I am COVID-19 positive. Do I need hospital admission?

Question

Hello doctor,

Today is the 17th day after the COVID-19 positive result. I have breathing difficulties, cough and think it has reduced now. I consulted a doctor on 15 th day. According to the doctor, my chest is clear and my blood report are fine.

In the past 15 days, I contacted hospital for admission and according to them I need to stay back at home only and no admission is required.

According to the health check done several years back, doctor said I have COPD. But I did not faced anything problematic at least for the last seven years. I am allergic and have bronchial issue according to doctor. But in the last seven years I did not had any treatment for this. How many day I need to complete from the current stage so that I am safe?

I am 47 years old. My weight is 72 kg and my height is 6 feet. I am healthy. I am a non smoker, non drinker, and did not have any critical illness.

During the past 17 days of Corona infection, I had the following vitamins:

a) Vitabiotics Osteocare (Calcium, Magnesium, Vitamin D and Zinc) -- two times daily for 10 days.

b) Vitamin C for 10 days (two times daily).

c) Riconia Vitamin tablet from 11 th day until today.

In the last one year I am not having any sunlight and I know I have Vitamin D3 deficiency. Please suggest a safest way to have the above Vitamins without any complexity or issues atleast for the next 10 days.

Please help.

Thank you for your guidance.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your problem. Do not worry. Usually the incubation period is around 14 days.

Answer 2

Hello,

Welcome back to icliniq.com.

Prognosis depends upon the CT severity score, serum procalcitonin, serum ferritin levels, CRP (C-reactive protein), ESR (erythrocyte sedimentation rate), D-dimer levels.

Yes, you can take a multivitamin, tablet Limcee 500 mg twice a day for three weeks, tablet Zinc 50 mg twice a day for three to four weeks.

Osteocare already contains vitamin D 200 IU, so there is no need to take extra vitamin D. If you are severely vitamin D deficient, you may take capsule D rise 60k IU once a week for five weeks. Rivonia also has vitamin D and calcium levels.

But in COVID-19 patients, Vitamin D, Zinc, and Vitamin C are enough to fight with virus. So many studies have done that intake of a multivitamin may not cause side effects. If you take Riconia once daily dose may not cause many side effects. We have treated many critical cases during the COVID-19 period. So do not worry.

Please check your saturation regularly. Take rest, drink warm water regularly. Do steam inhalation thrice a day after a week.

Answer 3

Hello,

Welcome back to icliniq.com.

Your investigations look good (attachment removed to protect patient identity). Meaning there is no inflammation in your body. Yes, you are in the recovery stage. But please get it done repeat serum ferritin levels again because it is a little on the higher side.

Yes, you may have both tablets, no problem. Intake of vitamin D separately depends upon your present serum vitamin D levels. If your vitamin D levels are less than 30 ng/dl, then you have to take vitamin D separately.

Answer 4

Hello,

Welcome back to icliniq.com.

You can take it once a day. Yes, you can do pranayama at home.

Answer 5

Hello,

Welcome back to icliniq.com.

You can have vegetable soup, sweet corn soup, chicken soup, and mushroom soup. Yes, you can eat vegetables in the soup after boiling water. Avoid sweets and ghee because sugar can suppress immunity. You can take probiotics capsules or powder after with vegetable soup. Because probiotics improve gut immunity, and vegetables that you are taking act as a base to proliferate in your gut. And yes, up to 3-4 liters of fluid per day is sufficient to washout the toxins from your body.

Answer 6

Hello,

Welcome back to icliniq.com.

Yes, your diet is good for the next fifteen days. Ghee acts as a culture media for a few bacteria in the throat and aggravates chest symptoms. You may use olive oil or other oils. If you are feeling symptoms free, repeat COVID RT PCR negative test. Also, inflammatory markers (CRP, serum ferritin, ESR, D-dimer, and procalcitonin) show within normal limits, and then you are called recovered.

Answer 7

Hello,

Welcome back to icliniq.com.

I have seen all reports (attachment removed to protect patient identity). That time your report is normal. The virus may not survive after three weeks. But there will be inflammation even after COVID-19 recovery. That is why I have told you to get repeat blood investigations.

Answer 8

Hello,

Welcome back to icliniq.com.

You can repeat it at 28th day.

Answer 9

Dear you can take syrp reswas two teaspoon thrice a day for five days. see for two days if not improved then get a chest x-ray and post me.

Answer 10

If you have sputam production then take above. If not then take reswas dear. our 80% of covid cases responded with reswas dear.

