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DYSPNEA IN COVID 19 PATIENTS AFTER DISCHARGE.

MANY COVID 19 PATIENTS SUFFER FROM DYSPNEA AFTER DISCHARGE,WHAT ARE THE NECESSARY INVESTIGATION AND WHAT'S THE MANAGEMENT? WHAT STEPS NEEDS TO BE TAKEN AFTER DISCHARGE?

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There is conclusive evidence that 87 % of patients who have recovered from COVID-19 reported persistence of at least one symptom particularly DYSPNOEA and FATIGUE . DYPNOEA is attributed to 1.PULMONARY FIBROSIS due to pneumonia, ARDS , extensive pulmonary microvascular clotting 2.Weakened lung function tests and decreased exercise capability 3.Post COVID myocarditis No one has got experience how to manage dypnoea .May be in coming years we may have some studies to document the treatment of post COVID dypnoea. May be in future guidelines may come . Possible treatment 1.Chest Physiotherapy and balloon inflation 2.Short course long acting newer steroids- deflazacort 3.Asthalin inhalers 4.Antioxidants - particularly CoQ L- carnitine But before labeling it as Post COVID dypnoea- we have to rule out other causes of dypnoea like HRCT, echocardiography

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after discharge post covid carditis or fibrosis They both develop So when u discharge the patient follow up should be done with fresh xray after 5 days Tapper steroid according and slowing continue at home with deriphylline Anti histamine Anti Tussive Breathing excersie See also there are many patient came after discharge with mi or cardiac failure we have to look that also To support that at discharge time give co enzyme 10 that strength the cardiac muscle Ecg / Chest xray/ abg and all blood routine should be on 5 day after discharge

There is conclusive evidence that 87 % of patients who have recovered from COVID-19 reported persistence of at least one symptom particularly DYSPNOEA and FATIGUE . DYPNOEA is attributed to 1.PULMONARY FIBROSIS due to pneumonia, ARDS , extensive pulmonary microvascular clotting 2.Weakened lung function tests and decreased exercise capability 3.Post COVID myocarditis No one has got experience how to manage dypnoea .May be in coming years we may have some studies to document the treatment of post COVID dypnoea. May be in future guidelines may come . Possible treatment 1.Chest Physiotherapy and balloon inflation 2.Short course long acting newer steroids- deflazacort 3.Asthalin inhalers 4.Antioxidants - particularly CoQ L- carnitine But before labeling it as Post COVID dypnoea- we have to rule out other causes of dypnoea like HRCT, echocardiography

Vary valid question for post covid followup Yes dysponea may described post pulmonary fibrosis Myocarditis That means what complication pt suffered from I mean not every pt is having lung fibrosis or myocarditis or both But in some cases who are not blown up but still c/o dysponea or weakness hb is normal I feel such cases are sustaining these complaints bcz of subclinical status and psychological For fibrosis and myocarditis followup and specific treatment to be continued respectively ie inhalers expectorants Or if pt is on steroids than on maintenance dose Yes coq10 and L-carnite may be considered

Chest physiotherapy, PFT WEEKLY, SUPPLIMENNTAL OXYGEN SOS, NO NEW GUIDE LINES, TRY SHORT CORSE STEROID, ASTHALINE INHALATION SOS. MY APPROACH, NOT NESSARILY BE RATIONAL

Post COVID fibrosis Suggest Breathing exercises Chest physiotherapy Long acting Beta adrenergic and steroid inhalers Watch for cardiac failure .

* HEMOGRAM.. * ANEMIA PROFILE.. * IMMUNITY TEST.. * PFT ..

I agree with Dr. Khan

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