OxyContin is a strong prescription medicine used when an opioid medicine is needed to manage severe pain enough to require daily around-the-clock, long-term treatment with an opioid, when other pain treatments such as non-opioid pain medicines or immediate-release opioid medicines do not treat your pain well enough or you cannot tolerate them. Women use cotton for menstrual disorders and symptoms of menopause. What does it mean to possess drug paraphernalia? For this reason, sepsis or other infections should be ruled out. Baxter County Sheriff (2019) Drug Slang Definitions. How to Get Rid of Cotton Fever (Best Treatments), The bacteria releases endotoxins before the cotton plant is processed, The drug user filters the drugs through cotton balls before injecting them, The endotoxins enter the human body upon injection, Leukocytosis (elevated white blood cell count). Cotton has proven to be an effective tool for treating and protecting the health of patients, in both its absorbent and nonabsorbent forms. Innov Clin Neurosci. Symptoms of cotton fever arise within a few minutes or up to 12 hours after injection. The most common treatment for cotton fever is decreasing the fever. Many triggers can lead to a relapse of substance abuse, and a common trigger is drug paraphernalia. To sell or offer for sale drug paraphernalia; To use the mail or any other facility of interstate commerce to transport drug paraphernalia; or. Mouth wash, mints, and breathe sprays; Eye drops for bloodshot eyes; Sun glasses for red eyes, changes in pupil size, or eye movements Items or associations that may indicate interest in illegal drugs or drug use. Suspicious items may include eye drops, mouthwash, baggies, cigarette rolling papers, cotton swabs, roach clips, pipes, bongs, needles, pill bottles, incense, or room deodorizers. Common applications of cotton wool in medicine include: Cotton has been used in medicine since the Middle Ages. Heroin is most closely associated with cotton fever. If you can get through Cotton Fever, you can get through withdrawal, said an anonymous person in recovery. Michael Muldoon earned a B.A. Any contact with cotton as a drug filter is suspected, but another practice is thought to increase the risk. Cotton wool is a term used to refer to cotton in its softest and fluffiest form think cotton balls. In most cases, the condition eases on its own. Pipes. Call now for: Addiction Center is not affiliated with any insurance. 8-ball: crack and heroin. This is a common practice with heroin. Cotton Fever comes from an endotoxin that is released by a bacteria called Pantoea agglomeranswhichcolonize in cotton plants prior to being processed. Retrieved on December 17th, 2019 from: MacMillan Dictionary (2019) Types and Amounts of Alcoholic Drinks. They also use it to bring on labor and childbirth, as well as to expel the afterbirth. State laws vary, but the conviction of possession of paraphernalia can potentially lead to prison time, fines, and community service. In most cases, high fevers resolve within a few hours or a day. This, however, is not an assured method and the only reliable method of verifying sterility is done commercially. But using a dirty needle or incorporating cotton to filter the drug increases this risk. Are you covered for addiction treatment? The baby needs a stable and healthy environment, which includes temperature, hydration, and nutrients. None of which are pleasant. Again, cotton balls are commonly used for this purpose since they are so cheap and readily available. Because cotton can attract pathogens and contaminate medication, many drug companies use hydrogen peroxide to sanitize the cotton balls. It launches an immune response to fight off the invader. If you suspect your teen is taking illicit drugs, be sure to do some research to find out if there is another explanation. In addition to textile products like underwear, socks and t-shirts, cotton is also used in fishnets, coffee filters, tents, book binding and archival paper. While the IV drug user community has long been familiar with cotton fever, medical research is still somewhat sparse on the subject. But this does not mean that you shouldnt seek treatment. WebCotton fever refers to the transient elevation in temperature within minutes after injection of drug filtered through cotton, or after shooting the cottons. Learn more about the most commonly misused drugs. First, the coating often allows people to swallow the medication more easily, and covers up a bitter taste. Complete Guide to Meth Sores & Mites What are the Causes of Meth Sores? Common examples of drug paraphernalia include but are not limited to: 2, 3. Lighters, used matches, and bunsen burners may also be a source of concern if a person is not known to smoke cigarettes, light candles, or burn incense. Due to its absorbency, it is most often used for cleaning the skin, bathing wounds, or applying liquids and creams. For more mental health resources, see ourNational Helpline Database. Cotton