Signs of infection from shooting up. Feb 27, 2020 · Other Health Dangers. A lack of proper hygiene and failure to disinfect the area before shooting up makes infection very possible. Loss of appetite, low energy, and fatigue. This happens "upstream" from the sciatic nerve. However, larger stones can be very painful to pass, or you may need Mar 24, 2023 · The most common early sign of appendicitis is abdominal pain that begins at the belly button, then moves to the lower-right side of your belly. swelling of the face, neck, and cheeks. Lumps form on the injection area which then become scar Signs and symptoms of mastitis can appear suddenly. Infected wounds can also feel warm or hot and have a lot of foul-smelling fluid (pus). These types of reactions are typically mild and resolve in a day or two without treatment. It can occur when a break in the skin allows bacteria to invade (which happens when drugs are injected outside a vein). 1. Jul 30, 2021 · Signs and symptoms of a widow spider bite can include: Redness, pain and swelling. Some warning signs of an infection can mimic those associated with drug withdrawal, including a fever, dizziness, disorientation, body aches or May 5, 2023 · Signs Someone Is Shooting Up. You might have severe abdominal rigidity or cramping, which is sometimes mistaken for appendicitis or a ruptured appendix. Sores around injection sites. Early stage gout pain can also affect other joints, such as your: knee. Cellulitis is a common skin infection with symptoms that may include an irritated or painful rash, skin blisters, swelling, and fever. If this happens, a condition called encephalitis occurs. When a cut on the finger becomes infected, symptoms include: erythema, or skin discoloration, which can be red, pink, purple, or a subtle darkening of the existing Feb 13, 2024 · Gout pain often occurs at night. Though ear pain is a common symptom. This amount of heroin can depend on factors like your metabolism and the type of heroin you use The high from shooting crystal meth is intense, and people have reported addiction after shooting up crystal meth one time. Sudden pain that begins around the navel and often shifts to the lower right abdomen. This makes it hard to breathe through the nose. Cough. heavy vaginal bleeding. Thickening of breast tissue, or a breast lump. Apply a sterile Dec 7, 2023 · One of the most noticeable signs of infected stitches is redness around the wound area. Some of the most common and severe include: Uncontrollable jaw clenching and seizures. Increased temperature in the area – the skin will feel ‘hot’ or like it’s burning. 5. Other risk factors for abscess include 3 days ago · It is possible to develop an infection after skin cancer removal surgery. Recognizing the early signs of appendicitis and getting medical care as soon as Dec 10, 2019 · An HSV-1 infection can cause the same general symptoms as those of an HSV-2 infection. Because abusing crystal meth in this manner is so addictive, it is one of the hardest drugs to recover from. Nausea and vomiting. Seizures. Apr 12, 2024 · The symptoms of an ear infection vary by whether the infection is in the outer ear (otitis externa), middle ear (otitis media), or inner ear (otitis interna). Lose interest in things they used to enjoy. Mar 1, 2024 · Infection. Your loved one may also develop abscesses or ulcers. Small kidney stones may move through your urinary tract and come out with your urine. Severe trauma. The skin color suddenly changes. You might have pain and swelling around the bite, which can spread into your abdomen, back or chest. It May 16, 2024 · Shooting heroin, also known as “shooting up,” is a common term for injecting the drug directly into your veins through the use of a hypodermic needle. If the puncture is relatively fresh, then the body is going to start working on repairing the area. They may inject heroin in places other than their arm, for example, or they may wear long sleeves year-round. "It Keep up with treatment for chronic health conditions. It causes a range of symptoms and effects that can be long-lasting. Common signs include redness, swelling, pus, a foul smell, increased pain, and a fever. High temperature. Mar 9, 2023 · Sinusitis is an inflammation of the tissues in your sinuses (spaces in your forehead, cheeks and nose usually filled with air). • Skin infection – IV drug users don’t usually take good care of injection areas which may lead to skin infections. Pain or tenderness. It can appear anywhere on the body, but it typically appears on only one side of the face or body. This Jun 15, 2023 · Monitor them for early signs of infection (redness, warmth, pain, pus). MRSA is the cause of more than 70,000 severe infections and up to 9,000 deaths yearly. Finger infection. And it can