Post COVID Complication After Recovery

COVID entering human body

COVID is a devastating pandemic that has shattered millions of lives. Even after recovery patients experience a lot of complications and they again get admitted to the hospital. The signs and symptoms that appear post COVID are direct squeal of COVID infection and require medical attention. Today am going to discuss about different Post COVID.

Complications can be subdivided into major and minor complications.

COVID attacks neurons

First, I will discuss minor complications. Majority of patient complains of tastelessness. This is a well-known and self-limiting consequence of COVID infection. Keeping a slice of ginger and Haritaki (Terminali Chebula) in your mouth can sometimes help you regain your sense of taste.

Malaise may develop in the patient and last for up to two weeks. Drinking plenty of water and staying hydrated can assist you overcome this condition. If you have renal failure, you should be cautious about consuming too much fluid.

Post COVID weakness

Another typical post-COVID consequence is COVID induced weakness, which can be caused by a variety of factors. Because COVID is a catabolic condition, a large number of patients lose muscular mass. Taking multivitamins and consulting with a dietitian are the greatest ways to combat weakness.

The first proposed mechanism is that nasal epithelial cells have a higher expression of ACE-2 receptors. The virus binds to these receptors, causing degeneration of the epithelial cells of the nasal mucosa, as well as inflammation and damage to the olfactory receptors in the brain.

prolonged dry cough

Following COVID, some individuals may have a dry cough that lasts for many weeks. This is caused by COVID-induced airway hypersensitivity, which causes a bothersome dry cough. It’s difficult to treat and causes a lot of pain for individuals. Cough syrups are frequently ineffective. Inhaled steroids may be beneficial. The combination of Montelukast and levocetirizine is also beneficial. Few patients may get relief with anti taussives in modified doses. This problem needs special care.

COVID-19, on the other hand, may cause smell loss in other ways. For example, an Italian research team discovered that loss of smell and taste occurs at the same time as a rise in blood levels of interleukin-6, an inflammation-signaling molecule.

When walking or ascending stairs, many patients complain of effort intolerance and shortness of breath. Because COVID has a major impact on heart function, this occurs. If your shortness of breath worsens, you should contact your doctor.

palpitation and tachycardia

Another typical issue is palpitation and tachycardia. Pulse rates can range from 100 to 120 beats per minute. There are several reasons for this, but one important cause is that COVID produces sympathetic overdrive. Palpitation is commonly treated with a low-dose beta-blocker. However, do not take a beta-blocker without consulting your physician, as beta-blockers have a variety of negative effects.

Some patients get headaches, particularly in the evening. After standing for a long time, they may become dizzy. They may require adequate hydration. We occasionally prescribe Sibelium paracetamol for headaches.

skin irritation after COVID infection

There have been a few instances of skin irritation after COVID infection. The majority of them are mild and self-limiting, and they go away on their own. We prescribe emollients, calamine creams, and anti-allergic medications on occasion.

Post COVID Psychosis is another complication to be noted. 

Post COVID Psychosis

Those who are prone to endogenous depression may require medical assistance Talking irrelevantly, sometimes losing orientation of day and night especially in the elderly is common. This is due to steroids that are given during treatment of COVID. When the steroid dose is reduced or stopped, the steroid psychosis disappears. They only need medical assistance on rare occasions.

Another common issue is sleep disturbances. Melatonin 3 mg at night is very beneficial. The patient must maintain good sleeping habits.

After COVID, thrombotic complications are also common. Blood thinners are commonly used. This blood thinner has the potential to induce problems. A person with a GI ulcer may bleed. Blood thinners can cause hemorrhagic stroke in the elderly. Bleeding inside the gums, black faeces, urethral bleed, cough, and black spots on the skin are all possible symptoms. If you encounter any of these symptoms, contact your doctor at once.

Bacterial infections in COVID

Bacterial and fungal infections are another common post-COVID consequence. Fever is the most common symptom of a bacterial infection. If the patient has a UTI, he or she may feel a burning feeling when voiding. Fungal infection like Tinea infections can be both cutaneous and mucosal. Always check your skin, private regions, and groins for any rash or itchy ringworm-like spot. Notify your doctor so that proper care can be provided. You must pay close attention to your oral cavity, groins, skins, and private regions. Black fungus, also known as Mucormycosis, is the most significant consequence that is being discussed all over the world. Mucormycosis occurs during active COVID treatment, so I won’t go into detail about it here.

Now we’ll look at a few major COVID problems that doctors are concerned about.

COVID invasion in lungs

We’ve encountered a lot of patients who need oxygen at home after they’ve recovered from COVID. Because COVID induces interstitial lung disease and lung fibrosis, individuals may require oxygen therapy even after they have recovered from COVID. It is preferable to have oxygen support at home and to take oxygen, particularly at night when sleeping. Saturation should be checked often. Many may require oxygen support for 3-4 months. To understand what is happening to the lung throughout the recovery phase, this type of disease necessitates frequent medical supervision and radiographic supervision.