Fever Resulting in Enterobacter Asburiae Endocarditis. Bongs and hookahs. You can receive 24/7 text support right away and at your convenience. The fibres can be made into a wide variety of fabrics ranging from lightweight voiles and laces Breaking and chipping destroys the coating on the medicine. A number of changes were reported in the recent use of illicit drugs between 2016 and 2019, including increases in the use of: cannabis (from 10.4% to 11.6%) Contact us now for help. If you or a loved one are struggling with substance use or addiction, contact theSubstance Abuse and Mental Health Services Administration (SAMHSA) National Helplineat 1-800-662-4357 for information on support and treatment facilities in your area. Symptoms include fever, chills, headache, abdominal pain, nausea, vomiting, and muscle aches. It's not unusual to hear roommates or family members wondering why a cutlery service for 12 is suddenly down to only nine spoons. WebMost GMO soy is used for food for animals, predominantly poultry and livestock, and making soybean oil. It's caused by Pantoea agglomerans, a bacteria found in cotton plants. Exposure to hepatitis occurs most typically from contaminated food or drink, but can happen during close person-to-person contact, sexual activity, and from unsanitary conditions, including using unsterile cooking, smoking, or injection equipment when using drugs. A locked padlock Safe and Successful Treatment of Intravenous Drug Users with a Peripherally Inserted Central Catheter in an Outpatient Parenteral Antibiotic Treatment Service. It improves visibility and reduces waste. Another cause of Cotton Fever is an inflammatory infection in the blood, also known as sepsis. There are many things a person can use to tie off an arm so that a vein plumps up before injecting a drug such as heroin. The body responds to fight the infection and the immune reaction can cause life-threatening and extremely damaging complications. Retrieved on December 17th, 2019 from: Kayla Williams (2014) The Different Ways to Smoke and Consume Cannabis. Needle sharing is frequently associated with disease transmission, especially HIV/AIDS and viral hepatitis.5 Any blood-borne pathogen can be transmitted through shared needles, which has been a consistent problem among people struggling with heroin addiction who inject the drug. In order to sterilize a needle, it must be exposed to an excess of 340-degree Fahrenheit for at least an hour for full destruction of bacteria, fungi, and other microorganisms. Straws are commonly used to snort cocaine or meth. This list covers slang terms associated with the use of popular drugs and alcohol; street names of these drugs will not be included on this list unless they also describe other aspects of use. It was worse than withdrawal, to be honest, said an anonymous source who had experienced Cotton Fever during active addiction. Cotton fever, whichever the origin of the infection, a high fever during the earlier stages of pregnancy can lead to miscarriage. Cotton has come a long way since its early applications in the medical field. In addition to the risk of cotton fever, other potential side effects and risks of using IV drugs include: Treatment for IV drug use varies from person to person. Sepsis occurs when bacteria enter the bloodstream and the body. Suspicious items may include eye drops, mouthwash, baggies, cigarette rolling papers, cotton swabs, roach clips, pipes, bongs, needles, pill bottles, incense, or room deodorizers. They will then inhale the smoke through a rolled-up foil straw, dollar bill, or glass or metal straw. Be very careful when infringing on an individual's privacy. Without the proper treatment, certain other IV-related conditions can become quite dangerous or even deadly. Industry Accreditations, Reviews & Ratings. View the paraphernalia tab in our Identifying Drugs tool for images of all the paraphernalia listed below. While rolling papers or glass or metal pipes often indicate that someone is smoking drugs, aluminum foil can also be evidence of drug use. Another method is to extract the inside of a ballpoint pen and snort the drug through the hollowed tube. Early detection of illicit drug use in teenagers. Cotton puts you at risk of infection, even when using a clean needle. Slang for Drug Combinations. The symptoms of Cotton Fever can last for hours and knowing the source of the problem may prevent this from happening again. 2023 Barnhardt Natural Fibers. Items used to cover up drug use. Retrieved on December 17th, 2019 from: Urban Thesaurus (2019) Crack pipe, Meth Addict, Meth Pipe, Coke Head. Cathinone is a Schedule I drug **, making khat use illegal, but the khat plant is not controlled. 