Post Covid Complications

   Post Covid Complication

Patient are now returning to the hospital with not just fungal infection, mucormycosis, but a myriad of symptoms. 15 to 20% of hospitalized Covid 19 patients return with some complications; and that some who were not hospitalized when they got Covid may need hospital care for a second bout of health problems. These symptoms may be experienced up to 12 weeks after recovery.

After recovering from Covid 19 people should not sit at home and accumulate weight, but they should also not jump back in. They should go slow, start with light work out and then scale it up.

Extreme Fatigue / Lethargy

Body and Joint Pain/ Headache

Brain Fog

Fever Rare Infection

80% of the current hospitalization are because of complications arising out of Covid 19. Many patients are coming with high grade fever ranging between 103- 104 degrees Fahrenheit, 7-14 days after recovery from Covid 19. Now the fever can be because of the increased inflammation due to Covid 19 or it could be because of secondary infections. People may visit the doctor if they have persistent fever. We are seeing bacterial and fungal infections causing Pneumonia. (CReactive Protein (C.R.P) test to be done)

Diabetes

Use of steroids to treat Covid 19 patients has also lead to many people developing high blood sugar and for many it is unlikely to be resolved. Seven of every ten new diabetes patients who consult are linked to Covid 19. Over 90% of the new onset diabetes cases linked to Covid 19 was because of the use of steroids which drives up the blood glucose level. Among these people , there are some who have family history of diabetes are obese,, were pre-diabetics. Diabetes induced by steroids in these people is unlikely to resolve. It may resolve in those who are not overweight and do not have other risk factors for diabetes. (Monitor blood sugar).

"Even after recovery respiratory complications haunts Covid 19 patients."

Lung Disease

Secondary pneumonia is occurring caused by bacterial and fungus, developed after recovery from Covid 19 Pneumonia. At the Post-Covid clinic there are patients who are unable to get oxygen even after weeks of being discharged from the hospital. A 25 year old patient who was unable to get off oxygen six weeks after the discharged. This is because of Fibrosis or scarring of lung tissue. Fibrosis resolves on its own after several weeks without any specific treatment, but there are likely to be some people who will have permanent fibrosis as well. The damage in the lungs especially during inflammatory phase of Covid 19 also makes the tissue prone to injuries.

Pneumonia, Collapsed lungs

Pulmonary embolism

Where a clot blocks the blood supply to the lungs. It can be life threatening with patients dying within minutes, if the clot is big. Blood thinners / anti coagulants may protect against covid-19 complications.

Rare infection of Nocardia (which can affect the lungs, brain and skin) that usually affects those who are immuno compromised.

Heart ailments

Those who have recovered from Covid should carefully monitor their heart for 6 months to a year.. People develop heart dysfunction, high and irregular heart rhythm.. This in addition to some people who get heart attacks due to clotting in the inflammatory phase of Covid.

Heat Attack

Use of steroids also leading to to heart conditions. fluctuations in blood pressure that could lead to hypertension.

Chest Pain

People with sudden chest pain, breathlessness and drop in oxygen saturation should go to the hospital.

Strokes

Loss of Smell

Dizziness

Depression

Mucormycosis / Black Fungus

Black Fungus have shot up across the country with the disease being declared an epidemic in Delhi and several other states.

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