Not all cough and shortness of breath are a symptom of Covid-19
Not all cough and shortness of breath are a symptom of the Covid-19 pandemic has taught people all over the world to learn and apply home isolation, increasing disinfection methods, the concept of social distance, and its entry into our lives as a way of life. The data such as the images spread on TV and social networks, the number of new cases reported daily and the number of patients who died, the number of patients in the intensive care unit, and the number of patients connected to the ventilator showed what could happen to the people with this disease and the society, both what people should do and It also revealed the importance of proper and effective health organizations, the effectiveness or ineffectiveness of the measures taken by each state.
It should not be forgotten that this disease affects all age groups. If people under 50 do not have a chronic disease, the disease is more easily overcome. With every 10 years of age, there is an increase in worse prognosis and mortality rates. The mortality rate is 1% under the age of 54, 1-3% in the age range 55-64, 3-11% in the age range 65-84, and 10-27% in the age group above 85 For this reason, in our country, home isolation of people over the age of 65 is requested and applied.
Which chronic diseases are those at risk?
– Patients with a diagnosis of cancer, leukemia, and lymphoma
Patients who have undergone organ or bone marrow transplantation
Those with chronic lung diseases such as asthma or chronic obstructive pulmonary disease (COPD)
– Diabetes Mellitus (diabetes), hypertension, heart diseases, and cerebrovascular diseases (dementia, Alzheimer’s, and bedridden care patients)
– Patients with kidney, heart, and liver failure
The experiences we have gained from Covid-19 patients we follow and international reports have shown us that the risk in patients with stable asthma and COPD who have regular medical check-ups and receive treatment is not different from those without this disease. The risk is high in the group that continues to smoke and whose diseases are not controlled.
Panic attack and spring allergy symptoms can be confused with COVID-19
The most important complaint in almost all patients diagnosed with COVID-19 is high fever. Shortness of breath and cough may accompany. Most of the patients who applied to our outpatient clinic during this period with the complaint of shortness of breath were of psychogenic origin caused by fear and panic attacks and were in the form of air hunger. In patients with asthma, spring allergy and bronchial sensitivity, nasal discharge and dry cough attacks caused by pollen and house dust allergies also confuse the picture as spring is entered. Frequent use of hand disinfectants and cologne in indoor environments, while hand washing is available at workplaces and at home, can cause attacks of coughing and shortness of breath.
What COVID-19 creates in different patients
As with all infections, Covid pneumonia developing in diabetic patients can disrupt blood sugar regulation. If blood sugar is out of control, it causes the rapid spread of Covid infection.
Back and chest pain is a complaint that can be seen with a high fever. Considering a heart attack or muscle retention, it may cause the missed Covid pneumonia developed in that area. It can be easily diagnosed with Thorax CT. Also, pericarditis and myocarditis are complications that can be seen in Covid patients and this may be a reflection of pain.
Coagulopathy and intravascular coagulation develop inpatient groups whose general condition deteriorates rapidly and who need intensive care. It is important to follow these parameters in patients and to add blood thinners to the treatment in the early period.
In our country, the number of intensive care, ventilator-dependent patients, and mortality rates remained low compared to other countries, thanks to the fact that the Ministry of Health established the diagnosis and treatment algorithms in the first days of the epidemic and frequently updated the physicians’ experience in this disease. The devoted work of physicians and other healthcare professionals, and the rapid taking of the initiative in treatment and using it in favor of the patient is the most important pillar of success.
Trust our health system that works correctly and effectively, let’s comply with isolation at home, maintain social distance, use surgical masks and hand cleaning, and do not allow ourselves to develop panic attacks and psychological traumas. Don’t worry, you’re in good hands.