2016. Abscesses in the skin, tuberculosis, and sexually transmitted infections are also caused by, or transmitted through, dirty or shared needles. Nicko has been a content writer for three years and has experience writing research-based content for marketing and advertisement. In addition to textile products like underwear, socks and t-shirts, cotton is also used in fishnets, coffee filters, tents, book binding and archival paper. Writers of that time described the use of raw, untreated cotton fibers in several medical applications, including forming pads over dressed wounds, protecting burns and scalds, and serving as an early drainage tube by keeping the edges of wounds open. Because the flame can irreparably stain the spoon, it can't be returned and the person is likely to instead hide it away for future use. We may receive advertising fees if you follow links to promoted online therapy websites. The USP is in charge of defining the thresholds for the hydrogen peroxide used in the packaging materials. For example, a bong or pipe may be used smoke marijuana, while a needle and spoon may be used to inject heroin. Pipes (e.g., acrylic, ceramic, glass, metal, plastic, stone, water, wooden). This is an infection and can lead to a life threatening situation if it goes untreated. It is soft, absorbent, and hypoallergenic, and it responds well to all three major sterilization methods (steam, ethylene oxide, and gamma radiation). The patient rarely feels better until the infection clears. Cocoa Puffs: marijuana and cocaine. Does Your Health Insurance Cover Treatment? This is the best way to avoid contracting cotton fever. Addiction Center receives advertising payments from the treatment providers that respond to chat requests on the websites and is not associated with any specific treatment provider. When symptoms occur, call for emergency help quickly. A person might use extra-long shoelaces, a belt, a hairband, an elastic lanyard, or even a length of twine. Bottom line: There are some far better uses for cotton balls. While some of these are common personal hygiene items, they could also indicate a drug use problem. Cotton, one of the worlds leading agricultural crops, is plentiful and economically produced, making cotton products relatively inexpensive. Symptoms include fever, chills, headache, abdominal pain, nausea, vomiting, and muscle aches. Having either or both of these items stashed can be a sign of possible drug use. Attempts by intravenous drug users to sterilize cotton can make the fibers toxic. WebCotton fever refers to the transient elevation in temperature within minutes after injection of drug filtered through cotton, or after shooting the cottons. Some women use cotton to improve breast milk production. Cotton puts you at risk of infection, even when using a clean needle. Also, some users may be quick to think their symptoms are only cotton fever and fail to seek medical help. HIV is mainly spread by contaminated needles or injection paraphernalia including syringes, cookers, and cottons used to prepare or inject drugs. The sooner you seek medical attention once symptoms arise, the better your prognosis. Rolled-up dollar bills can also be used to snort drugs. Treatment can help reduce symptoms and the risks associated with the condition. Clothing, jewelry, tattoos, teen slang with drug culture messages. Certain drugs must be filtered before this step can occur, due to the number of impurities in the substance. The more a drug requires preparation through heat or dissolving in liquid, for example the more paraphernalia will be associated with using the drug.1 The most common methods for using heroin include:2. In some cases, cotton fever is a challenging diagnosis. While this is fairly rare in a medical setting, its important that other more serious conditions are ruled out by with appropriate testing. Roach clips. You deserve a healthier, better life than one enslaved to Heroin. Yes, cotton fever can be fatal. Injection drug paraphernalia Injection drug users use a variety of supplies, including needles, syringes, spoons, cotton, water (for dissolving drugs prior to injection), and tourniquets. This is especially true for those who do not receive the appropriate medical attention. Photos: Where canteens hide their drugs? Typically, people who use dirty needles would prefer and try to use clean needles, however, it is just not always possible. [2] Etymology [ edit] Its important to ensure other infections arent causing similar symptoms. He earned a B.A. You may feel like your dying. WebCotton fever is a condition that indicates as a fever that follows intravenous drug use where cotton is used to filter the drugs. Some women use cotton to improve breast milk production. This list covers slang terms associated with the use of popular drugs and alcohol; street names of these drugs will not be included on this list unless they also describe other aspects of use. While some of these are common personal hygiene items, they could also indicate a drug use problem. Drug users who have developed cotton fever describe it as one of the worst experiences theyve ever had. How Long Do Benzodiazepines Stay In Your System? All of these things can be obvious signs of drug use. [1] The condition derives from an endotoxin released