your reproductive system. This can lead to long-term pelvic pain, infertility, and ectopic pregnancy. Women who have had chlamydia infections more than once are at higher risk of serious reproductive health complications.

Men often don't have health problems from chlamydia. Sometimes it can infect the epididymis (the tube that carries sperm). This can cause pain, fever, and, rarely, infertility.

Both men and women can develop reactive arthritis because of a chlamydia infection. Reactive arthritis is a type of arthritis that happens as a "reaction" to an infection in the body.

Babies born to infected mothers can get eye infections and pneumonia from chlamydia. It may also make it more likely for your baby to be born too early.

Untreated chlamydia may also increase your chances of getting or giving HIV/AIDS.

What are the treatments for chlamydia?

Antibiotics will cure the infection. You may get a one-time dose of the antibiotics, or you may need to take medicine every day for 7 days. Antibiotics cannot repair any permanent damage that the disease has caused.

To prevent spreading the disease to your partner, you should not have sex until the infection has cleared up. If you got a one-time dose of antibiotics, you should wait 7 days after taking the medicine to have sex again. If you have to take medicine every day for 7 days, you should not have sex again until you have finished taking all of the doses of your medicine.

It is common to get a repeat infection, so you should get tested again about three months after treatment.

Can chlamydia be prevented?

The only sure way to prevent chlamydia is to not have vaginal, anal, or oral sex.

Correct usage of latex condoms greatly reduces, but does not eliminate, the risk of catching or spreading chlamydia. If your or your partner is allergic to latex, you can use polyurethane condoms.

Centers for Disease Control and Prevention

Chronic Bronchitis

What is chronic bronchitis?

Chronic bronchitis is a type of COPD (chronic obstructive pulmonary disease). COPD is a group of lung diseases that make it hard to breathe and get worse over time. The other main type of COPD is emphysema. Most people with COPD have both emphysema and chronic bronchitis, but how severe each type is can be different from person to person.

Chronic bronchitis is inflammation (swelling) and irritation of the bronchial tubes. These tubes are the airways that carry air to and from the air sacs in your lungs. The irritation of the tubes causes mucus to build up. This mucus and the swelling of the tubes make it harder for your lungs to move oxygen in and carbon dioxide out of your body.

What causes chronic bronchitis?

The cause of chronic bronchitis is usually long-term exposure to irritants that damage your lungs and airways. In the United States, cigarette smoke is the main cause. Pipe, cigar, and other types of tobacco smoke can also cause chronic bronchitis, especially if you inhale them.

Exposure to other inhaled irritants can contribute to chronic bronchitis. These include secondhand smoke, air pollution, and chemical fumes or dusts from the environment or workplace.

Rarely, a genetic condition called alpha-1 antitrypsin deficiency can play a role in causing chronic bronchitis.

Who is at risk for chronic bronchitis?

The risk factors for chronic bronchitis include:

  • Smoking. This the main risk factor. Up to 75% of people who have chronic bronchitis smoke or used to smoke.
  • Long-term exposure to other lung irritants, such as secondhand smoke, air pollution, and chemical fumes and dusts from the environment or workplace.
  • Age. Most people who have chronic bronchitis are at least 40 years old when their symptoms begin.
  • Genetics. This includes alpha-1 antitrypsin deficiency, which is a genetic condition. Also, smokers who get chronic bronchitis are more likely to get it if they have a family history of COPD.
What are the symptoms of chronic bronchitis?

At first, you may have no symptoms or only mild symptoms. As the disease gets worse, your symptoms usually become more severe. They can include:

  • Frequent coughing or a cough that produces a lot mucus
  • Wheezing
  • A whistling or squeaky sound when you breathe
  • Shortness of breath, especially with physical activity
  • Tightness in your chest

Some people with chronic bronchitis get frequent respiratory infections such as colds and the flu. In severe cases, chronic bronchitis can cause weight loss, weakness in your lower muscles, and swelling in your ankles, feet, or legs.

How is chronic bronchitis diagnosed?

Your health care provider may use many tools to make a diagnosis:

  • A medical history, which includes asking about your symptoms
  • A family history
  • Various tests, such as lung function tests, a chest x-ray or CT scan, and blood tests
What are the treatments for chronic bronchitis?

There is no cure for chronic bronchitis. However, treatments can help with symptoms, slow the progress of the disease, and improve your ability to stay active. There are also treatments to prevent or treat complications of the disease. Treatments include:

  • Lifestyle changes, such as
    • Quitting smoking if you are a smoker. This is the most important step you can take to treat chronic bronchitis.
    • Avoiding secondhand smoke and places where you might breathe in other lung irritants
    • Ask your health care provider for an eating plan that will meet your nutritional needs. Also ask about how much physical activity you can do. Physical activity can strengthen the muscles that help you breathe and improve your overall wellness.
  • Medicines, such as
    • Bronchodilators, which relax the muscles around your airways. This helps open your airways and makes breathing easier. Most bronchodilators are taken through an inhaler. In more severe cases, the inhaler may also contain steroids to reduce inflammation.
    • Vaccines for the flu and pneumococcal pneumonia, since people with chronic bronchitis are at higher risk for serious problems from these diseases.
    • Antibiotics if you get a bacterial or viral lung infection
  • Oxygen therapy, if you have severe chronic bronchitis and low levels of oxygen in your blood. Oxygen therapy can help you breathe better. You may need extra oxygen all the time or only at certain times.
  • Pulmonary rehabilitation, which is a program that helps improve the well-being of people who have chronic breathing problems. It may include
    • An exercise program
    • Disease management training
    • Nutritional counseling
    • Psychological counseling
  • A lung transplant, as a last resort for people who have severe symptoms that have not gotten better with medicines

If you have chronic bronchitis, it's important to know when and where to get help for your symptoms. You should get emergency care if you have severe symptoms, such as trouble catching your breath or talking. Call your health care provider if your symptoms are getting worse or if you have signs of an infection, such as a fever.