Heart block is another significant post-COVID complication. COVID causes myocarditis, and the heart’s electrical conduction tissue may malfunction, making it difficult to send electrical impulses. If your heart rate drops below 50, you should have an ECG and see your doctor. Following COVID, some people may require pacemaker implantation.

COVID and kidneys
COVID has an impact on kidneys

COVID has an impact on kidneys as well. It causes proteinuria in insignificant number of patients. In a study published last year where it was reported that 44% of COVID had De novo proteinuria in healthy adults and this proteinuria may last for a long time. Patients who had diabetic kidney disease and had mild proteinuria may experience an aggravation of proteinuria after COVID. COVID also causes relapse of nephrotic syndrome. COVID has a direct effect on tubules or the drugs used for COVID treatment like Remdesivir is nephrotoxic causes proteinuria. Acute renal failure with a reduction in eGFR is a serious complication of COVID.

GI complication is one serious complication is COVID
GI complication is one serious complication is COVID

Now Coming to GI complication, one serious complication is COVID causes elevated liver enzymes. It also causes GI to bleed. This is due to COVID causes microvascular complications in the gut mucosa. The patient may require admission and blood transfusion. Among all these complications the most serious complication is thrombosis of major arteries. It can cause health block leading to heart attack and acute myocardial infarction. There can be thrombotic stroke leading to paralysis of one side of the body, loss of vision, or many neurological complications.

Limb ischemia is one major problem and may require revascularization therapy in the cath lab. Post COVID pulmonary embolism is also reported which patients may experience after recovery.

As a result, once you’ve recovered from COVID, you’ll need to remain extremely watchful and aware. If you suffer any of the aforementioned signs and symptoms, contact your doctor right away. Remember that follow-up and surveillance are just as crucial as COVID treatment.

I have specially designed a deep breathing exercise training program “Boost your lung health” where I have sequentially taught the steps of breathing exercises. There are nearly 20 sets of exercises which will be a tremendous boon to heal the lung health. Below is the link to join my program.

Published by Dr.Pratim Sengupta

Dr. Pratim Sengupta thinks of himself as conscious, living, soulful being with an inner urge to break the inertia of life. He feels that life is nothing but a material expression of the Supreme Almighty Consciousness. His conscious existence empowered him to see, to hear, to talk, to interact, to feel, to dream, to ask questions, and to seek solutions to every problem. In the flow of life, as he grew up, he understood that knowledge of life is the only way to understand the scientific basis of conscious existence. Hence Dr. Sengupta felt the urge to study the science of life – i.e. Medicine. After he completed his higher secondary education from the Ramakrishna Mission Vidyamandira in Belurmath, he joined the MBBS (Bachelor of Medicine, Bachelor of Surgery) course at RG Kar Medical College, Kolkata. The professional packaging of knowledge in terms of a time-bound, goal-oriented syllabus frustrated him a bit, but nevertheless ignited the urge within him to study further. He thus went on to his post-graduation (MD) in Medicine from IPGMER and SSKM Hospital, Kolkata. During his MD training, he got a glimpse of the vastness of knowledge, and the quest to learn precisely the facts of life narrowed down his area of interest to the functioning of the kidneys and the specialisation of Nephrology – a discipline that is complex, yet relatively new and still evolving in terms of complete understanding of renal physiology and pathology. So, Dr. Sengupta decided to study and train for the DM (Doctorate of Medicine) degree in Nephrology. Right from the start of his career, Dr. Sengupta was passionate about Research. During the MD programme he worked on Cirrhotic Cardiomyopathy, Autonomic Neuropathy of Lupus, and Insulin resistance in Diabetics. All these research studies were published in national journals. During his postdoctoral study in Nephrology, he worked on Hemodialysis efficiency, and suggested an angular placement of the Dialyser in order to increase efficiency. This innovative concept was accepted for presentation at the World Congress of Nephrology, Milan, in 2009, and also published in Hemodialysis International. Dr. Sengupta also worked on Plasmapheresis – a blood filtering technique by which toxic and pathogenic immunoglobulins can be removed from the body. He studied the role of Prethymectomy Plasmapheresis in Myasthenia Gravis patients, and his findings were published in the journal Interactive Cardiovascular and Thoracic Surgery. The patient-empowered nutritional model for nutritional care of kidney patients is another interesting and innovative area in which Dr. Sengupta has worked for quite a long time. Dr.Pratim Sengupta won the Bharat Jyoti award for his excellency in the field of medicine. He is also the president of our non-governmental organization, The Kidney Care Society. His tireless contribution to provide quality living for his patients is worth mentioning. He introduced Mukti, blending ancient Indian yoga with modern medicine for well being of every patient. He has also introduced an unique online course "Art of Living with diabetes" which is a complete solution to diabetes management. He has authored many books, blogs, for the patients. Searching and researching for solutions to problems in the field of Nephrology remains the passion and dream of Dr. Pratim Sengupta, and he intends to persist on this journey as long as he is conscious. Meanwhile, even as he pursues his dreams, Dr. Sengupta diligently puts into practice all he has learned about Nephrology over the years, at the Belle Vue Clinic in Kolkata and ILS hospital,Dumdum where he is available for his patient

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