by the bacteria Pantoea agglomerans which lives in cotton plants. Spoons are used for "cooking" certain drugs, meaning that the powdered drug is placed in the bowl of a spoon with a little water and heated over a flame until it turns to liquid. We encourage you to read more about our totally chlorine-free (TCF). Treatment providers are waiting for your call: This matters for two reasons. Sometimes, trying to sterilize cotton for drug use can lead to untreatable infections. ) or https:// means youve safely connected to the .gov website. Torka, P., Gill, S. Cotton Fever: An Evanescent Process Mimicking Sepsis in an Intravenous Drug Abuser. If the needle is used repeatedly then mold and other bacteria can grow increasing the likelihood of sepsis and/or cotton fever. Although cotton fever is self-limited and normally lasts 6 to 12 hours, it can continue for up to 24 to 48 hours. Cotton: Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Have a confidential, completely free conversation with a treatment provider about your financial options. Unsafe sexual practices also put drug users at risk. and discover why so many physicians trust cotton to get the job done. Items used to prepare and inject heroin include: Hypodermic needle: used to inject the liquefied drug into a vein or sometimes a muscle Cotton balls: to strain the liquid drug and pull out chunks of impurities that did not melt Spoons or bottle caps: vessels to cook the drug, or turn tar, solidified, or powdered heroin into a liquid for injection You are exclusively responsible and bear all risks associated with any user-generated content you submit or read. The Journal of Emergency Medicine 1990;8:1359. 2011;8(12):24-28. Retrieved on December 17th, 2019 from. A cotton ball can be used as a filter after a drug has been cooked in a spoon or bottle cap. Retrieved on December 17th, 2019 from: Sesquiotic (2011) 365 Words for Drunk. Join the thousands of people that have called a treatment provider for rehab information. Collapsed veins, blood clots, and other conditions, to name a few. Cotton, one of the worlds leading agricultural crops, is plentiful and economically produced, making cotton products relatively inexpensive. Tin foil. Some users report trying to extract the drug from used cotton balls when they cant find heroin any other way. Researchers and medical professionals are still not entirely sure what causes it. Accidental Exposure: Drugs and Young Children, Social Media: Understanding a Teen's World, Talking to Your Child When You Suspect Drug Use, What You Should Know About Marijuana Concentrates/ Honey Butane Oil, Tracking Drug Use and Other Drug-Related Statistics, Federal Student Aid and Consequences of a Drug Conviction, How Drugs Alter Brain Development and Affect Teens, VIDEO: Taking Prescription Drugs to Get HighA Bad Idea, Get Involved in a Community Anti-Drug Coalition, paraphernalia tab in our Identifying Drugs tool, Electronic-cigarettes (also called E-cigarettes), Cigars used to fill with marijuana to make a blunt, Pipes (metal, wooden, acrylic, glass, stone, plastic, ceramic), Bongs (a filtration device to smoke marijuana), Roach clips (a metal holder for a marijuana cigarette), E-Cigarettes (to smoke marijuana concentrates), Plastic pen case or cut up drinking straw, Small mirrors, small spoons, short plastic straws, rolled-up paper tubes, Pacifiers and lollipops (to prevent teeth grinding and jaw clenching), Bottles or aerosol cans with hardened glue, sprays, paint or chemical odors, Sun glasses for red eyes, changes in pupil size, or eye movements. In serious cases, they can last as long as 2 days. Cotton Fever comes from an endotoxin that is released by a bacteria called Pantoea agglomerans which colonize in cotton plants prior to being processed. The cotton ball is dropped into the bowl of the spoon to strain the liquid and weed out any impurities that have not melted. Common examples of drug paraphernalia include but are not limited to: 2, 3. However, if someone is displaying common signs of illegal drug use and they possess certain drug paraphernalia, it is likely they are using drugs. Many IV drug users refer to this as cotton fever. Cotton fever hits a user 15 to 30 minutes after injection, with symptoms typically subsiding in 12 hours. The forearm is a primary injection site for many users, however, other locations may also be used to shoot up or inject the drug. Then the symptoms are treated. People who use bills for snorting tend to prefer crisp bills because they believe less powder will get stuck to the fibers compared to old, frayed ones. [inline_cta_four]. Due to its absorbency, it is most often used for cleaning the skin, bathing wounds, or applying liquids and creams. Copyright 2023 Addiction CenterAddiction Center is owned and operated by Recovery Worldwide, LLC. Cotton puts you at risk of infection, even when using a clean needle. 