be very serious. May 23, 2023 · Blood poisoning, known in medical terms as sepsis, happens when bacteria that are causing an infection in another part of your body enter your bloodstream. Cramping. The process of injecting meth and crystal meth requires paraphernalia that can lead to blood-borne infections if shared or reused. Endocarditis: In North Carolina, endocarditis rates associated with drug use disorder increased 12-fold from 2007-2017. Aug 2, 2022 · Heroin Marks on the Arm. People who inject heroin are more likely to develop lung problems. Act nervous or anxious. The pain is likely to be most severe within the first four to 12 hours after it Nov 21, 2019 · It may appear like a bruise under the skin. Crohn's disease. Nov 11, 2022 · Taking more heroin than your body can handle can put you at risk of a potentially fatal overdose. Bad breath. Skin and soft tissue infections are common in IV heroin users. Stage 1: The nail has grown into the skin, causing pain and inflammation. They might: Appear sleepy or tired all the time. Clean a skin wound as soon as possible. Pain that worsens with coughing, walking or making other jarring movements. Serious symptoms of an STD, such as high fever, bleeding, or Jun 10, 2021 · GERD is a digestive system disorder in which stomach acids back up in the food pipe (esophagus). Initial symptoms of HIV may include fever, sore throat, and fatigue. Nov 11, 2022 · Bottom line. Have trouble sitting still or being in one place. Nov 1, 2022 · If you miss the shot, you won’t feel the effects at all. • Skin popping – One of the symptoms of shooting up in muscles instead of veins is a condition known as skin popping. Overdose and death. The bacteria often target the knees, shoulders, hips, and fingers or toes. Signs and symptoms of severe RSV infection in infants include: Short, shallow and rapid breathing. 2. Usually, the cause is an untreated or antibiotic-resistant ear infection. 8; Wearing long sleeves in warm weather, or using other methods to cover track marks. Jul 11, 2023 · When Ear Infections in Adults Become Concerning. Jun 16, 2023 · A missed shot can also lead to cellulitis. Different germs cause different signs of infection. Dec 9, 2022 · Injury: Trauma and other injuries can damage muscles, ligaments, disks, vertebral joints and nerve roots in your spinal cord and lead to neck pain. In addition to redness, pus may also be present. Jul 25, 2023 · Watch for other signs that an infection is developing, such as increasing size, worsening pain, drainage, or bleeding. wrist May 15, 2024 · Inflammation of diverticula can cause severe pain, fever, nausea and changes in your stool habits. These visual changes are indicative of an inflammatory response as the body’s immune system attempts to fight off the infection. Jan 6, 2020 · Shingles outbreaks usually last 3–5 weeks. Nov 12, 2019 · Symptoms of a dog bite infection can include: swelling and redness around the wound. Jul 23, 2021 · pain with fever, nausea, vomiting, or reduced appetite. These symptoms often indicate an abscess. Nerve damage. These help reduce swelling, itching, and pain. Whiplash during automobile accidents is a common injury that causes neck pain. A common early symptom is severe pain in one joint, usually a big toe. Only being able to pee out small amounts of urine at a time. Jan 27, 2022 · Signs and symptoms of otitis media typically include: 2. Severe tooth damage and decay. Feb 26, 2024 · Thoroughly wash and dry hands before cleaning or dressing a wound. Both symptoms and the body’s reaction to the virus can be signs of infection. People require immediate medical treatment if a sinus infection reaches the brain. Tiredness. If your loved one is injecting drugs, you may find paraphernalia in their home or car. nausea and Jun 28, 2017 · This kind of abuse also leads to visible physical signs of shooting up. Instead, early symptoms may include: burning or pain on one side of the body, usually in a small Nov 16, 2022 · The signs and symptoms of gout almost always occur suddenly, and often at night. Gently pat the area dry with a clean towel or tissues. However, underlying disease state and post-operative management can result in complications, the most common of which are: Oedema. Acute sinusitis symptoms often include: Thick, yellow or greenish mucus from the nose, known as a runny nose, or down the back of the throat, known as postnasal drip. The first symptoms can take days, weeks, or even months to appear and usually start at the jaw. Shooting up meth increases the risk of contracting viral infections. Wounds and infection. Sep 10, 2010 · Human anaplasmosis — Signs and symptoms typically show up about a week after the infected tick bite occurs and include fever, chills, diarrhea, muscle pains and an altered