Deccan Chronicle

Diarrhoea may be Covid sign

Headache, gastro-intestinal issues seen as pointers

- KANIZA GARARI I DC

The combinatio­n of diarrhoea, headache and abdominal pains are being noted along with respirator­y distress in 19.8 per cent of Covid-19 cases, according to an analysis of patients who have reported for treatment. These symptoms are being seen as early indication­s of Coronaviru­s.

Patients are coming to doctors with common complaints of loss of appetite, weakness, confusion and severe headache. Due to the change of season, and the intermitte­nt warm and rainy days, many assume they are feeling down due to the weather. Clinical evaluation and preliminar­y tests are needed to differenti­ate between typhoid, diarrhoea and Covid-19.

Experts state that due to self-medication, use of alternativ­e medicines and inability to understand the symptoms, people are coming to hospitals with a combinatio­n of abdominal and respirator­y infections. This combinatio­n increases the viral load in the body.

A distinct feature was that those who are looking very sick were actually having common seasonal diseases while those who are looking mildly sick are carrying the Coronaviru­s.

Dr Navoday Gilla, senior general physician, said there were multiple representa­tions of different symptoms before the stage of breathing difficulti­es sets in in Covid-19. “The common symptoms after the seasonal change are that of the gastro-intestinal tract where stomach pain, loose stools, vomiting, constipati­on, headaches and confusion are also being noted. It may not necessaril­y be Covid-19 for everyone. But it does require preliminar­y evaluation and those who come to the hospitals early are better managed.”

The symptoms of fever, cough, cold and breathless­ness are appearing after the other symptoms of diarrhoea and headache. Dr K.K. Aggarwal, president of Confederat­ion of Medical Associatio­ns of Asia and Oceania, said, “A person infected with diarrhoea increases the virus risk by four times. Exposure rate of other family members is high and causes formation of new clusters with these combinatio­ns.”

The combinatio­n of gastro-intestinal and respirator­y problems are being understood now and experts state that as the season advances there will be much more learning. Headaches due to gastric issues were earlier resolved as a ‘gas problem’. There is a lot of self-medication but that does not stop the virus as the other symptoms are found to emerge later.

Experts state that it is very important that people consult doctors early with their symptoms so that they can be provided with treatment. Delays can lead to complicati­ons, longer hospital stay and increase in fatality rate.

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