2,13 Have you lost control of your substance use? Cotton fever also resolves on its own, with symptoms typically dissipating in six to twelve hours. These risks increase when intravenous drug users inject a drug with a previously used needle. Unfortunately, there is no simple way to ensure the sterilization of an already used needle. Shragg T. Cotton fever in narcotic addicts. Once a drug is in liquid form, a person draws the substance through the filter and into the syringe. We encourage you to read more about our totally chlorine-free (TCF) cotton purification process and discover why so many physicians trust cotton to get the job done. In addition to textile products like underwear, socks and t-shirts, cotton is also used in fishnets, coffee filters, tents, book binding and archival paper. A cotton ball can be used as a filter after a drug has been cooked in a spoon or bottle cap. Lets face it, there are a lot of things that can go wrong with IV drug abuse. The bottom did not have any burnt indications. Get professional rehab and addiction education from a qualified doctor today! This type of cotton was cleaned and washed prior to use, so it was safer than its raw, untreated predecessor. WebCotton can be used to create dozens of different fabric types for a range of end-uses, including blends with other natural fibres like wool, and synthetic fibres like polyester. Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Preventing cotton fever from using cotton in the injecting process is more challenging. Cottonseed oil is a commonly used vegetable oil thats derived from the seeds of cotton plants. Cotton has a number of properties that make it well-suited to the healthcare industry. This can happen when an intravenous drug user is using an unclean syringe, something intended for a single use. Cotton fever can be avoided altogether. Some even assure people with SUD will get through withdrawal if they can survive cotton fever. Candyflip: LSD and MDMA. Common applications of cotton wool in medicine include: Cotton wool balls Cotton roll Q-tips Cotton pads Gauze Common examples of drug paraphernalia include but are not limited to: 2, 3. Symptoms begin 1530 minutes following injection, and are often accompanied by shortness of breath, chills, headache, myalgia, abdominal pain, nausea, vomiting and tachycardia. Tin foil. The needle and syringe then extract the liquid through the cotton filter to inject. But a Journal of General Internal Medicine (JGIM) article notes that hydromophone or a combination of pentazocine and methylphenidate have also been linked to the condition. Attempts by intravenous drug users to sterilize cotton can make the fibers toxic. What are tampons made out of? Specific jargon exists for the combination of two or more drugs into a single product. Injection drug paraphernalia Injection drug users use a variety of supplies, including needles, syringes, spoons, cotton, water (for dissolving drugs prior to injection), and tourniquets. The latter material is associated with causing a flu-like illness marked by fever. The first-ever cotton balls started showing up in pill bottles in the early 1900s. Surgical/dust mask. Possible Health Effects. The more popular the substance, the more slang is associated with it. Bongs and hookahs. Cotton fever is one of the greatest risks IV drug users face. Webcotton, seed-hair fibre of several species of plants of the genus Gossypium, belonging to the hibiscus, or mallow, family (Malvaceae). There is no obligation to enter treatment and you can opt out at any time. Cotton fever typically develops within 30 minutes after injection. 2,13 Have you lost control of your substance use? Being charged with possession means that an individual has been accused of having equipment or material used to produce, process, prepare, or use an illicit substance. Clothing, jewelry, tattoos, teen slang with drug culture messages. Sepsis occurs when bacteria enters the blood or tissue, often via a wound. in Media Studies from Penn State University, but instead of shifting into an academic career in social science, he has decided to put his skills to work in the pursuit of helping those struggling with addiction. He claims to only use pot but there was this piece of foil there too. How to identify drug paraphernalia. [1] The condition derives from an endotoxin released by the bacteria Pantoea agglomerans which lives in cotton plants. Like any other illness or disease caused by IV drug use, cotton fever can be avoided. Cotton Fever is a condition known by many long-term Heroin addicts and some Meth addicts, who use cotton to filter the drugs when shooting up. The USP is nothing if not precise about the use of hydrogen peroxidein the cotton. However, there are a few ways to help eliminate cotton fever. When a person becomes addicted to a drug, they experience an intense need to use it. Without medical attention, the strain on the system can prove deadly for mother or child, or both. The Journal of the American Board of Family Medicine, 1 Mar. All unique content created by the Addiction Group team is sourced from