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My CT scan shows post-COVID fibrosis. How to prevent its progress?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have suffered from COVID-19. My sequence of actions is as below. I had a fever (103°F). The next day, I had a computed tomography (CT) scan of COVID-19 reporting and data system (CO-RADS) 3. Fever was not decreasing, and I got admitted to the hospital. The oximeter reading is coming around 90. After two days, my body temperature was normal, and I was about to be discharged.

The next day a little fever was there, and breathing problems started. Treated with oxygen, computed tomography (CT) was done. The infection was increasing, and I shifted to another hospital for better care. Injections, anticoagulants, and steroids were also administered. The oxygen requirement gradually decreased, and I became normal the next day. Now the latest condition. Everything is normal.

The oximeter reading is around 95 or 96. Dabigo, Predisilone, Mucinex, calcium supplements, and vitamin D supplements are getting used. The latest CT scan shows multiple pleural bands, and the doctor said fibrosis is there and may become permanent.

  1. Can you give me some suggestions about this? I am stressed.
  2. Can I go for medicine that can stop this from progressing?
  3. Any side effects that I cannot tolerate?
  4. Which level of scarring do I have?

Please suggest.

Answered by Dr. Kaushal Bhavsar

Hello,

Welcome to icliniq.com.

I have gone through the reports you have attached (attachment removed to protect patient identity). Yes, it is post-COVID fibrosis. Honestly speaking, there is no treatment at present for this. Data suggests that this fibrosis is not progressive like IPF (idiopathic pulmonary fibrosis) disease.

So the best treatment at present would be regular chest physiotherapy, deep breathing exercise, monitoring of oxygen saturation, and a repeat computed tomography (CT) scan after three months. We are giving Perfinex to such patients, but it is not proven for post-Covid fibrosis.

I hope this helps.

Patient's Query

Hi doctor,

Any side effects for Perfinex? Can I use some days and stop it? What will be the dosage?

Please help.

Answered by Dr. Kaushal Bhavsar

Hello,

Welcome back to icliniq.com.

I can understand your concern. Yes, this drug has side effects. No, it has to be taken for a longer duration, at least six months. Have you met any pulmonologists for this fibrosis?

Kindly revert back to assist further.

Answered byDr. Kaushal Bhavsar

Medically reviewed byDr. Vinodhini J.

Published At December 7, 2020
Reviewed AtOctober 31, 2025

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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