How can we prevent post-COVID thrombotic complications?

Q. After 49 days of testing COVID positive, I have chest pain. What should I do?

Answered by
Dr. Pawar Satyajit Jalinder
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 19, 2021

Hi doctor,

I am a 42-year-old male, and I was tested COVID positive before 49 days. After that, I took medicines as per the advice from the doctor. I had a fever till the day before I got my test results and did not have a fever after that. The saturated oxygen level was also fine. Presently I am not taking any medicines except occasional multivitamin tablets and tablet Vitamin B. For the last six to seven days, I feel occasional stress and sometimes very little pain in the chest. MY CRP right now is 8.5 mg/L, and D-Dimer is fine. WBC and Lipid profile is on the borderline. Due to chest pain, I am a little worried. What should I do?



Welcome to

I have gone through your query and understand your concern, especially considering the new complications like black or white fungus developing in COVID patients.

As mentioned above in the query, your COVID was mild as you did not require any oxygen and was managed by isolation. In addition, CRP (C-reactive protein) is not very high, and D-dimer is fine.

I would like to know the following:

1) Do you have any illnesses like diabetes or hypertension?

2) Are you taking any medications?

3) Is chest pain associated with exertion?

4) Are there any palpitations or breathing difficulties?

5) Is there any cough associated with chest pain?

6) Are there any symptoms of acidity or reflux?

7) Do you smoke or drink alcohol?

Also, I would like to see the blood reports of WBC (white blood cells) and lipid profile to know if there is any chance for complications like stroke, heart attack occurring after COVID in some patients. Based on reports, there might be a need to start tablet Aspirin to reduce the risk of thrombotic complications.

Till then, I would suggest the following medication for acidity:

  • Capsule Pantop-D SR (Domperidone 30 mg and Pantoprazole 40 mg).
  • Syrup Mucaine gel (Oxetacaine, Aluminium hydroxide and Milk of Magnesia) or syrup Gelucil (Aluminium hydroxide, Dimethicone, Magnesium hydroxide).

If there is no improvement or increase in symptoms, I would advice you to do an X-ray of the chest with ECG (electrocardiography) to look for probable cause.

If you have any other questions, you can always revert.

Thank you.

Thank you doctor for the reply,

I do not have diabetes or hypertension. For the last two weeks, I did not take any medicine except multivitamin tablet Zincovit once a day for about 15 days and tablet Neurobion forte for the last one week. I am not doing any exertion, except jogging or running about five to ten minutes in a day at home to keep myself active. Other than that, I am doing breathing exercises for 10 to 15 minutes twice a day. Currently, I am working from home, which involves about 9 to 10 hours of sitting in the chair. Since the onset of COVID, I monitored my heartbeat, and it was generally between 70 to 100 beats per minute for the last 45 days. Two to three days, occasionally, it touched 105 to106 BPM, which can be related to stress as my father was hospitalized due to COVID. I sometimes feel some phlegm is still inside, but I did not have a cough for the last 45 days. I generally get cold and cough very quickly, and about four years back, I had cough, cold, and phlegm for more than two months. As per the doctor’s advice, I took tablet Ebast DC, tablet Mucinac ET 600, and syrup Codistar, which helped me get rid of cough, cold, and phlegm. Two days back, the temperature suddenly went below averagein my city due to rain, and I felt cold and little phlegm in the morning. I took one tablet Ebast DC and tablet Mucinac ET 600 and had green tea and steaming once. And by the end of the day, I was feeling normal. I have never smoked or taken alcohol. I feel acidity or gastric issues sometimes, especially after taking heavy doses of medicines.

I have attached my reports. My treatment since COVID is as under :

I had body pain and fever at 1020C to 1030C two days before I got tested positive, for which the doctor gave me two injections. Fever subsided the same day. I got my COVID RT-PCR test done, and the report showed a positive result with a CT Value of 15 in RT-PCR. I took the following medicines for the next eight days tablet Fabiflu 1800 mg+1800 mg on the first day and 400 mg+400 mg for the next seven days. Tablet Zinconia once a day for eight days, tablet Iverscab once a day for three days, antibiotics, tablet Paracetamol, and antacids for eight days. All these days, I was experiencing a little bit of phlegm, body pain (mainly on top of the back shoulder and legs), and weakness. After that, I took the following medicines for the next five days: Tablet Mucinex 600 mg orange twice a day, tablet Montair FX once a day, capsule Pantop-D SR once a day, tablet Zincovit once a day, syrup Grilinctus-BM once a day. Then, I took the following medicines for the next five days: Tablet Mucinex 600 mg orange once a day, tablet Montas L once a day, Tablet Zincovit once a day. I got my COVID RT-PCR test after 20 days, and the result was positive with CT Value 30. After that, I occasionally took tablet Zincovit, and I am taking tablet Vitamin B for the last five to six days. I feel a little bit of phlegm, weakness, and body pain sometimes (back pain near the neck). For the last 7 to 10 days, I have occasionally felt very little chest pain and stress in the chest. I did not experience any fever or coughing, and the oxygen saturation level as per oximeter was consistently above 94%.

Thank You.



Welcome back to

I have gone through the history provided and your blood reports (attachment removed to protect the patient's identity). Thank you for providing detailed information. It makes my job much more manageable.

1) Low iron and elevated RDW (red cell distribution width) suggest iron deficiency. However, it has not yet affected your hemoglobin levels. Just increase iron intake in diet like green leafy vegetables, pulses, resins, and fruits.

2) Elevated total cholesterol of LDL (low-density lipoproteins) with low HDL (high-density lipoproteins). It is a common feature with modern lifestyle. Though currently, levels are not very high, and the risk of cardiac side effects is low. A CT value of 30 means viral load in the body has decreased. Therefore, there is no need for another RT-PCR (reverse transcription-polymerase chain reaction) test.

Also, you can get vaccinated for COVID once two months have passed from the last RT-PCR test.

Stay home, stay safe.

I hope this has answered your concerns. You can always revert if you need any more information.

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