My mother has headaches, throat pain, and runny nose, but no fever. Is this COVID-19?

Hi,

Welcome to icliniq.com.

Thanks for your query.

With the symptoms that you have mentioned and with the pandemic around, it would be an excellent decision to test her for COVID-19 using RT-PCR (reverse transcriptase-polymerase chain reaction)-based antigen test from the oral and nasopharyngeal swab samples.

Considering her age, she should also get the following other tests:

1. X-ray chest or CT (computed tomography) scan of the chest (preferable).

2. Blood test- CBC (complete blood count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), serum LDH (lactate dehydrogenase), Serum ferritin, D-dimer (if available), liver function tests like AST (aspartate aminotransferase), ALT (alanine aminotransferase), renal function tests like serum creatinine, eGFR (estimated glomerular filtration rate), serum electrolytes, and uric acid, then HbA1C (glycated hemoglobin test), APTT (activated partial thromboplastin time), and PT (prothrombin time).

3. ECG (electrocardiogram) 12- lead.

The above tests indicate the severity of the disease's systemic effects and a glimpse of the vital body functions' current status.

Also, the below-given supplements are recommended.

1. Tablet Limcee (Vitamin C 500 mg) one tablet twice daily for 15 days.
2. Tablet Zinconia (Zinc acetate 50 mg) one tablet twice daily for 15 days.
3. Capsule Relent (Levocetirizine and Ambroxal) OD one capsule once daily for seven days.
4. Capsule Econorm (Saccharomyces Boulardii 250 mg) one capsule twice daily for seven days.
5. Capsule Uprise D3 (Vitamin D3 60,000 IU) 1 capsule once a week for six weeks.
6. Tablet Beplex forte (Vitamin B complex) one tablet once daily for 15 days.

You may choose the brand that you may prefer.

Additionally, your mother is on Carbimazole from your submission (attachment removed to protect patient identity), a medicine meant for hyperthyroidism (that is, abnormally increased thyroid activity and thyroid hormone secretion). Kindly share all her medical reports, including those of the above condition. Additional medicines recommended includes,

1. 1. Tablet Dolo (Paracetamol) 650 mg one to two tablets if she complains of fever >95°F (not more than four tablets a day).
   2. Tablet Famocid (Famotidine 20 mg) one tablet twice daily for seven days. Use a pulse oximeter to measure SPO2 (peripheral capillary oxygen saturation), and if the oxygen saturation value is less than 94% at room air, please immediately refer to a hospital. Steam inhalation twice daily for five days and warm water (saline) gargles twice daily for five days.

Hello,

Welcome back to icliniq.com.

Thanks for the reports (attachment removed to protect patient identity).

Please do the following tests also,

1. CT scan chest.

2. Blood test like serum ferritin, serum LDH (not done earlier), SGOT (Serum glutamic oxaloacetic transaminase), SGPT (Serum glutamic pyruvic transaminase), serum creatinine, and D-dimer (new test).

Please continue the prescribed medicines and supplements.