Q. Should I be concerned about the complications of COVID-19 after one year?

Answered by
Dr. Kaushal Bhavsar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 12, 2022

Hi doctor,

I am a 34-year-old male. I got COVID-19 one year back, and I am still experiencing pain in my lungs daily (especially in the right one at the top) besides breathlessness. Today I had a CT scan, and I would like to know how it looks or if I should have a more thorough in-person evaluation.

Thanks in advance.



Welcome to

I can understand your concern. I have gone through the images you have attached (attachment removed to protect the patient's identity).

This CT (computed tomography) looks normal. So no need to worry about any post-Covid complications.

Have any tests for Vitamin D3 and B12 and calcium levels been done? The deficiency of these can also cause similar symptoms.

I will be happy to help you further. Wish you good health. Thanks.

Hi doctor,

Thank you for your reply.

It is very relieving to know that the CT looks normal. Can this be caused by inflammation? Note that I experience this pain every day.

These are my levels, I do not have information about calcium levels, but I do have other information that may be useful (I am also attaching my blood tests to this message)

- B12 (Cobalamin): 472 μg/L

- B12 active (Holotranscobalamin): 163.1 pmol/L

- D (25-hydroxycholecalciferol): 34.2 ng/mL

- Magnesium: 1.90 mg/dL

- Ferritin: 15 ng/mL

Let me know if you need any other information.



Welcome back to

I can understand your concern. I have gone through the reports you have attached.

Your vitamin levels are normal. Another possibility is post-infectious bronchitis. Bronchitis (lung inflammation) is common after a lung infection and can cause breathing difficulty, cough, and chest pain. So please let me know if you have any smoking habits. Was any PFT (Pulmonary Function Test) done?

Please reply to my answers to the above-asked questions so that I can guide you better.

Wish you good health. Thanks.

Hi doctor,

Thanks for checking my reports.

It is greatly appreciated. I do not smoke, and I did not have any PFT done.

Luckily I can perform my daily activities without issue. However, I do notice that my lung capacity is not the same as pre-COVID. Also, exercise seems to make the pain or discomfort worse.

I have a very healthy diet, but I am slightly overweight, and I forgot to mention that I had an ultrasound of my chest a couple of days ago, and it came out clear.



Welcome back to

So we need to get PFT (pulmonary function test) to rule out bronchitis. Is it possible for you to get PFT (pulmonary function test) done on your own?

Or will you need a prescription?

Hi doctor,

Thank you for the reply.

I am not from a western country, so a prescription will not be useful for me. I will try to get a pulmonary function test.

Also, can this be related to my condition? Two months ago, I had a blood exam, and my von Willebrand factor and Factor VIII were a bit high.

And I have read the following:

"Factor VIII and VWF(Ag) were elevated in 26% and 18%, respectively, and support a hypercoagulable state in some patients with PCS." and "These findings suggest possible ongoing microvascular or endothelial dysfunction in the pathogenesis of PCS and suggest a role for antithrombotic therapy in the treatment of these patients."



Welcome back to

Yes, hypercoagulation can cause pulmonary embolism, and it can cause similar symptoms. Have you checked your oxygen saturation at rest and on exertion? Do you have any calf pain or discomfort?

Another possibility is stress and anxiety-related symptoms. Unknowingly stress, and anxiety can also cause similar symptoms. So any stressors in your life? Stressful lifestyle? Anxiety?

Please reply to my answers to the above-asked questions so I can better guide you.

Wish you good health. Thanks.

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