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I am having COVID-19 symptoms but my RT-PCR test report is negative. What shall I do?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am experiencing COVID-19 symptoms like mild fever, cough, headache, body ache, and rashes in the throat for the past seven days. I have also sent you the reports of RT-PCR and HRCT of the chest. Can you please guide me?
Answered by Dr. Muhammad Zubayer Alam

Education:

MBBS

Professional Bio:

Dr. Muhammad Zubayer Alam is a General Practitioner and Family Physician with broad clinical experience. He specializes in Pulmonology and Internal Medicine, delivering expert care for respiratory and internal conditions. With a patient-centered approach, he emphasizes accurate diagnosis, effective treatment, and prevention, providing comprehensive, personalized care to improve health outcomes and quality of life for patients across all ages.

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Hi,

Welcome to icliniq.com.

According to the report of RT-PCR (reverse transcription-polymerase chain reaction) for the COVID-19 (attachment removed to protect patient's identity), your results are negative. Though RT-PCR is the gold standard test for COVID-19, it may show false negative in true positive COVID-19 infection. Also, recent studies have shown increased false-negative results in the RT-PCR test with HRCT (high resolution computed tomography) of the chest showing significant infection in the lungs.

According to your HRCT of chest report, ground-glass opacities are found in both lungs, suggestive of COVID pneumonia.

Also, since you have been suffering from symptoms of COVID-like infection, you should start taking medications for COVID-19 infections as per the new guidelines.

  1. For pneumonia, start taking antiviral medications.
  2. Antibiotics to prevent any secondary infections.
  3. Low molecular weight Heparins, Multivitamins, and mineral supplement tablets.

Monitor your oxygen saturation rate routinely. If it declines below 93%, then get yourself admitted to the hospital for oxygen inhalation.

Take care. Let me know if I can assist you further.

Patient's Query

Hi doctor,

Thank you for your help.

Can you please suggest me the medicines ?

Answered by Dr. Muhammad Zubayer Alam

Education:

MBBS

Professional Bio:

Dr. Muhammad Zubayer Alam is a General Practitioner and Family Physician with broad clinical experience. He specializes in Pulmonology and Internal Medicine, delivering expert care for respiratory and internal conditions. With a patient-centered approach, he emphasizes accurate diagnosis, effective treatment, and prevention, providing comprehensive, personalized care to improve health outcomes and quality of life for patients across all ages.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

Consult your doctor immediately; he will advise you of the medications after assessing you physically or recommend that you get admitted if needed since you are suffering from pneumonia.

I would suggest you with:

  1. Antiviral medications like tablet Favivir (Favipiravir), tablet Fabiflu (Favipiravir 200 mg).
  2. Antibiotic- tablet Azithromycin.
  3. Steroid - tablet Dexamethasone.
  4. Zinc, Calcium and Vitamin D tablets.
  5. Anticoagulants.

Monitor your oxygen saturation level routinely.

Some investigations like D-dimer, RBS (random blood sugar), acute-phase proteins like Ferritin, etc., can be needed.

In case of any other query, knock me.

Medically reviewed by Dr. Sneha Kannan
Published At May 1, 2021
Reviewed At January 22, 2024

Education:

MBBS

Professional Bio:

Dr. Muhammad Zubayer Alam is a General Practitioner and Family Physician with broad clinical experience. He specializes in Pulmonology and Internal Medicine, delivering expert care for respiratory and internal conditions. With a patient-centered approach, he emphasizes accurate diagnosis, effective treatment, and prevention, providing comprehensive, personalized care to improve health outcomes and quality of life for patients across all ages.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zubayer Alam
Dr. Muhammad Zubayer Alam

Pulmonology (Asthma Doctors)

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Muhammad Zubayer Alam is a General Practitioner and Family Physician with broad clinical experience. He specializes in Pulmonology and Internal Medicine, delivering expert care for respiratory and internal conditions. With a patient-centered approach, he emphasizes accurate diagnosis, effective treatment, and prevention, providing comprehensive, personalized care to improve health outcomes and quality of life for patients across all ages.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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