How Can You Tell If You Have An Enlarged Liver – Insights related to various health issues. Many people with Covid-19 have reported very different symptoms. Zac Freeland/; Getty Images
What are the signs that you are infected with the corona virus? This is a surprising question to answer, and it affects the fight against the virus.
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The Centers for Disease Control and Prevention updated its guidelines in late April to include a new odor or smell as a symptom of Covid-19, along with an apparent runny nose, frequent chills, muscle pain, sore throat and headache. . . Also fever, cough, and shortness of breath are more likely to occur.
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Some patients infected with SARS-CoV-2, the virus that causes Covid-19, have experienced symptoms such as vomiting, rashes and sores on the feet. The Covid-19 symptoms of some people are similar to those of other diseases such as the flu, making it difficult to distinguish these diseases without testing. And some patients have no symptoms at all.
“As an epidemic, it has become clear that the symptoms of Covid are very different from one person to another, and there are many symptoms that we did not appreciate before that are related to Covid,” said Andrew Chan . of Immunology and Epidemiology at the Harvard TH Chan School of Public Health. “So, it’s really holding us back in our ability to identify people with Covid, and maybe more people are traveling with Covid and don’t know it.”
That has made the response to the crisis confusing and confusing for health officials, especially in the United States, where testing for the disease is still rare. Symptoms are an external indicator of the condition, and can be representative of tests in a conversation. Many hospitals have already advised patients with Covid-19 symptoms to assume they have the disease and self-isolate, without testing themselves to confirm the presence of the disease.
A group of symptoms can indicate a high temperature of the disease in the population. But without a clear picture of how Covid-19 occurs, it is difficult to predict the true nature of the epidemic. And without understanding what they are looking for, it is difficult for healthcare workers to be vigilant and provide good treatment to their patients.
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As a result, many communities have been forced to distribute blankets, blankets and intervention measures such as housing orders. Relaxing these restrictions will require a major effort to test the population for disease, track movement and improve the ability to monitor health with beds, ventilators, masks and workers. However, there are parts of the US that have removed even these negative measures to prevent the spread of Covid-19.
However, researchers are coming up with new ways to track the disease, going back to patient records to see which symptoms are associated with the disease. They are also asking people to report their symptoms and track them with mobile phones. They found that some mild, easily brushed symptoms could be different signs of the disease. This knowledge can help to reduce the spread of the virus and open up new ways to fight the disease.
Many of the symptoms of Covid-19 are based on what scientists have learned from previous cases, especially in China, where the disease emerged and spread rapidly in January and February. For example, the World Health Organization has observed more than 55,000 people who have confirmed Covid-19 in China. They found in February that the most common symptoms were fever (87.9 percent of confirmed cases) and dry cough (67.7 percent)—followed by fatigue (38.1 percent), mucus production (33.4 percent), and difficulty with breathing (18.6 percent). ) percentage). ), sore throat (13.9 percent), and headache (13.6 percent).
But the patients they see are not necessarily representative of all people with the disease – only those who are tested and treated. In this study, approximately 80% of patients had mild to moderate disease, 13.8% had severe disease, and 6.1% had severe disease.
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It seems that many patients with children or without symptoms were not caught in this study, which means that their symptoms (or lack thereof) are not included in the statistics.
Other studies have shown that symptoms such as gastrointestinal problems can indicate the condition. A preliminary uncontrolled study of 204 patients in China found that more than half of them experienced symptoms such as diarrhea, vomiting and abdominal pain.
Another preliminary study, this time from Germany, found that some people with Covid-19 have more flu-like symptoms, such as a runny nose. Researchers in Italy have also reported that feelings of anxiety and restlessness are associated with Covid-19. And doctors in the United States have described neurological symptoms such as confusion and seizures in some patients with Covid-19, especially the elderly.
Ambiguous and sometimes contradictory symptoms can indicate how this disease is associated with certain patients, such as diabetes and high blood pressure, or simply exposed to injuries. This change is a trend that doctors have seen in other diseases.
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“For the flu, for example, most people will experience fever, body pain, and nausea. But fewer people will present with diarrhea and vomiting,” David Pride, director of microbiology at the University of California, San Diego, in an e- mail. “What we’re experiencing with Covid-19 is what we’re seeing. Many other conditions that affect a group of people in different ways.
There is also much to be said for how serious Covid-19 can be, even among certain groups. There are elderly patients who have recovered from the disease. There are also children who died from it.
Many reports of less common symptoms still need more extensive validation before they can be used as clinical guidelines. But they illustrate how confusing it can be for patients and doctors to track Covid-19 without enough testing.
Before the CDC changed its guidelines, there were concerns that anosmia, the loss of smell, and age, the loss of taste, could indicate a Covid-19 infection. Utah Jazz player Rudy Gobert, who tested positive for the virus, said on Twitter that it was one of his most visible symptoms. The son of UK sports journalist Gary Lineker took to Instagram to show off his bad taste after contracting Covid-19 with vinegar and lemon juice.
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Doctors at the British Rhinological Society said in March that they “found data showing an increase in the number of patients with anosmia in the absence of other symptoms.” Writing in the BMJ, the Newcastle University researchers said, “[T]here is now enough evidence to take these symptoms seriously.”
Researchers in the United Kingdom and the United States have recently supported that idea with data. Using a Covid symptom tracker app for smartphones launched on March 24, researchers collected daily reports from more than 2.6 million users (2.45 million in the UK and 168,000 in the US) of whether they had symptoms had or not. In a May 11 paper in the journal Nature Medicine, they found that unusual tastes or smells are strongly associated with positive tests for Covid-19.
Tim Spector, an epidemiologist at King’s College London, who co-authored the study with Harvard’s Andrew Chan, said: “The strongest correlation is between symptoms and tests. It’s good if it’s not smell or taste.”
In the study, 7,178 app users reported testing positive for Covid-19. And 65% of people said they lost their sense of smell or taste. That’s a high rate of Covid-19-positive app users reporting fever or other symptoms.
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Such a process is related to how the SARS-CoV-2 virus works. Researchers from the United States and the United Kingdom have reported in previous studies that the virus attacks the smell-related cells in the nose, in mice and humans. This “may lead to anosmia or other types of olfactory impairment,” the researchers wrote.
Caregivers have warned that not being able to taste coffee or smell the flowers is not a sure sign of Covid-19. Loss of taste and smell is associated with other upper respiratory tract infections as well as certain allergies. Often the loss of these feelings is not permanent.
That’s why Spector’s team uses the data from their app to create a model of the best combination of symptoms and better diagnosis instead of analyzing individual symptoms.
Using the model, Spector and his team calculated that of the 800,000 app users who self-reported symptoms but had not received a Covid-19 test, about 140,000, or 17.5 percent, were likely infected. Disease liability.
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“As an epidemic, it has become clear that the symptoms of Covid vary greatly from one person to another.
In places where there isn’t enough testing, Spector said this kind of symptom tracking can sometimes be an early warning sign of an emerging wave of Covid-19 — and allow people at risk of infection to be more vigilant. .
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