Can chronic bronchitis be prevented?

Since smoking causes most cases of chronic bronchitis, the best way to prevent it is to not smoke. It's also important to try to avoid lung irritants such as secondhand smoke, air pollution, chemical fumes, and dusts.

NIH: National Heart, Lung, and Blood Institute

Collapsed Lung

A collapsed lung happens when air enters the pleural space, the area between the lung and the chest wall. If it is a total collapse, it is called pneumothorax. If only part of the lung is affected, it is called atelectasis.

Causes of a collapsed lung include:

  • Lung diseases such as pneumonia or lung cancer
  • Being on a breathing machine
  • Surgery on the chest or abdomen
  • A blocked airway

If only a small area of the lung is affected, you may not have symptoms. If a large area is affected, you may feel short of breath and have a rapid heart rate.

A chest x-ray can tell if you have it. Treatment depends on the underlying cause.

NIH: National Heart, Lung, and Blood Institute

Coma

A coma is a deep state of unconsciousness. An individual in a coma is alive but unable to move or respond to his or her environment. Coma may occur as a complication of an underlying illness, or as a result of injuries, such as brain injury.

A coma rarely lasts more than 2 to 4 weeks. The outcome for coma depends on the cause, severity, and site of the damage. People may come out of a coma with physical, intellectual, and psychological problems. Some people may remain in a coma for years or even decades. For those people, the most common cause of death is infection, such as pneumonia.

NIH: National Institute of Neurological Disorders and Stroke

Common Cold

What is the common cold?

The common cold is a mild infection of your upper respiratory tract (which includes your nose and throat). Colds are probably the most common illness. Adults have an average of 2-3 colds per year, and children have even more. Colds are more common in the winter and spring, but you can get them at any time.

What causes the common cold?

More than 200 different viruses can cause a cold, but rhinoviruses are the most common type. The viruses that cause colds are very contagious. They can spread from person to person through the air and close personal contact. You can also get infected when you touch something that has the virus on it and then touch your eyes, mouth, or nose. For example, you could get a cold after you shake hands with someone who has a cold or touch a doorknob that has the germs on it, and then touch your face.

What are the symptoms of the common cold?

The symptoms of a common cold usually include:

  • Sneezing
  • Stuffy nose (congestion)
  • Runny nose
  • Sore throat
  • Coughing
  • Headache

The symptoms usually start a few days after you become infected with the virus. Some symptoms can last for 10-14 days.

What are the treatments for the common cold?

There is no cure for the common cold. But there are treatments that can make you feel better while you wait for the cold to go away on its own:

  • Getting lots of rest.
  • Drinking plenty of fluids.
  • Using a clean humidifier or cool mist vaporizer.
  • Gargling with warm salt water.
  • Using saline nose drops or sprays.
  • Taking over-the-counter pain or cold and cough medicines. But you need to be careful with certain medicines:
    • Children and teens should not take aspirin.
    • Some cold and cough medicines contain ingredients that are not recommended for children. Talk with your child's health care provider before giving your child any cold and cough medicines.
    • Some cold and cough medicines contain pain relievers. If you also take a separate pain reliever with these medicines, you could be getting a dangerous amount of the pain reliever. Read the labels on the medicines and follow the instructions carefully. If you have questions, ask your provider or a pharmacist.

Antibiotics will not help with a cold. Antibiotics help with bacterial infections, not with viral infections such as colds.

Most people who have a cold will feel better after a week or two. However, some people who get a cold may develop other illnesses, such as bronchitis or pneumonia. This is more common in people with weakened immune systems, asthma, or other respiratory conditions. Contact your provider if you or your child have symptoms that concern you, such as:

  • Trouble breathing or fast breathing
  • Dehydration
  • Fever that lasts longer than 4 days
  • Symptoms that last more than 10 days without improvement
  • Symptoms, such as fever or cough, that improve but then return or worsen
  • Worsening of chronic medical conditions
Can the common cold be prevented?

There is no vaccine to protect against the common cold. But you may be able to reduce your risk of getting or spreading a cold by:

  • Washing your hands often with soap and water for at least 20 seconds.
  • Avoiding touching your face, nose, or mouth with unwashed hands.
  • Avoiding close contact, such as kissing, shaking hands, and sharing cups and eating utensils, with others if you are sick or they are sick.
  • Cleaning and disinfecting surfaces that you frequently touch.
  • Covering coughs and sneezes with a tissue. Then throw away the tissue and wash your hands.
  • Staying home when sick.

Centers for Disease Control and Prevention