current scientific research and fact-checked by an addiction counseling expert before publication. Change in appearance (wearing dirty or wrinkled clothes), Change of friends (usually, friends that are also doing drugs), Dripping nostrils (linked with cocaine use), Needle tracks on the inside of their arm (linked with heroin use), Receiving poor grades and/or skipping school (for kids and teens), Stealing things (potentially to sell for drug money). Harrison D, Walls R. Cotton Fever: A Benign Febrile Syndrome in Intravenous Drug Abusers. It can feel terrifying when you suspect that someone you love is using harmful drugs. However, these are also everyday items that have benign uses. Cotton wool is a term used to refer to cotton in its softest and fluffiest form think cotton balls. Miniature spoons. Short-term. Our Las Vegas detox & rehab facility is committed to supporting your recovery journey. Journal of Antimicrobial Chemotherapy, 23 Sept. 2010. Our Las Vegas detox & rehab facility is committed to supporting your recovery journey. In 2019, the most common illicit drug used in the previous 12 months was cannabis (11.6%), followed by cocaine (4.2%) and ecstasy (3.0%) (Figure 1). There are many potential signs of illegal drug use including: Of course, some symptoms may be the result of an underlying medical condition or the side effects of a prescribed drug. Retrieved on December 18th, 2019 from: Wiktionary (2019) Thesaurus: Marijuana Cigarette. FDA-cleared tampons are made of cotton, rayon, or a blend of the two. Drug paraphernalia refers to any material, equipment, or product that is used to manufacture, compound, conceal, produce, process, prepare, or administer a controlled substance. Zerr AM, Ku K, Kara A. You may find these items in your childs bedroom, car or backpack. The Journal of the American Board of Family Medicine 2016;29(2):2769. Hepatitis Central. Miniature spoons. I made the mistake of sniffing it and my sinuses reacted by draining. This can last for hours. Cotton Fever: An Evanescent Process Mimicking Sepsis in an Intravenous Drug Abuser. Finding these items in a loved ones bedroom, bag, or car may be a red flag. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. in literature from De La Salle University. If a person has become severely dehydrated they may also receive IV fluids. Cotton Fever is a condition known by many long-term Heroin addicts and some Meth addicts, who use cotton to filter the drugs when shooting up. Cottonseed oil is a commonly used vegetable oil thats derived from the seeds of cotton plants. Items used to prepare and inject heroin include: Hypodermic needle: used to inject the liquefied drug into a vein or sometimes a muscle Cotton balls: to strain the liquid drug and pull out chunks of impurities that did not melt Spoons or bottle caps: vessels to cook the drug, or turn tar, solidified, or powdered heroin into a liquid for injection Possession of drug paraphernalia refers to having equipment that is used to produce, conceal, or administer illicit drugs. I was particularly surprised by a roughly 2" square piece of foil (alum or tin) that was contorted into a bowl. FDA-cleared tampons are made of cotton, rayon, or a blend of the two. Calls to the websites main phone number will be answered or returned by one of the treatment providers listed below, each of which is a paid advertiser: Chats will be received and answered by one of treatment providers listed below, each of which is a paid advertiser: Paid Advertising. Learn more about your options. A number of changes were reported in the recent use of illicit drugs between 2016 and 2019, including increases in the use of: cannabis (from 10.4% to 11.6%) The cotton will catch some of the cuts used in drugs. Alcohol use disorder affects millions of people in the United States. Heroin Purity & Types: What Does Heroin Look Like? Learn more about how to be featured in a paid listing. Once a drug is in liquid form, a person draws the substance through the filter and into the syringe. Exposure to the bacteria that cause endocarditis can be caused by certain dental procedures or oral activity, infection, catheters, needles used for tattoos or piercings, and injection drug use. Women use cotton for menstrual disorders and symptoms of menopause. Cottonseed oil is a commonly used vegetable oil thats derived from the seeds of cotton plants. Slang for Drug Combinations. This creates a secondary and potentially fatal risk. Cotton wool is a term used to refer to cotton in its softest and fluffiest form think cotton balls. The cotton ball is dropped into the bowl of the spoon to strain the liquid and weed out any impurities that have not melted. Cotton Fever: A Condition Self-Diagnosed by IV Drug Users. Hepatitis: This disease or infection that attacks the liver. I was particularly surprised by a roughly 2" square piece of foil (alum or tin) that was contorted into a bowl. Needles and small spoons. Published: December 27, 2019 | Last Edited: September 22, 2022.