UNCOMMON MANIFESTATIONS OF COVID 19
UNCOMMON MANIFESTATIONS of COVID-19 Recent findings suggest that a significant number of people with COVID-19 may experience digestive symptoms. New research data says that out of all the patients who approached for medical care half of them have come up with the symptoms of the digestive system, such as loss of appetite and diarrhea. As the world races to find the best ways to cope with the new coronavirus, researchers continue to contribute to our understanding of COVID-19, the disease that the virus causes. The exact symptoms are the main point of interest. As with many other viral infections, SARS-CoV-2 infections cause different symptoms in different people. But WHICH SYMPTOMS ARE THE MOST COMMON? According to information from the World Health Organization (WHO), three of the most common symptoms are fever, coughing, and some difficulty breathing. However, people with COVID-19 have reported many other symptoms, including digestive ones. While the WHO still consider digestive symptoms to be uncommon, a new study from the Wuhan Medical Treatment Expert Group for COVID-19 suggests that such symptoms may be more widespread than specialists had thought. Digestive symptoms in 50.5% of patients were observed. The expert group behind this new study — the findings of which appear in The American Journal of Gastroenterology — analyzed data from 204 people who received medical care for COVID-19 between January 18 and February 28, 2020. The patients had an average age of 52.9 years, and of the total, 107 were male and 97 female. When they presented to a hospital, 103 of the 204 people — or 50.5% — were experiencing digestive symptoms. The main symptom reported was diarrhea, and other symptoms included vomiting, in four individuals, and abdominal pain, in two. Moreover, the digestive symptoms among the larger group grew more severe as the severity of COVID-19 increased the researchers' report.
It is a challenge to day to understand typical symptomology of covid19 As it is changing as the day passes Asymptomatic status gets evolved and comes with different presentation and on screening turns outs covid19
Everyday a new symptomology of COVID 19 has emerged , more cases are asymptomatic ,a great challenge ahead of researchers and clinicians , you are facing a known virus or chemical weapon changing his sign and symptoms regularly and constantly. Digestive symptoms are also a part of various other sings or symptoms .
Corona virus presence in water has been found in paris but not here so far. It is really hard for clinicians to differentiate between normal GE symptoms in such climate or is it due to corona. Thanks for posting
Investigations for new cases of IBD to be made after test of COVID-19 in cases of diarrhoea/ vomiting
It is the vreat challengevtoDay of covid 19 symptomatology.Most of the cases are asmltyomatic and lresnt indifferent modes like ear infection,digesTive syptoms by way of gastro like symptoms emerging a great challenge fkr researchars as well as clinicians . You are facing to a known viras or chemical weapons changkng his signs and symltoms regularly and every day.
Yes there might be diarrhoea. That's in some foreign countries they have found presence Corona Virus in Sewage water.
A bit of confusion, but is better if the new discovery goes on for clear managament.. Good posting Dr
Interesting era of covid we have to be careful slight doubt investigate
With each passing day, there's something new with regards corona. I think stomach issues could be due to increased inflammation and heavy dose of medications. However, we are yet to discover the true face of Covid in terms of the side-effects it can come up with.
Very interesting points regarding this virus ,it will take a time to explore the new symptoms and signs for methodical study
Cases that would interest you
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The Toughest Triage — Allocating Ventilators in a Pandemic The Covid-19 pandemic has led to severe shortages of many essential goods and services, from hand sanitizers and N-95 masks to ICU beds and ventilators. Although rationing is not unprecedented, never before has the American public been faced with the prospect of having to ration medical goods and services on this scale. Of all the medical care that will have to be rationed, the most problematic will be mechanical ventilation. Several countries, but not the United States, have already experienced a shortage of ventilators. Although shortages of other goods and services may lead to deaths, in most cases it will be the combined effects of a variety of shortages that will result in worse outcomes. Mechanical ventilation is different. When patients’ breathing deteriorates to the point that they need a ventilator, there is typically only a limited window during which they can be saved. And when the machine is withdrawn from patients who are fully ventilator-dependent, they will usually die within minutes. Anticipating the need to allocate ventilators to the patients who are most likely to benefit, clinicians should proactively engage in discussions with patients and families regarding do-not-intubate orders for high-risk subgroups of patients before their health deteriorates. Once patients have already been placed on mechanical ventilation, decisions to withdraw it are especially fraught. In the weeks ahead, physicians in the United States may be asked to make decisions that they have never before had to face, and for which many of them will not be prepared. Though some people may denounce triage committees as “death panels,” in fact they would be just the opposite — their goal would be to save the most lives possible in a time of unprecedented crisis. To read more- https://www.nejm.org/doi/full/10.1056/NEJMp2005689?query=featured_home Source-The New England Journal Of Medicine Authors- Robert D. Truog, M.D., Christine Mitchell, R.N., and George Q. Daley, M.D., Ph.D. Do Such situation may arise in India in the Near Future? Share your views Doctors.
Dr. Pushker Mehra17 Likes17 Answers - Login to View the image
30 year old male, 10 day history of diarrhoea and reduced oral intake, presented with lethargy and ongoing abdominal cramps. No respiratory symptoms, but O2 sats noted to be on the lower side, exertional O2 sats dropped to 86%. No past medical history of note, normal white cell count, not lymphopenic, urea 18.9 mmol/L, creatinine: 489 µmol/L, amylase 600 (30-118), ALT: 65, CRP: 100, Trop I 267 (0-46). Chest X-ray as shown. What do you think the patient is suffered from?
Dr. Somi Suyal2 Likes23 Answers - Login to View the image
34yrs/M admitted with C/o Generalized bodyaches,3 day history of on and off fever which is temporarily relieved by paracetamol,Hypogastric pain,He also experienced nausea and vomitting with loss of appetite.NO PETECHIAE OR RASES present over body.He was tested negative for COVID 19 but positive for dengue.On day 2 admission patient developed dry cough and mild difficulty in breathing. NEED SUGGESTIONS? *Chief Complaints* Fever,bodyaches,NV, Abdomen pain *History* No relevant medical history *Vitals* BP - 120/80,HR -110,Temp -99°F,Spo2 -98% without O2 support,RR - 18 *Investigations* COVID - RT PCR - NEGATIVE DENGUE IGg - Positive Platelet counts -4000,Hb -12,TLC -12000 HRCT chest enclosed
Dr. Prashant Vedwan5 Likes19 Answers - Login to View the image
A 60-year-old male presented with cough and dyspnea. He is a known Sarcoidosis patient. He is on cortisol treatment for 6 months. New Chest CT shows multiple mediastinal lymph nodes, interstitial sarcoidosis findings, and Pleural thickening. Newly presented Chest CT is almost same. Additionally bilateral ground-glass densities. The question: Is it alveolar Sarcoidosis or COVID 19?
Dr. Ishan Ghorila10 Likes18 Answers - Login to View the image
4 year old female complaints of fever since last one week duration of fever reduced from eight hours to four hourly now associated with abdominal pain and body rash. Has taken paraxin nd on taxim o currently but fever at four hours intrvl n abdominal pain remains plz advise trtmnt n diagnosis As per all say urine reports done is normal USG done is normal ...
Dr. Shaheda Khan4 Likes14 Answers
18 Likes