“Legionellosis is not contagious, meaning it is not spread from person-to-person. Disease transmission primarily occurs through inhaling Legionella-contaminated, aerosolized water. While rare, exposure is also possible from breathing in (i.e., aspirating) Legionella contaminated soil or while drinking water.”.
Occupational Safety and Health Administration (OSHA)
“Symptoms usually begin 2 to 10 days after being exposed to the bacteria, but it can take longer so people should watch for symptoms for about 2 weeks after exposure.
If you develop pneumonia symptoms, see a doctor right away. Be sure to mention if you may have been exposed to Legionella, have used a hot tub, spent any nights away from home, or stayed in a hospital in the last two weeks.”
Center for Disease Control and Prevention (CDC)
“Mal de debarquement means ‘sickness of disembarkement’ which refers to an illusion of movement felt as an after effect of travel. Sea travel is the most common starting point for the disorder. Symptoms can last for weeks, months or even years.”
Meniere’s Society
“Photosensitivity is an extreme sensitivity to ultraviolet (UV) rays from the sun and other light sources. Most people are at risk of developing sunburn during long exposure to sunlight. Exposure to UV rays can also lead to skin damage and skin cancer.”
Healthline.com
Urticaria
Both pictures above are drug chemically induced Photosensitivity Reactions.
Sunlight can trigger immune system reactions.
People develop itchy eruptions or areas of redness and inflammation on patches of sun-exposed skin.
These reactions typically resolve without treatment.
Photosensitivity, sometimes referred to as a sun allergy, is an immune system reaction that is triggered by sunlight. Photosensitivity reactions include solar urticaria, chemical photosensitization (Ex. from drug reactions), and polymorphous light eruption and are usually characterized by an itchy eruption on patches of sun-exposed skin. People may inherit a tendency to develop these reactions. Certain diseases, such as systemic lupus erythematosus and some porphyrias, also may cause more serious skin reactions to sunlight.
Hives (large, itchy red bumps or welts) that develop after only a few minutes of exposure to sunlight are called solar urticaria. The hives typically last for minutes or hours. This disorder can be difficult to treat, but doctors may prescribe histamine (H1) blockers, antimalarial drugs, corticosteroids, sunscreens, or ultraviolet (UV) light therapy. A person can be prone to developing solar urticaria for a very long time, sometimes indefinitely. People with large affected areas sometimes have headaches and wheezing and feel dizzy, weak, and nauseated.
Over 100 substances, swallowed or applied to the skin, are known to cause sun-induced reactions on the skin. A limited number cause most reactions ( Some Substances That Sensitize the Skin to Sunlight). To treat chemical photosensitivity reactions, corticosteroids are applied to the skin and the substance that is causing the reaction is avoided. There are two types of chemical photosensitivity: phototoxicity and photoallergy.
In phototoxicity, people have pain and develop redness, inflammation, and sometimes brown or blue-gray discoloration in areas of skin that have been exposed to sunlight for a brief period. These symptoms resemble those of sunburn, but the reaction differs from sunburn in that it occurs only after the person has swallowed certain drugs (such as tetracyclines or diuretics) or chemical compounds or has applied them to the skin (such as perfume and coal tar). Some plants (including limes, celery, and parsley) contain compounds called furocoumarins that make some people’s skin more sensitive to the effects of UV light. This reaction is called phytophotodermatitis. All phototoxic reactions appear only on areas of skin that have been exposed to the sun. They usually develop within hours after sun exposure.
In photoallergy, an allergic reaction causes redness, scaling, itching, and sometimes blisters and spots that resemble hives. This type of reaction can be caused by aftershave lotions, sunscreens, and sulfonamides. Substances that cause photoallergy are capable of doing so only after the person has been exposed to both the substance and sunlight (because sunlight is what makes the substance capable of triggering photoallergy). Photoallergic reactions can affect areas of skin that have not been exposed to the sun. They usually develop 24 to 72 hours after sun exposure.
There are no specific tests for photosensitivity reactions. A doctor suspects a photosensitivity reaction when a rash appears only in areas exposed to sunlight. A close review of the person’s medical history, skin symptoms, any diseases, drugs taken by mouth, or substances applied to the skin (such as drugs or cosmetics) may help a doctor pinpoint the cause of the photosensitivity reaction. Doctors may do tests to rule out diseases that are known to make some people susceptible to such reactions (such as systemic lupus erythematosus).
When a rash occurs on an area of skin that has been exposed to the sun and the diagnosis is not clear, doctors may do skin patch tests and reaction reproduction tests that involve exposure to UV light (phototesting) when the person is not using any drugs that cause photosensitivity reactions. These tests may help clarify which type of photosensitivity reaction may be the cause.
All should avoid excessive sun exposure, but people who are sensitive to sunlight due to any cause should be especially careful and wear protective clothes, avoid sunlight as much as possible, and use sunscreens regularly. If possible, any drugs or chemicals that could cause photosensitivity should be discontinued after consulting with a doctor.People with polymorphous light eruption or photosensitivity caused by systemic lupus erythematosus should be seen by a doctor and sometimes benefit from treatment with corticosteroids applied to the skin or hydroxychloroquine or corticosteroids taken by mouth. Occasionally, people with this problem can be desensitized to the effects of sunlight by gradually increasing their exposure to UV light.
“Healthy tips are stop smoking since nicotine may relax the lower esophageal sphincter which will make the GERD worse. Sleep on an incline especially only 2-3 hrs after eating. Avoid acidic foods, and eat slowly with smaller meals “.
Harvard Health Publishing
“A muscle that controls the passage of foods and fluids we eat is between the esophagus and stomach, and when it doesn’t close completely, stomach acid and food flow back into the esophagus. The medical term for this process is gastroesophageal reflux (GERD); the backward flow of acid is called acid reflux=digestive acids coming back during digestion, the acids should normally stay in the stomach.”.
Harvard Health Publishing
“The pancreas is an organ located in the abdomen. It plays an essential role in converting the food we eat into fuel for the body’s cells. The pancreas has two main functions: an exocrine function that helps in digestion and an endocrine function.”
ColumbiaSurgery.org
“Most people with Alzheimer’s have the late-onset form of the disease, in which symptoms become apparent in their mid-60s. Researchers have not found a specific gene that directly causes late-onset Alzheimer’s. However, having one form of the apolipoprotein E (APOE) gene does increase a person’s risk”
National Institute on Aging