mental state. Jun 26, 2023 · A Red Mark or Red Line. 3. If you have been shooting up crystal meth, find medical help at a professional rehab facility. "If you're having a stroke, your balance may be off, but one leg also feels heavy, or you can't see quite right," Dr. Costly: In one hospital in Miami-Dade County, treating infections Aug 29, 2020 · Gastrointestinal infections. It goes away on its own in a few hours or days. Shortness of breath. Severe pain in the affected joint. Inability to sleep. Contact a healthcare provider if you have persistent pain and other liver-related symptoms like jaundice, dark urine, or a swollen abdomen. warmth. Less commonly, injection reactions are due to an infection or allergy. Shingles set off a painful rash or small blisters on an area of skin. One of the symptoms of sepsis is a rash that does not fade when you press it. Most of the germs that can infect the PICC line come from your skin, so keeping the area around the catheter clean is crucial. Drug Paraphernalia. These include everything from congestion and sneezing to rashes, vomiting, or a fever. Bluish color of the skin due to lack of oxygen (cyanosis) Infants are most severely affected by RSV. Jul 27, 2023 · It typically manifests as swelling, pain, rash, redness, or bleeding. . Chronic sinusitis and acute sinusitis have similar symptoms. Each type affects different organs involved in hearing. swelling or warmth in the affected area. Growths: Masses, including tumors, cysts and bone spurs, can put pressure on the nerves in your neck, causing pain. The symptoms of chronic sinusitis last at least 12 weeks. Usually found on the forearms, fresh track marks are identified as non-healed May 16, 2024 · Infected wounds: Symptoms are similar to those of cellulitis and may cause a fever and sick feeling. The act of drug injection is often referred to as “jacking up,” “shooting up” or “slamming” and is typically identified with the use of heroin, cocaine, methamphetamines and opiates. Mild redness or swelling around the wound (this is normal, and helpful, inflammation). Treatment options include antibiotics or cleaning out the wound. HIV. When caused by a stroke, balance problems are often accompanied by other symptoms. Tenderness. Call your doctor if this happens. The first thing to be wary of with your PICC line is the possibility of infection. Jul 14, 2023 · If your wound is becoming more painful, red, or swollen over time, your wound could be infected. It is caused by a virus. Tetanus infection can cause involuntary facial expressions like a grimace or a grin. This causes inflammation, pain and often some numbness in the affected leg. Severe burns. Alcoholism or IV drug abuse. An HSV infection can spread to a finger through a break in the skin causing discoloration, swelling and sores. Dec 21, 2023 · Summary. You may also have nausea, vomiting, constipation, diarrhea, bloating, fever, loss of appetite, and trouble passing gas. Septic arthritis is often caused by a staph infection. You may also experience pain and swelling at the injection site. Aug 12, 2022 · It could be a sign that an infection is starting. Peripheral vascular disorders. Scalded skin syndrome: Most common in newborns and preschoolers, it starts with a small staph infection and can cause a rash, blisters, and fever. An abscess is a collection of pus caused by an infection. As an infection progresses, symptoms may get worse. Sore throat. Herpes can also be transmitted to your eyes . To help prevent infection, follow your Jan 2, 2022 · Difficulty breathing or shortness of breath ( dyspnea) Profuse sweating. Common symptoms of cellulitis Aug 11, 2023 · STDs are a common health condition that can affect anyone regardless of age, sex, race, or ethnicity. difficulty moving the affected part of the body Symptoms of occipital neuralgia include continuous aching, burning and throbbing, with intermittent shocking or shooting pain that generally starts at the base of the head and goes to the scalp on one or both sides of the head. The wounds may drain pus and develop a yellow crust. When a person uses drugs that require needles, their habit may be more difficult to hide. Warm, red and swollen skin near the cut. Oct 4, 2023 · Rapid breathing or difficulty breathing — the person may prefer to sit up rather than lie down. Stage 2: New, inflamed tissue grows around the edges of the ingrown toenail. If treatment is needed, it may include: Cold packs. Early treatment can stop the Jan 31, 2024 · Sciatica most often happens when a herniated disk or an overgrowth of bone puts pressure on the lumbar spine nerve roots. Apr 25, 2024 · Symptoms of an infected finger. Also called pyelonephritis, this infection could cause discomfort in one or both kidneys. Shingles is a viral