{"id":953,"date":"2021-07-21T19:37:42","date_gmt":"2021-07-21T19:37:42","guid":{"rendered":"http:\/\/wp.cov19longhaulfoundation.org\/?p=953"},"modified":"2021-07-21T19:37:42","modified_gmt":"2021-07-21T19:37:42","slug":"long-covid-how-to-define-it-and-how-to-manage-it","status":"publish","type":"post","link":"https:\/\/cov19longhaulfoundation.org\/?p=953","title":{"rendered":"Long covid: How to define it and how to manage it"},"content":{"rendered":"\n

Authors: Nikki Nabavi<\/a>, editorial scholar<\/p>\n\n\n\n

\u201cProfound fatigue\u201d was a common symptom in most people with long covid, she said, but added that a wide range of other symptoms included cough, breathlessness, muscle and body aches, and chest heaviness or pressure, but also skin rashes, palpitations, fever, headache, diarrhoea, and pins and needles. \u201cA very common feature is the relapsing, remitting nature of the illness, where you feel as though you\u2019ve recovered, then it hits you back,\u201d she said.<\/p>\n\n\n\n

Nick Peters added to this definition by highlighting a \u201cdistinction between very sick people who have recovered to an extent and [and have been] left with some impact of their severe sickness, versus those who had a relatively mild sickness from the start, in whom it is ongoing.\u201d<\/p>\n\n\n\n

Alwan described the fluctuations of her own illness: \u201cIt\u2019s a constant cycle of disappointment, not just to you but people around you, who really want you to recover.\u201d<\/p>\n\n\n\n

Paul Garner, who also has long covid, described it as a \u201cvery bizarre disease\u201d that had left him feeling \u201crepeatedly battered the first two months\u201d and then experiencing lesser episodes in the subsequent four months with continual fatigue. \u201cNavigating help is really difficult,\u201d he said.<\/p>\n\n\n\n

Tim Spector said that his team at the Covid Symptom Study had identified six clusters of symptoms for covid-19,1<\/a> a couple of which were associated with longer term symptoms, indicating a possible way of predicting early on what might occur. \u201cIf you\u2019ve got a persistent cough, hoarse voice, headache, diarrhoea, skipping meals, and shortness of breath in the first week, you are two to three times more likely to get longer term symptoms,\u201d he said.<\/p>\n\n\n\n

He said that patterns in the team\u2019s data suggested that long covid was about twice as common in women as in men and that the average age of someone presenting with it was about four years older than people who had what might be termed as \u201cshort covid.\u201d<\/p>\n\n\n\n

But Spector added, \u201cWe do seem to be getting different symptom clusters in different ages, so it could be that there is a different type in younger people compared with the over 65s. As we get more data we should be able to break it into these groups and work out what is going on \u2026 which could be very interesting and help us to get early interventions for those at-risk groups.\u201d<\/p>\n\n\n\n

Peters said that the data showed fatigue was the most common trait in people who had symptoms beyond three weeks. He also said that around 80% of people who had symptoms lasting more than three weeks reported \u201chaving had clear good days and bad days.\u201d<\/p>\n\n\n\n

For More Information: https:\/\/www.bmj.com\/content\/370\/bmj.m3489<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Authors: Nikki Nabavi, editorial scholar \u201cProfound fatigue\u201d was a common symptom in most people with long covid, she said, but added that a wide range of other symptoms included cough, […]<\/p>\n","protected":false},"author":2,"featured_media":895,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[101,129,168,187,203,289,950],"tags":[],"class_list":["post-953","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-covid-19","category-dysautonomia","category-fatigue","category-gastrointestinal","category-headache","category-long-haul-disease","category-smell-taste"],"_links":{"self":[{"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=\/wp\/v2\/posts\/953","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=953"}],"version-history":[{"count":0,"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=\/wp\/v2\/posts\/953\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=\/wp\/v2\/media\/895"}],"wp:attachment":[{"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=953"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=953"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=953"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}