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Decoding 'Post COVID-19 Syndrome' Last Updated : 09 Sep 2020 11:08:22 PM IST Covid patient (file photo) The effect of the ongoing pandemic has rippled through the whole healthcare ecosystem; and healthcare workers continue to battle on the frontlines to treat as many patients as possible. Many patients with Covid-19 needed intensive care, and with great support and impeccable clinical acumen, patients have emerged victorious. However, those who have been critically ill, and those who were treated for prolonged periods in intensive care units may need a few more months to recover fully, despite completing treatment for Covid-19.
There is significant evidence that some people with relatively mild symptoms, who were treated at home, may also have a prolonged sickness, even after beating the infection, says Dr Rahul Pandit, Director-Critical Care, Fortis Hospital, Mulund."It is observed that the virus not only affects the lungs but also has an impact on one's heart, brain, the digestive system, and kidneys amongst other organs. This new phenomenon that has emerged is termed as the 'Post Covid-19 syndrome," he says.He points out that patients who have recovered from Covid-19 might experience:1. Abnormal heart rate2. Chronic fatigue3. Persistent diarrhea4. Rapid weight loss and digestive issues5. Mild to severe inflammation in the brain6. Nausea7. Loss of appetite, taste and smell8. Reduced exercise tolerance9. Disturbed sleep patterns10. Muscle weakness11. Neuropsychiatric implications like Depression, Insomnia, etc.HOW SOON, AND WHY DO THESE SYMPTOMS SHOW UP?The symptoms, especially fatigue, may be a continuation of the recovery process and some symptoms may be only noticed after the patient is discharged. In almost 80 per cent of patients, fatigue post illness stays for several weeks and gradually resolves. Poor exercise tolerance, disturbance in sleep wake cycles are noticed usually when the patient returns to confines of his home. The most difficult are the neuropsychiatric and depressive symptoms; it needs specialized training like that of a Clinical Psychologist to diagnose it.HOW SOON CAN A PERSON START SEEKING POST COVID CARE?It is important to seek post COVID19 care right from the 1st follow up post discharge, or usually around 2 weeks post discharge. Then as per requirements, clinical support, physical rehabilitation and psychological support can be offered.
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