Dr. Goswami Parth Rajendragiri
Pathology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have been self-isolating for three weeks due to Coronavirus symptoms and spent two nights in the hospital where I was given oxygen and a chest X-ray showed typical COVID-19 changes. I was discharged a week ago and told some COVID-19 patients have been coming back with DVT and or PE. I am on Clexane (Heparin) twice a day for two weeks.
My question is, is there anything else I can do to prevent blood clots while recovering? I have been wearing compression stockings the hospital gave me day and night, should I be taking these off at night? I am doing some foot and calf exercises and trying to walk a little in the garden too. Is there anything else I can try?
Hello,
Welcome to icliniq.com.
Kindly answer the following questions to guide you further. Do you have any risk factors for thrombosis like family history, smoking history, prolonged bedridden, or excess weight? Does your doctor recommend to take heparin? Have you confirmed your COVID-19 by RT PCR (reverse transcription-polymerase chain reaction) testing by swab? Are there any other symptoms?
Patient's Query
Thank you doctor,
As for risk factors, I stopped smoking 16 years ago and I am slightly overweight. The doctor at the hospital prescribed me two weeks of Heparin due to evidence of some COVID-19 patients returning to the hospital with blood clots. I am gradually increasing my activity, so I am not bed-bound. While the swab was negative, my chest X-ray shows strong evidence of COVID-19. Other symptoms are fatigue, fast pulse, and high blood pressure. Thankfully my breathing is improving.
Hello,
Welcome back to icliniq.com.
Thanks for answering my question. Following is my opinion about your asked question and your case.
Chest X-ray is not confirmatory for COVID-19 diagnosis. The only confirmatory test is swab and PCR testing of it. If there is a high suspicion then repeat swab as per your doctor suggestion. You are right, few studies shows that thrombosis is the reason for death apart from ARDS (acute respiratory distress syndrome). But there is no guideline to use heparin based on that.
You should maintain ambulation and do mild degree exercise and walk every day. Be active. No need for any other medication to prevent clot as per my opinion. Kindly repeat your swab if symptoms not improving. I would like to add that take Vitamin C rich foods and warm water daily.
I hope this helps.
Patient's Query
Patient's Query
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Pathology
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