Hello,my father was detected positive for covid 24 days ago. For 2 weeks he has been hospitalized and he is still in hospital, his lungs have been affected. He was treated with Remdesevir, dexamethasone and Heparine and other medicines . He was put on oxygen with nostril and high flow mask. Today he still has oxygen and he cannot walk or get up. He had arrythmia problem and diabetic. Is this a normal situation, do you think that not being able to stand up, walk is normal after 24 days? Thank you very much for your answer. Hello,my father was detected positive for covid 24 days ago. For 2 weeks he has been hospitalized and he is still in hospital, his lungs have been affected. He was treated with Remdesevir, dexamethasone and Heparine and other medicines . He was put on oxygen with nostril and high flow mask. Today he still has oxygen and he cannot walk or get up. Is this a normal situation, do you think that not being able to stand up, walk is normal after 24 days? Thank you very much for your answer.
Post COVID complications, especially those with hospitalisations are not uncommon. This could range for extreme muscle weakness, tiredness to serious complications including widespread clotting, neurological complications. It appears your father has been covered for the latter by medications, for the former, he may not have been covered adequately. For giving opinion more, I will need to have access to the entire clinical reports including pre, post and during hospitalised admission. Please revert and letbus discuss.
Thank you for your kind answer. I’m sorry, I’m not able to have these medical reports for the moment, my father is still in hospital. Do you think his « muscle weakness « could be a neurological complication? It can be a long term issue or maybe he just need time to recover? Thank you
Myalgia and muscle weakness are often manifestations in patients affected with moderate to severe forms of the disease, often the hospitalised patients. The causes include effect of cytokine storm (often hospitalised patients) and binding of SARSCOV2 (COVID19 virus), to ACE receptors in nerves, brain and related structures. These effects reduce with time and might recover fully or partially, after recovery from the current episode of infection and hospitalisation. There are various after- discharge, medical treatments and physiotherapy/ rehabilitation interventions available, which could give relief and could be undertaken under advise from the local, treating physician/ neurologist and rehabilitation physician and physiotherapists.
Dear Doctor, I have another question. My friend , after 20 days with Covid ( light symptoms), is still sweating and now she saw , red, small spots have appeared in her kidney area. What do you think it can be? Thank you very much.
Again, as mentioned, the post infection episode symptoms and signs could mimic the acute phase, which means the fever, sweats, malaise, bodyache, respiratory distress could happen. These happen primarily due to residual damage by virus and also due to existing dead virus particles leading to immune based reactions.
Hyperhidrosis could be caused by instability of autonomic nervous system, as well, can be complication of COVID19. Your friend must be continue to be supplemented with Vitamin C (500mg twice daily), Zinc (50mg thrice daily), Vitamin D3 (1 capsule=60,000 IU ; 1 capsule once weekly), Capsule Saccharomyces Boulardi (1 capsule=250mg twice daily for 7 days). She might need some other medicines like N-acetylcysteine for a few days for preventing lung fibrosis, Thiocolchocoside (with/without paracetamol) for myalgia and pain, levocetrizine for congestion and upper respiratory tract symptoms and anricoagulant medications as per local physician's assessments. For Hyperhidrosis, certain medications such as anticholinergic medicines are used, prescribed by the treating physician, doctor.
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