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COVID or stomach flu? Why it's hard to know right now – CBC News

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If you’ve felt green around the gills recently, or heard more tales than usual about stomach upsets, you might have wondered if Omicron or its subvariant, BA.2, are causing an increase in gastrointestinal issues.

Some clinicians have also reported seeing more COVID-19 patients suffering from GI symptoms in recent weeks. 

But medical experts say there are a few possible explanations — and it’s not necessarily due to the COVID-19 strains currently circulating in Canada. Diarrhea, vomiting and abdominal pain have been recognized as common symptoms of COVID-19 since early in the pandemic, while nausea, reflux, heartburn, loss of appetite and weight loss are also recognized as potential symptoms.

Dr. Sumon Chakrabarti, an infectious diseases specialist in Mississauga, Ont., said he’s recently seen a higher proportion of COVID-19 patients whose primary symptoms are gastrointestinal. 

“I’ve seen people that just present with vomiting,” he said. 

But, he adds, it’s not that Omicron is necessarily causing more GI issues, but rather, that it’s now easier to detect COVID-19 in those patients than it was earlier in the pandemic.

“We’re testing people that are coming in sick enough to be admitted, and also, people are doing rapid tests at home with any kind of symptom, so it also could be a possibility that we’re just picking these up because we’re looking for them.”

Chakrabarti’s hypothesis is backed up by data from the U.K.-based ZOE COVID Symptom Study App, through which millions of people have reported their symptoms during the pandemic. 

Some people with COVID experience gastrointestinal symptoms, such as diarrhea and vomiting. However, norovirus and other gastro-related illnesses are also circulating. In this photo, a shopper in Burbank, Calif., buys toilet paper amid a shortage fuelled by the pandemic, on Nov. 19, 2020. (Robyn Beck/AFP/Getty Images)

Based on those user reports, there’s no evidence of Omicron causing an upsurge in gastrointestinal symptoms, said lead researcher Tim Spector, a professor of genetic epidemiology at King’s College London.

“It seems to be fairly stable. We’re not seeing major shifts in the symptoms. It’s still very much an upper respiratory infection,” he told CBC News.

Pediatricians seeing concerning symptoms in kids

However, some pediatricians say they have seen a definite uptick in COVID-19 patients with gastrointestinal symptoms during the Omicron wave — and some of those symptoms are especially concerning.

Dr. Ana Sant’Anna, a pediatric gastroenterologist at the Montreal Children’s Hospital, said she has recently seen young patients with blood in their stool or vomit, and some had suffered tears in their gastrointestinal tract as a result of their vomiting.

WATCH | Children’s hospitals overwhelmed during pandemic’s 6th wave:

Children’s hospitals under strain in 6th COVID-19 wave

5 days ago

Duration 2:06

The sixth pandemic wave is causing high patient volumes and staff shortages at a number of children’s hospitals across Canada, leading to concern among parents and medical experts about COVID-19 spreading among kids. 2:06

“We didn’t see these [symptoms] before,” Sant’Anna said, adding that none of those patients with serious GI symptoms had any respiratory symptoms during their time in hospital.

Despite the severity of their symptoms, nearly all the young COVID patients bounced back quickly after treatment, she said.

“They resolve in a few days, maybe a couple weeks, and they go [out] as good as new.”

Other gastro infections on the rise

Aside from COVID-19, there’s another reason why more Canadians might be experiencing some unpleasant intestinal symptoms right now.

Stomach bugs, like norovirus, are increasingly circulating as life returns to normal, Chakrabarti said, with children often becoming infected with gastro-type illnesses at school, then infecting their families.

Several parts of Canada are seeing a rise in norovirus cases. One major risk factor is children getting infected at school, then infecting their families. In this image, children leave school in Toronto on April 6, 2021, after schools were ordered closed due to COVID-19. (Evan Mitsui/CBC)

Norovirus symptoms can include diarrhea, vomiting, nausea and stomach cramps.

Recent clusters of that illness in New Brunswick affected schools, child-care centres, and long-term care homes, while hundreds of people in B.C., Alberta, Saskatchewan and Ontario fell ill after eating raw oysters.

Children are especially at risk of dehydration from diarrhea and vomiting, whether from COVID-19 or another gastro illness, and should be monitored closely for signs such as less urination, Sant’Anna said.

It’s important to keep them hydrated, and over-the-counter medications may help control vomiting. However, if children cannot keep liquids down due to continued vomiting, they may need hospital treatment with intravenous fluids, she said.

And — as is well known at this stage of the pandemic — hand-washing is an important precaution for preventing the spread of illness.

Can COVID-19 cause long-term gut damage?

There is limited but growing evidence of people experiencing lasting gastrointestinal issues, months after a COVID-19 infection, including indigestion and post-infectious irritable bowel syndrome (IBS).

A recent pre-print study by American researchers, which has not yet been peer-reviewed, hypothesized that the virus might disrupt gut bacteria, and potentially contribute to long COVID.

Other infections, including viruses, bacteria and parasites, can disrupt gut motility — the contractions of muscles to push food through the digestive tract — which can lead to IBS and other conditions. 

Dr. Gil Kaplan, a gastroenterologist and epidemiologist at the University of Calgary, said it’s also possible some people may have had existing, but undiagnosed, GI issues, which were exacerbated by COVID-19. 

Doctors say hand-washing is an important habit to maintain to prevent the spread of illnesses. In this photo, people line up to use portable washrooms in Montreal on May 5, 2021. (Jean-Claude Taliana/CBC/Radio-Canada)

He is part of a team researching the impact of COVID-19 on people living with Crohn’s disease and ulcerative colitis, collectively known as inflammatory bowel diseases.

“It’s not surprising to me that we’re starting to see things like irritable bowel and other types of conditions linked to COVID, that have probably been linked to other infections in the past, but we just haven’t studied [those infections] as extensively as we have with COVID,” Kaplan said.

It’s important that people experiencing ongoing gastro symptoms speak to a doctor for diagnosis and treatment, he said.

For now, kids don’t appear to be suffering longer-term GI issues as a result of their COVID-19 infections, Sant’Anna said — although that could change in future.

“It could be that we will see this a little bit later than the adults, because in terms of the timing, the kids are just now having this, so we [haven’t had] time to have the post-IBS symptoms.”

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What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

___

Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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