I have CT severity score of 6/25. What does that mean?

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I understand your concern. I have gone through the attached reports (attachment removed to protect patient identity). According to your HRCT (high resolution computed tomography) of chest and RT-PCR (reverse transcriptase-polymerase chain reaction) test results, you have a positive result for COVID-19 (severe acute respiratory syndrome coronavirus 2). According to your HRCT of the chest, you have bronchopneumonia caused by COVID-19 infections. You are at the initial stage of COVID pneumonia.

CO-RADS (COVID-19 reporting and data system) means definite COVID-19 infections. COVID-19 with a CT severity score of 25 indicates the severity of infection present during your test time. 7/25 or less indicates mild infections, 8/25 or more indicates moderate infections and 18/25 indicates severe infections.

According to CO-RADS, it means that you are suffering from COVID-19 infections, and 6/25 indicates that your COVID-19 infection is mild. You need symptomatic treatment during COVID-19 infections. You need to take antiviral medications to reduce viral load as you have pneumonia due to viral infections. Continue taking medications and take anti-viral medications along with it.

If you suffer from a cough, then you need to take antihistamines. If you have a fever, you need to take antipyretic medications like Acetaminophen or Paracetamol. These types of treatment are called symptomatic treatment. If your oxygen saturation goes below 92%, then you should get admitted to the hospital for oxygen saturation therapy. Otherwise, you can take treatment at home. Monitor your oxygen saturation level frequently using a pulse oximeter.

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I suggest you take Favipiravir three tablets thrice daily on day one and then take two tablets twice daily on the morning and night from day 2 to day 10. Repeat HRCT of chest after five days to see the progression of pneumonia. The average recovery period is 14 days. Do not stop taking Azithromycin as it protects you from secondary infections.

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Yes, you need to take three tablets in the morning, afternoon, and night on day one. From the second day to the tenth day, you need to take two tablets in the morning and night. These are the antiviral medications taken for COVID-19. If you have a severe cough or shortness of breath, then I suggest you take tablet Dexamethasone 4 mg twice daily after meals with antiulcerants for ten days. If you do not take Dexamethasone, you can suffer from the above-mentioned respiratory complications soon.

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Your recent HRCT scan shows a CT severity score of 9/25. It is slightly higher than your previous report of 6/25. Previously, your pneumonia was in the mild stage. Now, your pneumonia status has reached a moderate stage. As mentioned earlier, a CT score of 8/25 or more indicates a moderate type of pneumonia. After having pneumonia, it can become severe after few days. But in your case, it is in the lower limit of the moderate stage. It is still under control. Sleeping in an air conditioner can aggravate this condition.

It is best to avoid sleeping in an air-conditioned environment because dry and cool air can irritate your respiratory tract and worsen your pneumonia. COVID-19 is a viral infection. It can cause some complications such as sudden fall of oxygen saturation, exertional dyspnea, low pulse rate or bradycardia. As your oxygen saturation remains above 95%, then there is nothing to be worried. Take a lot of fluids, vitamin C enriched foods, and citrus fruits to enhance your immune system. Continue taking your present medications. Do not sleep in an air-conditioned environment. Your COVID pneumonia will subside soon.

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According to your statement, I think that your medications are working and your health condition is good. COVID-19 is peculiar in nature and causes various peculiar complications. It can cause fatigue, tiredness, and weakness. It occurs commonly in infected persons. Your weakness occurs due to covid associated complications. It may persist for a few days, weeks, or months. You can take glucose mixed water regularly. If you do not have diabetes mellitus, glucose mixed water can give instant energy and increases oxygen levels in the blood. If you are not affected with Covid-19 infection on second time, then a sore throat can also occur due to excessive sweating. It can soak up through the throat causing a sore throat. You can gargle salt mixed lukewarm water three to four times daily. You can take ginger tea three to four times daily to soothe your throat. Soak up your sweat with dry towels. Anxiety or stress is a complication of covid-19 infections. Try to keep yourself free from any type of anxiety or stress. If your oxygen saturation remains above 95%, then there is nothing to be worried.

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As it has been ten days of taking medications, you can stop taking medications. As 14 days passed, you can repeat RT-PCR test for covid-19 infection. You can also do HRCT of chest again. Your mild cough will subside soon with the help of your body's immune system. Take plenty of fruits, nutritious foods, and citrus foods to regain your energy level.

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I understand your concern. According to your statement, you noticed a bright pink shade on the center of the tongue. A healthy tongue looks pink and it remains covered with small nodules known as papillae. Changes seen in the normal appearance of the tongue causes concern. According to the picture provided here, a bright pink shade on the center of the tongue can occur due to allergic reactions, inflammation, infection, drugs, vitamin B12 deficiency, inadequate intake of fluid, poor oral hygiene, and blood disease or heart problems. As your bright pink shade on the center of the tongue is fading off, then it can occur due to drug reactions and allergies.

Taking Ibuprofen can cause tongue swelling and tongue discoloration. Medications causing discoloration will subside overtime after stopping the causative drug. You can take Azithromycin and Dolo. Avoid taking Ibuprofen. For subsiding your night cough, you can take medications such as antihistamines like Fexofenadine and leukotriene receptor antagonists like Montelukast. You can take tablet Allegra 120 mg one tablet at night for ten days and tablet Singulair 10 mg one tablet at night for 15 to 30 days. According to your statement, you do not have any signs or symptoms of black fungus. Do not be worried. You can have allergic problems which are responsible for the night cough.

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According to your statement, you are suffering from ear pain while swallowing. Pain while swallowing saliva can occur due to ear infections. Mostly, it is caused by bacterial or viral infection. They cause swelling, build-up of fluid, or irritation inside the ears causing pain. Ear infections can also be initiated by other conditions like cold, flu, sinus infections, or allergies. Ear infections are a common cause of ear pain but sometimes, they initiate as nose or throat infections.

Ear pain during swallowing can also develop from tonsillitis, peritonsillar abscess, temporomandibular joint dysfunction, and glossopharyngeal neuralgia. The exact cause of ear pain has to be ruled out for having proper treatment. If ear pain is caused due to bacterial infection, then taking antibiotic ear drops for a week will help to subside your ear infection. Taking painkillers like Ibuprofen or Naproxen helps a lot. You can also apply Corticosteroid or steroid ear drops to heal inflammation inside the ears. It also subsides the symptoms of inflammation such as swelling, redness, irritation, or pain inside the ears.