Scottish Daily Mail

Who should you ask for help if the symptoms STRIKE?

- By FIONA MacRAE

What are the symptoms of coronaviru­s?

The first symptom is usually a dry cough or sore throat. This can be quickly followed by a fever and then, in some cases, fatigue. Some people develop shortness of breath around the sixth day after first starting to feel unwell.

Anything else I should watch out for?

The course of the illness varies from one person to another, but other symptoms include headaches, dizziness and confusion, diarrhoea, difficulty walking, nausea or vomiting, as well as loss of appetite.

In severe cases — which are most common in the elderly and those with high blood pressure, heart and lung problems or diabetes — it can cause pneumonia and kidney failure, and can kill.

What should I do if I have symptoms?

Anyone showing symptoms of coronaviru­s, with either a high temperatur­e (37.8c or above — this makes the chest or back feel hot to the touch) or a new, continuous cough, and who lives with other people, should stay at home for 14 days, the Prime Minister said last night.

The advice also applies to those who appear healthy but live with those exhibiting symptoms. ‘That means that, if possible, you should not go out, even to buy food or essentials, other than for exercise and, in that case, at a safe distance from others,’ he advised.

How long should I stay off work?

If you feel better and your fever has gone, you can go back to work after seven days, rather than 14.

When should I see a doctor?

MOST of those with coronaviru­s will not need to seek medical help and should NOT go to their GP, or to a hospital emergency department or pharmacy. nor should you routinely call NHS 111.

But what if I feel really ill?

The official advice is to use the NHS 111 website in the first instance — and only phone the helpline if you do not have internet access. you should also use the site if your symptoms don’t improve after a week.

on the NHS 111 site you will be asked what your symptoms are and about their severity. If you have symptoms but they have not disrupted your day-to-day life, most likely you will simply be instructed to stay at home.

Is that it?

THOSE who inform the NHS 111 website that they feel so ill they can’t watch TV or get out of bed are advised to call NHS 111, where a nurse will advise them on what to do next.

however, Chris Whitty, chief medical officer for england, has stressed that those who feel very ill shouldn’t be scared to seek help, saying last night: ‘If anyone’s health starts to deteriorat­e significan­tly, they should phone 111 or contact the health service in the way they usually would.’

What else can I do?

you should drink plenty of water and take ‘everyday’ painkiller­s, such as paracetamo­l, to help ease symptoms. The water will prevent dehydratio­n, while the painkiller­s will help curb the fever.

france, however, is advising against the use of ibuprofen. health minister olivier Véran said on Saturday: ‘The taking of antiinflam­matories could be a factor in aggravatin­g the infection.

‘In case of a fever, take paracetamo­l. If you are already taking antiinflam­matory drugs, ask your doctor’s advice.’

Professor John oxford, a virologist at Queen Mary university of London, says: ‘food is a good source of water and nutrients, but you won’t feel like eating much, and drinking lots of water stops you becoming dehydrated.’

Should I be eating anything special?

ThoSe with coronaviru­s could consider taking immune systemboos­ting vitamins, says dietitian Carrie Ruxton. ‘We don’t know enough about the virus to say whether any particular nutrients will treat it, but we know that vitamins A, C and D support normal immune function.

‘If you aren’t eating a lot of fresh fruit and vegetables while you’re at home, supplement­ation can top this up. Plus, orange juice is extremely good for vitamin C, and is really refreshing if you are thirsty and hot.’

Meal replacemen­t shakes can provide a valuable source of calories for the elderly, who may already be frail and can ill-afford to lose more weight, she adds.

What if I’m staying at home but feel well?

If you feel healthy but are self-isolating, perhaps because someone you live with is showing symptoms, you should keep an eye on calorie intake.

‘high-fibre foods, such as fruit and vegetables, are very nutritious because they are high in vitamins and minerals, but are not very calorific, so it would be advisable for someone who is healthy but moving less to fill up on these foods,’ says Linia Patel, an dietitian and spokespers­on for the British Dietetic Associatio­n. ‘you should make at least half your plate high-fibre foods.’

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