I have COVID (infection with coronavirus SARS-CoV 2), what now?

The disease is notifiable.

Your test is positive and you have no symptoms?

Then you can go to work with a mask and the necessary hygiene measures according to Spanish law.

In Germany, self-isolation extends to a negative coronal test.

Your test is positive and you have symptoms?

Here it depends on how your immune system is doing.

Most vaccinated people experience symptoms such as fever, headache , cough and joint pain in a weakened form. The sputum should be clear.

The moment it turns yellow or green, there is most likely a bacterial superinfection that requires antibiotic treatment.

The viral infection alone is usually treated purely symptomatically.

Isolation is advised until the coronary test is negative.

If you have pre-existing conditions such as asthma, chronic obstructive pulmonary disease, diabetes mellitus, cancer or other diseases that already weaken your immune system, you should receive medical treatment as soon as possible, as the disease often leads to complications, just like any other viral or bacterial infection that affects a weakened body.

Long -COVID (> 4 weeks) and post-COVID syndrome (> 12 weeks), what is it?

After contracting covid, about 10% of people with symptoms remain ill for more than 4 weeks.

In most people, complete recovery takes about 3 weeks.

However, there are cases where the symptoms and the associated health impairment last much longer and even new symptoms can occur. Most of the time, the whole thing goes in waves, i.e.: things go up again for a short time and then they get worse again.

The most common symptoms are:

  • Headache
  • Fatigue
  • Reduced resilience
  • Pain in the limbs and muscles
  • Shortness of breath during exertion
  • Taste and smell disturbance

Occasional symptoms:

  • Brainfog (difficulty concentrating)
  • Cough
  • Sleep disturbances
  • Hair loss
  • Feeling of stress
  • Depression
  • Panic attacks
  • Nosebleeds

Rarely:

  • Dizziness
  • Diarrhoea
  • Nausea
  • Heart palpitations or racing (POTS postural orthostatic tachycardia
  • syndrome)
  • Tingling
  • Paralysis

It is still unclear whether this is just a consequence or a disease in its own right. In some patients, the deterioration occurs again after comparatively little exertion.

This is called PEM (post-exertional malaise).

What causes this course of events?

It is not yet known exactly why these symptoms occur in some patients and even within families, where all relatives are infected and all also have long-lasting symptoms, the symptoms can vary even among individuals.

Until now, the following causes have been held responsible:

  • Reduced immune system (e.g. vitamin D deficiency, intestinal dysbiosis etc).
  • Persistent infection and inflammation of individual organs with SARS -CoV-2
  • Excessive immune response to the virus
  • Low oxygen content in the blood and therefore slower healing process

What can be done?

Of course, the affected patient wishes that there was THE drug to make the symptoms subside. Unfortunately, no convincing treatment is known so far.

Rest, sufficient sleep and a balanced healthy diet are certainly basic measures to strive for.

See your doctor if you notice breathing difficulties, chest pain, difficulty staying awake or nervous disturbances.

Firstly, he can look for the causes and also rule out or treat more serious complications.

In addition, he can support you with e.g. vitamins or, if necessary, with a short-term cortisone treatment to minimise the excessive inflammatory reaction.

Above all, you need patience, because it varies from person to person how long your body needs to fully recover.

It is important to give yourself rest and time.

Every patient who has gone through COVID should be aware of the following:

  • Even after a mild course of the disease, long-lasting symptoms are possible
  • These usually disappear completely after a few weeks or months.
  • Permanent damage is extremely rare
  • And if new symptoms occur, you should see your doctor

With your family doctor, you should

  • Set realistic goals
  • Make appointments for check-ups
  • Clearly define exercise limits

In this way, your body should gradually regenerate.