Post-Covid complications and care: Dos and don’ts

Just recovered from Covid-19? It will not be smart to let your guard down since an rising variety of individuals are persevering with to expertise signs after their preliminary restoration from the illness within the second wave.

These post-Covid health conditions or complications have come to be generally known as “long Covid” or “long-haul Covid”. In such instances, a affected person continues to expertise signs of the illness 4 weeks after preliminary restoration.

Some of the complications being witnessed in sufferers recovered from Covid-19 embody impression on lungs, kidneys, coronary heart, and cases of a black fungal infection, known as mucormycosis.

Here is every part it is advisable learn about doable complications that will come up submit Covid-19 an infection and what precautions one ought to take earlier than resuming regular life:

(Infographic : India Today/Rahul Gupta)

When can we are saying {that a} Covid-19 affected person is cured and can resume regular life?

Dr Syamasis Bandyopadhyay, Senior Consultant Physician and Rheumatologist, Director Medical Services, Apollo Hospitals, stated if a Covid-19 affected person has ILI (Influenza-like sickness) signs, then inside 10 days of onset of signs he turns into non-infectious.

“After 17 days from the onset of symptoms, he can resume normal activities while maintaining Covid-appropriate behaviour. For SARI (severe acute respiratory infection) cases, the patient becomes non-infectious after 20 days and he/she can resume normal life depending on the extent of their lung damage and other issues,” Dr Syamasis Bandyopadhyay advised

(Infographic : India Today/Rahul Gupta)

Why are some individuals seeing post-Covid complications?

Covid-19 is a viral sickness which, not like many different viral diseases, has the potential to trigger long-term sequelae involving a number of organs, particularly the lungs.

Available information signifies that a couple of quarter of these with Covid-19 undergo from signs 45 weeks after testing optimistic, and about 1 in 10 expertise signs after 12 weeks, Dr Abhishek Bansal of Diyos Hospital advised

“While there is no conclusive evidence, people may experience post-Covid conditions due to persistence of the virus in some parts of the body that are sheltered from the immune system,” Dr Bansal stated.

What complications might come up after I get cured of Covid-19?

Covid-19 is thought to have an effect on a number of organs and physique programs, together with coronary heart and blood vessels, lungs, kidneys, pores and skin, mind and nerves.

Some of the warning indicators of lingering Covid situations are steady shortness of breath, chest ache, respiration hassle, reappearance of fever, fatigue, painful joints or muscular tissues and dizziness on standing, stated Dr Syamasis Bandyopadhyay.

“This virus has the potential to directly involve lung cells, leading to lung fibrosis. They stimulate the fibroblasts, causing fibrosis of the lungs and that is a tripling problem. That is, you land up with a ‘triple lung’, leading to fatigue and you always pant for breath,” he stated.

READ | Why post-recovery symptoms could prove dangerous for Covid-19 survivors

What has the Health Ministry advisable as post-Covid administration protocol?

In its post-Covid administration protocol, the Health Ministry says the primary follow-up go to (bodily/telephonic) for a recovered affected person needs to be inside seven days after discharge.

“Subsequent treatment/follow-up visits may be with the nearest qualified allopathic/AYUSH practitioner/medical facility of other systems of medicine. Poly-therapy (use of multiple medications) is to be avoided due to the potential for unknown drug-drug interaction, which may lead to Serious Adverse Events (SAE) or Adverse Effects (AE),” the protocol says.

If there’s a persistent dry cough or sore throat, the Health Ministry recommends saline gargles (with turmeric and salt) and steam inhalation. Cough medicine needs to be taken on the recommendation of a physician.

What precautions ought to I take after recovering from Covid-19?

Dr Syamasis Bandyopadhyay stated individuals with co-morbidities like hypertension, diabetes, cardiovascular illnesses or renal failure ought to instantly return to their ongoing/pre-Covid medicine.

“Because of Covid-19, people are stopping their normal treatment. Just because you have Covid-19, it doesn’t mean your diabetes has got better, or your blood pressure has improved. Secondly, after recovering, one should consult a doctor and do some tests to see whether Covid-19 has had any impact on end organs like heart, kidney, liver. He/she should get vaccinated 1-1.5 months after recovering from Covid-19,” he stated.

Other precautions embody: staying hydrated and ingesting loads of fluids, working towards respiration workout routines and meditation, following a nutritious weight-reduction plan, getting ample sleep, avoiding smoking and alcohol.

(Infographic : India Today/Rahul Gupta)

When can I resume exercise, workout routines after recovering?

One key concern of individuals after Covid-19 restoration is about the precise time to renew exercise classes. “The ideal way is to start slow and do low-intensity exercises and perform any activity for 5-10 minutes a day. You can start with jogging or walking in the first week of post-Covid recovery. In the second week, you can double the timing and increase the pace,” stated Dr Abhishek Bansal.

The Hospital for Special Surgery (HSS) Sports Medicine Institute in New York not too long ago revealed a set of tips for individuals to return safely to their exercise routine after Covid-19.

“Those dealing with respiratory symptoms like pneumonia, it is best to rest for a week or 10 days before resuming workout routine. Those suffering from chronic cardiac issues should take a break of 2-3 weeks before returning to any form of exercise regimen,” the rules counsel.

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