Answer 11

ok then don't worry dear Don't be panic, your spo2 also in normal range

Answer 12

vitamin d deficiency is there and remained all r normal so use cap d rise 60 k once a week for five days along with present medication. take care

Answer 13

Eosinophil count little elevated Serum ferritin with in normal. Ecg show RBBB. Hello dear your present condition may be due to allergy only Your recovered well so don't worry. So just use tablet banocide forte 100 mg twice a day for three weeks. Avoid cool drinks and ice creams. Don't worry Your present symptoms not due to covid

Answer 14

That is physiological in 80% of female so don't worry

Answer 15

this RBBB called an abnormality not a pathological dear so don't worry

Answer 16

first question answer You can continue that anti allergic medication. Along with that take tablet banocide forte 100 mg twice a day for two weeks for elevated eosinophil count. Second question answer No need to continue 30 days vitamin tablet Third question answer:You can continue steam inhalation work well for allergy also. Fourth question answer no need to use betaine nasal spray present condition. Fifth we question answer : still two more weeks postpone ghee intake. sixth questions answer ; you can take lamb meat soup no problem. Seventh question answer: Yes you can but still with precautions. Like avoid cool drinks and ice creams. Avoid air conditioned rooms and avoid junk food. eight question answer Yes you can continue salt water gargling no problem.

Answer 17

No dear it is used to treat euosinophilia ..

Answer 18

ok Take care

Answer 19

Hello dear Hello dear I have gone through the all your investigation s no abnormality detected Chest pain may be due to muscular pain or neurological pain or pain due to fatigue or referred pain from stomach or esophagus etc. could you please message me where is the exact location of pain?

Answer 20

dear pain may be due to 1. Costco condritis is a inflammatory condition of costocondral junction of 3 rd or 4 th rib lead to pain. This pain aggravated by deep inspiration and relieved on expiration. Also on pressure you may feel pain in this condition. This pain not detected by any x ray or investigation. Treated with NSAIDS and cold and hot compression.

Answer 21

second possibility is a acid reflux in which pain may felt along the centre part of the chest aggravated after spicy food or masala food intake. Relieved by antacid medication. Third possibility is neuropathic pain due to spinal root compression or due to herpes zoster. This pain is treated with pregabalin 75 mg twice a day for five days. still have queries please feel free to ask.

Answer 22

No covid infection at present

Answer 23

Hello Dear sorry for delayed response little busy with op patients. Now no need to do steam inhalation for viral fever purpose but if you want to continue for opening of pores in the face or stress relief you may use. No need to drink hot water. But use filtered water. You can use pure ghee instead of adulterated ghee now. answer of question number 1. Usually costocondritis may reduce with time but if it is severe then you may use pain medication. 2. wait for five days still no improvement then you may contact doctor. 3. Your covid infection is very mild. 4.Yes you may go to office, but avoid sitting under air conditioner and avoid drinking cool water. Drink room temperature water.

Answer 24

Dear it is not a critical problem. Don't worry Yes you can give rest for one week. It is sufficient.

Answer 25

Yes dear covaxin and covishield available covaxin is killed one and covishield is vector vaccine. Both are effective But studies still have to come

Answer 26

so you can take any vaccine but make a note on n slide effects, which are less only but not avoidable.

Answer 27

Yes you can take vaccine no problem.

Answer 28

dear tell me no problem. I'm here to help you. you can ask any questions.

Answer 29

dear do you feeling any breathing difficulty?? the inhaler which your using ventolin contain only bronchodilator. But the foracort inhaler contain both bronchodilator and steroid. So foracort is for more better than ventolin.

Answer 30

dear for mild breathing problem no need of bronchodilator. Just you can use tablet monterleukast and levocetrizine at night. tablet deriphylline retard 150 mg twice a day for five days. tablet defcort 6 mg twice a day for one week is sufficient. I already told ghee, cool drinks may aggravate the problem. if you're allergic then better to avoid above in rainy and winter seasons.

Answer 31

No both is come as a single tablet tablet L montus

Answer 32

No your not infectious. Now your present condition due to allergy. So it is not contagious.

Answer 33

ok take care.

Answer 34

now no need dear but you can keep it with you.

Answer 35

Hello Dear I have gone through all your investigations. all r normal except urine showing 2-3 red blood cells. Probably due to low intake of water or urinary infection. So take plenty of water. You can get RT PCR report when ever they give. Yes you can do exercise regularly. But better to avoid cold climate exercise.

Answer 36

very good.