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Long COVID - Understanding and Managing Persistent Symptoms

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COVID-19, the 21st century's major health crisis, brings long-term health complications known as long COVID. Let us discuss this further.

Medically reviewed by

Dr. Kaushal Bhavsar

Published At May 9, 2024
Reviewed AtMay 9, 2024

Introduction

Long COVID, stemming from COVID-19 infection, affects millions worldwide with diverse symptoms and prolonged impacts. Its causes, including viral reservoirs, immune issues, and blood clotting, remain under study. Common conditions linked to long COVID include heart problems, diabetes, and chronic fatigue syndrome. Risk factors include pre-existing health conditions and socio-economic disparities. Children also experience long-term COVID, with symptoms like fatigue and cognitive issues. Research is ongoing to understand and treat long COVID, especially in children. Addressing this complex condition requires interdisciplinary collaboration and focused investigation.

What Is Meant by Long COVID?

Long COVID refers to the lingering effects of COVID-19 that stick around for weeks or even months after the initial illness. It is when a person still feels sick even though they have technically recovered from COVID-19. Symptoms can come and go, and other health conditions cannot explain them. Some people might have symptoms for a few weeks after getting sick, while others could experience them for months or years. Research is ongoing to understand these symptoms better and determine the best treatment methods. In the UK, millions of people have reported having long COVID, with many experiencing symptoms for at least several months or even longer.

What Are the Diagnosis, Symptoms, and Complexity of Long COVID?

1. Diagnosing Long COVID: Doctors use specific codes to diagnose it, but it is still tricky because not all doctors know it. More advanced tests are also needed to identify it accurately.

2. Symptoms of Long COVID: Symptoms can hang around for more than four weeks after the first signs of COVID-19, and they might come and go or stay constant. They can affect various body parts, like the lungs, heart, stomach, brain, and mental health. Some people experience a lot of discomfort that can interfere with their daily lives. The most common ones include feeling tired all the time, feeling worse after doing anything physically or mentally tiring, having trouble breathing, coughing, chest pain, a fast or irregular heartbeat, trouble concentrating (sometimes called "brain fog"), headaches, sleep problems, feeling dizzy when standing up, weird sensations like pins and needles, changes in smell or taste, feeling sad or anxious, stomach problems like diarrhea or pain, muscle, and joint pain, rashes and even changes in menstrual cycles.

3. Complexity of Long COVID: Long COVID is not just one thing; it is a combination of different conditions that affect people differently. This makes it hard to find a single treatment that works for everyone. Understanding what is happening in the body and finding the best ways to treat it is still work.

How to Prevent Long COVID?

To avoid getting long COVID, it is important to protect oneself and others from getting sick with COVID-19. This means getting vaccinated if a person can, improving airflow indoors, getting tested if someone thinks they might have COVID-19, and getting treatment if they do get sick. Also, try to avoid being around people who have COVID-19, wash hands often, and use hand sanitizer. Research shows that vaccinated people are less likely to have long COVID if they get infected. Scientists are still studying ways to reduce the chances of getting long COVID, so it is essential to follow these precautions to stay safe.

What Are the Heart-Related Symptoms After COVID?

1. Heart Palpitations After COVID-19:

After recovering from COVID-19, some people may feel like their heart is pounding, fluttering, or beating irregularly. This sensation, known as heart palpitations, can be felt in the chest, neck, or throat. While it is common to experience palpitations after COVID-19, there is usually not a sign of a serious health issue. However, if they persist or worsen, it is a good idea to seek medical attention, especially if a person has a history of heart problems.

2. Changes in Heart Rate After COVID-19:

Following a COVID-19 infection, some individuals may notice changes in their heart rate, such as a faster heartbeat. While it is normal for the heart rate to increase during illness, these changes can persist beyond the initial infection. Although temporary changes are typically harmless, frequent or prolonged heart racing should be discussed with a healthcare provider, especially if a person is concerned or has a history of heart issues.

3. Chest Pain After COVID-19:

Chest pain is a common symptom experienced by some individuals after COVID-19. This pain may persist beyond the initial infection or develop in the weeks following recovery. It is important to note that chest pain can have various causes, not necessarily related to the virus itself. If a person experiences sudden or severe chest pain that does not go away, accompanied by symptoms like vomiting, nausea, sweating, or shortness of breath, seek urgent medical help. Additionally, a healthcare professional should evaluate any new type of chest pain to rule out serious conditions.

What Are the Tests and Management for Long COVID?

Treatment for Long COVID: While there is no specific medication or treatment for long COVID as a whole, there are ways to manage its symptoms. The doctor may refer to specialists or clinics that can address individual symptoms, such as physiotherapy or counseling. Discussing the symptoms with the doctor to explore the options is essential.

1. Tests for Long COVID: There is no single test to diagnose long COVID-19, but the doctor may conduct various tests to better understand the symptoms and rule out other potential causes. These tests may include blood tests, heart rate checks, chest X-rays, and others. Researchers are also working on developing a blood test to detect long COVID-19 in individuals who produce harmful antibodies against the virus.

2. Fatigue in Long COVID: Fatigue is a common symptom of long COVID, lasting several months after the initial infection. It can manifest differently in each person, affecting everyday activities like household chores or work. Some patients experience a fast heart rate during exercise, followed by fatigue. Treatment options may include medication to control heart rate and pacing exercises carefully to avoid overexertion.

3. Support for Long COVID: If an individual suspect having long-term COVID or their symptoms worsen, contact the help center. They may be referred to a long COVID clinic for specialized care. Support services are available in various forms, including physiotherapy and psychological support. Additionally, there are resources, like apps and advice lines, for assistance. Always seek emergency medical help if sudden chest pain or are suspected of a heart attack or stroke.

Conclusion

Over the past couple of years, the virus that causes COVID-19 has been changing rapidly, and new versions of it have become better at spreading and getting around vaccines. People have to live with this virus for a while, so COVID-19 will continue to be a big problem for the healthcare system and economy. To tackle long COVID effectively, everyone needs to know what can make it more likely and what can be done to manage it. As a lesson to be learned about COVID-19, everyone should work together to protect their health and well-being.

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Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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