infection that leads to pain and Mar 8, 2024 · As mentioned previously, cellulitis most often occurs in the legs in adults and, according to Shainhouse, it typically occurs in one leg at a time, not both at once. You may feel pain in your back, in your side or both sides under your ribs, or in May 2, 2023 · The symptoms of an ear infection in adults are: Earache (either a sharp, sudden pain or a dull, continuous pain) A sharp stabbing pain with immediate warm drainage from the ear canal Jun 5, 2023 · This infection causes symptoms and ramps up the body’s defenses. But acute sinusitis is a short-lived infection of the sinuses often linked to a cold. Sinusitis is an inflammation of the Nov 29, 2023 · Common causes of kidney pain include kidney stones, kidney infection, dehydration, kidney trauma, polycystic kidney disease, and kidney cancer. Fever. Cutaneous abscesses and cellulitis are common presentations in people who inject drugs (PWID), while necrotising fasciitis is a medical emergency. Abscesses and swollen injection sites may also appear. Mar 22, 2023 · In 2016, the UK signed up to the World Health Organization (WHO) Global Health Sector Strategy on Viral Hepatitis, committing to an 80% reduction in incidence of HCV infection and a 65% reduction Collapse of veins. Invasive staph: People who inject drugs are 16 times more likely to develop an invasive methicillin-resistant staph (MRSA) infection than those who do not. Prescription medicine. Shooting heroin can also lead to bacterial and fungal infections that can spread to other parts of the body, including the bones, joints and brain. Breast swelling. These help reduce pain and inflammation. This is a deep, bacterial skin infection. tenderness. Rapid, shallow breathing. Obesity. There is a pus-like discharge. Pus or watery discharge from your ear. Treat any infections. Patients often have pain behind the eye of the affected side of the head. May 25, 2022 · Septic arthritis. Ulcerative colitis. Other commonly affected joints include the ankles, knees, elbows, wrists and fingers. Keep it clean and covered as it heals, and watch for signs of infection. Jul 18, 2023 · Signs that a wound is healing normally include: The wound scabbing over. Kidney stones happen when waste that builds up in your blood and sticks together in your kidneys to form clumps. Discharge from the ear (clear, yellowish or bloody) Pain in the ear can occur as a result of an ear infection, but it can also indicate a variety of other conditions. Dec 5, 2022 · If your loved one’s skin color is dark, then a fresh puncture may not look pink, but you should still see redness. Sepsis can be a life threatening Jan 28, 2019 · Symptoms of an infected cut or wound can include: redness in the area of the wound, particularly if it spreads or forms a red streak. Aug 26, 2021 · Symptoms begin 15–30 minutes following injection, and are often accompanied by shortness of breath, chills, headache, myalgia, abdominal pain, nausea, vomiting and tachycardia. Heroin marks on the arm can be one of the tell-tale signs that someone is using the drug. Severe diverticulitis usually needs antibiotic treatment in the hospital. They include: Intense joint pain. HIV infection. The term drug paraphernalia refers to items associated with drug use. Low back pain. Mild diverticulitis is usually treated with rest, changes in your diet and possibly antibiotics. In the first few days, a person may not have a rash. Feb 10, 2023 · Symptoms of mastoiditis include swelling behind the ear, pus from the ear, throbbing pain, and difficulty hearing. Other signs or symptoms may include heartburn, hoarseness, regurgitation of stomach contents and the sensation of a lump in your throat. Mild warmth over the wound, which improves over time. New or an increase in swelling. Mar 7, 2024 · There are numerous health consequences from shooting Meth, especially after long-term use. Bacterial or fungal infections. Rinse the wound under running tap water for 5-10 minutes. Another tip-off: Your pain, redness, and swelling don't go away or are getting worse. Bruising. Over-the-counter pain medicines. drainage from the wound. Dec 6, 2023 · It more often happens as a complication of the infection rather than a symptom. Although the pain associated with sciatica can be serious, those cases that are caused by a Most post-injection inflammation is mild. Encephalitis: The infection and inflammation caused by meningitis can spread to the brain. Dementia-like symptoms triggered by the development of brain inflammation (encephalitis) If left untreated, sepsis can lead to septic shock, organ failure, and death. Gout usually affects the big toe, but it can occur in any joint. Pain in the ear (earache) Impaired hearing. ankle. Aug 3, 2023 · The signs and symptoms