Warning signs of Covid-19 sequelae

F0 fatigue, insomnia, chest pain, shortness of breath, hair loss, delayed menstruation, a lot of cough, diarrhea … lasting more than two months or more should go to the doctor for treatment, according to experts.

The World Health Organization (WHO) defines post-Covid-19 syndrome as generally occurring in people infected for three months, with symptoms present and lasting for at least two months that cannot be explained by diagnostic tests. another guess.

Doctor Hoang Bui Hai, deputy director of the Hospital for the Treatment of Covid-19 Patients (Hanoi Medical University Hospital), said that Covid-19 sequelae can manifest in one or more features. In which, fatigue, weakness and poor endurance, … are the most common, whether the patient has to be hospitalized or not. This condition usually improves with time but can persist for three months or longer, especially in critically ill patients who are in the ICU.

Some other symptoms such as shortness of breath last from two to three months, even 12 months; chronic cough that persists for two to three weeks; chest discomfort; changes in taste and smell; neurocognitive; insomnia, joint pain, headache, rhinitis, digestive disorders, poor appetite, dizziness; muscle pain, hair loss, sweating and diarrhea…

In which, some symptoms disappear faster than others such as fever, chills; olfactory, exudative symptoms usually resolve within two to four weeks; fatigue, shortness of breath, chest tightness, cognitive decline, and psychological effects can last for two to 12 months.

In addition, F0 recovered easily from stress, depression, anxiety disorders…, in which anxiety was the most common. Psychological symptoms improve over time but can be prolonged, especially F0 hospitalized with the risk of more persistent psychological problems.

According to Dr. Hai, the time it takes to resolve symptoms seems to depend on risk factors for prior disease as well as the severity of the acute illness and the symptoms that F0 experiences.

“Mild cases need about two weeks, while severe patients need to be hospitalized for treatment, it lasts from two to three months, or longer,” Mr. Hai said.

Doctor Than Manh Hung, from the Central Hospital for Tropical Diseases, also said that post-Covid-19 sequelae are many, but most of them are mild. “When you see symptoms that affect your health or make you worry, you can go to the doctor, you should not go to the doctor according to the movement,” Mr. Hung recommended.

As for children, the symptoms are not many, the rate of severe disease is lower, so after Covid-19 there are very few studies mentioned. A notable manifestation is multisystem inflammatory syndrome (MIS-C), but this rate is very low.

The manifestations of MIS-C are: high fever, vomiting, digestive disorders; Some children have headaches and loose stools. In addition, when children recover from Covid-19, their bodies are still weak, parents do not allow vigorous exercise, so gradually increase exercise. If your child is still tired after that, with symptoms such as sleep disturbances, worsening diarrhea, etc., you should see a doctor.

Doctor of Duc Giang General Hospital checks and examines patients with Covid sequelae. Photo: Chile

The doctor noted, Long-lasting Covid (Long-Covid) is a patient’s symptoms when having Covid-19 that persists for up to three months despite having recovered from the disease. Post Covid (Post Covid) are new symptoms that appear, after three months (from the time of illness), that cannot be explained by other diagnoses. The sequelae are damage to organs caused by Covid-19 such as vascular occlusion, myocarditis, damage that causes pulmonary fibrosis… Therefore, symptoms appearing one to two months are usually a sign of prolonged Covid-19 rather than post-Covid-19 “people shouldn’t be too worried”.

Most patients with mild Covid-19 do not need to be tested when they recover, Dr. Particularly for F0 who is recovering from a serious illness, has been discharged from the hospital or has unexplained persistent symptoms, tests such as blood count; blood biochemistry: electrolytes, blood urea and blood creatinine, liver function, blood albumin…

In addition, depending on the severity, the doctor will order electrocardiogram, chest X-ray, computed tomography lung, echocardiogram, respiratory function measurement, arterial blood gas, 6-minute walking test.

When going for a post-Covid-19 examination, patients should bring their previous health records (if any) for their doctor’s reference.

Thuy An


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