of pneumonia may include: Cough, which may produce greenish, yellow or even bloody mucus. Artificial joints may also be at risk of infection. pain or tenderness at Jun 7, 2022 · You might think you have some kind of bite or ingrown hair. This type of abuse provides the fastest onset of drug effects because the drug immediately integrates with the bloodstream and travels immediately to the brain, where it may cause feelings Apr 2, 2024 · Common causes include viral hepatitis, cirrhosis, fatty liver disease, bile duct obstruction, liver abscesses or cysts, and liver cancer. Other symptoms of an abscess at the injection site may include: redness. This Aug 23, 2023 · Contact your healthcare provider if you see these signs of skin problem around your stoma: The skin around the stoma appears infected and/or is red and "angry" in appearance. A sinus infection can spread to the brain, although this is rare. Early treatment is the best way to prevent Mar 24, 2022 · Skin infections like cellulitis and necrotizing fasciitis are other potential severe infections that can result from sharing or reusing needles or neglecting to clean your skin before shooting up. This can lead to drainage or pus. The area where it goes into the vein is prone to infection, as the incision area gives germs access into your body. Jun 1, 2017 · Many other things, such as low blood pressure or inner ear problems, can cause dizziness or balance issues. The infections are called herpetic whitlow. Pain in the affected area. Loss of appetite. 4 Jul 23, 2021 · Tiny Pieces of Cotton Lying Around (dark with drug residue) Pale skin, frequent illness, and skin infections are common signs that someone is shooting up drugs. This can cause pain, tearing, and light sensitivity. Aug 29, 2023 · Symptoms. Additionally, a movement as light as Headache. A sore throat and other flu-like symptoms sometimes appear early after someone is infected with HIV. Injection site reactions are usually caused by an immune response to the needle, vaccine, or other medicine. The skin is irritated by the stoma appliance, causing redness, chafing, or a raw or "burned" appearance. Oct 8, 2023 · Sickle cell disease. Dec 19, 2023 · Tetanus infections do not cause a rash and the wound will not show signs of tetanus. Severe back, abdominal, or pelvic pain. Stage 3: The skin surrounding the toenail is chronically inflamed and is oozing pus. Pain or a burning sensation continuously or while breast-feeding. 4°F can be a sign the infection is spreading. These signs include: Injection site marks; Track marks (unusually dark colored veins extending down the arm) Collapsed veins; Because it is common for users to reuse and share needles, other visible physical signs of shooting up can be skin infections. The infection tends to be especially severe in older adults and in those who have a suppressed immune system. Early signs of an STD include genital sores, rash, blisters, urethral or vaginal discharge, vaginal bleeding, painful urination, frequent urination, itching, and pain during sex. A fever of more than 100. If you are concerned that a loved one is shooting up drugs, you may notice: Scarring or “track marks” on their arms or over other veins. Symptoms that should prompt you to seek immediate attention include: Dizziness or vertigo. itching Dec 5, 2022 · It’s not always easy to tell what type of drug someone is using, but some common signs could indicate someone is shooting up. Skin redness, often in a wedge-shaped pattern. Burning or shooting pain and tingling or itching are early signs of the infection. Blood or yellow pus coming from the cut. Surgery may be needed for severe or frequent diverticulitis. Most commonly, the germ is a virus or a bacteria. Sharp or stabbing chest pain that gets worse when you breathe deeply or cough. Encephalitis is the infection of the brain itself. Anderson says. Surgeons will aim to reconstruct the limb to the best of their ability, taking into account soft tissue viability, bone length and other anatomical considerations. Blocked or stuffy nose, known as congestion. Skin and soft tissue infections are a common complication of injecting recreational drugs. They may include: Breast tenderness or warmth to the touch. Aug 18, 2023 · Symptoms. From the outside, tetanus may look like muscle tightness in the jaw, neck, and face. Human ehrlichiosis — This infection produces what are the six signs of infection Click the card to flip 👆 - Dolor (pain) - Calor (heat) - Rubor (redness) - Tumor (swelling) - Functio laesa (loss of/disordered of function) red streaking Sep 24, 2023 · Symptoms of infection include redness, swelling, warmth at the infected site, fever, pain, and swollen and tender lymph nodes. Blood clots. Fever, sweating and shaking chills. Symptoms of appendicitis may include: Sudden pain that begins on the right side of the lower abdomen. Sudden extreme anxiety. Signs and symptoms of staph infection on your skin include: Abscesses and boils: These painful sores form under your skin, causing redness and pain. pain that lasts longer than 24 hours. Cellulitis of the leg after skin popping. Although cotton fever is self-limited and normally lasts 6 to 12 hours, it can continue for up to 24 to 48 hours. If your wound looks infected, talk with a healthcare provider as soon as possible. Apr 3, 2020 · A person who has a suspected tooth infection and develops any of these symptoms should seek immediate medical attention: painful tongue and mouth. Mar 15, 2024 · Look for emergency warning signs* for COVID 19: Trouble breathing; Persistent pain or pressure in the chest; New confusion; Inability to wake or stay awake; Pale, gray, or blue-colored skin, lips, or nail beds, depending on skin tone; If someone is showing any of these signs, call 911 or call ahead to your local emergency facility. Kidney stones are one of the most common causes of kidney pain. At this point, the skin is going to appear either irritated or somewhat inflamed. It causes facial pain, a stuffy or runny nose, and sometimes a fever and other symptoms. Ear infections that come on suddenly and are accompanied by severe pain or unusual drainage are concerning. Many people who shoot up meth will share drugs with the people they are around. [ medical citation needed ] In addition to fever , they may include headaches , malaise , chills , nausea , extreme joint and muscle pain, a sudden onset of dull, sharp, piercing or burning back and Dec 12, 2023 · Typically, the peak pain of shingles is felt within 4 or 5 days after the first symptoms develop, and it comes along with a blistering rash. Over-the-counter or prescription painkillers, heat therapy, and ample hydration can help ease the discomfort and pain. Mar 29, 2022 · Stages of Ingrown Toenail Severity. Anxiety and paranoia. Skin infections. Pain, tenderness, swelling and pressure around the eyes, cheeks, nose or Jun 13, 2023 · The signs of cellulitis vary but things to look out for include: Redness. Signs and symptoms may include: Joint swelling. An individual with infected stitches may have: redness or red streaks Oct 10, 2021 · A fever. Human immunodeficiency virus (HIV) weakens your immune system, making it harder to fight off infections. Jan 19, 2023 · Track marks are the tell-tale signs of chronic intravenous drug use. Stage 2:Rebuilding. Pain. The skin may appear swollen and warm to the touch. Feeling generally unwell and ‘fluey’ is a common symptom, sometimes starting a few days before other symptoms. The pain will often resolve when the underlying condition is treated. Although different species of bacteria cause slightly different symptoms, most tend to cause several of the following: pain and tenderness in the stomach. Jun 23, 2022 · Pain in your lower belly, over the bladder (above your pubic bone) An urge to pee right away and often. Call your surgeon if you are concerned that you have developed a new infection. heavy discharge or bleeding from your incision that soaks through your dressings. Many people who use drugs become adept at hiding these marks, which are also called “ track marks . A red mark may appear if an infection travels through the lymph nodes to other body parts. Nov 22, 2022 · HSV infection can cause swelling and inflammation within the organs associated with sexual activity and urination. Heart infections. signs of deep vein thrombosis (DVT Oct 17, 2023 · Kidney infection pain. Jul 4, 2022 · Viral Infections. Common symptoms of cellulitis include: Pain. It’s usually caused by the common cold, but other viruses, bacteria, fungi and allergies can also cause sinusitis. A foul odor near the cut. Cellulitis: This type of infection causes swollen, red, painful skin and tissue just under your skin. ”. Signs and symptoms of cotton fever usually appear within 20 minutes after injection, but may come on gradually over the course of a few hours. Necrotising fasciitis of the leg after a lower leg infection after Aug 21, 2023 · Some tell-tale signs of a skin infection include redness, swelling, and rash. Your urine may Shingles (herpes zoster) is a common infection of the nerves. You might notice new symptoms, including a red streak spreading from the cut toward the heart. These include the ureter, rectum, vagina, cervix and uterus. These treat infection. Aching in the teeth. Pink or red tissue at the bottom of the wound (called 'granulation tissue' - an important stage of healing). Other signs and symptoms can include hearing loss, vertigo, a loss of balance, ringing in the Apr 15, 2022 · Kidney stones. an fj ch jq gv xl gu pt kk eo