Long Covid has disrupted the daily lives of millions of people and even disrupted some. A medical association that represents physicians and others who work with people with disabilities, the American Academy of Physical Medicine and Rehabilitation, has published a report Orientation statement Tuesday, what clinicians should be looking for when examining and treating patients with prolonged COVID, especially in terms of their neurological conditions.
The guidance, which is part of an interdisciplinary series on other types of prolonged COVID symptoms, such as exhaustion And Breathing problemsIt aims at early assessment, diagnosis and management in order to improve outcomes for patients. The authors also laid out some neurological “red flags” that important distinguish between common, lingering COVID-19 symptoms such as headaches and brain fog, and medical emergencies that require immediate attention. (In addition to “long COVID,” the medical community now sometimes refers to the condition as “post-acute consequences of SARS-CoV-2 infection,” or PASC for short.)
The guidance statement from the AAPMR does not appear to break with any major new research into medical treatments or outright new ones Long covid symptoms which is not already noticed by medical organizations such as US Centers for Disease Control and Prevention Or research long COVID causes described in scientific journals, such as Huge review It was published in Nature Reviews Microbiology earlier this year. But the AAPMR statement calls for a closer look at how doctors and clinicians should screen patients, so as not to sweep a dangerous neurological sign under the rug as a long-running “typical” symptom of COVID.
like that It depends on the existing information That there is no single test for COVID that is long-term, and that it is instead based on a holistic view of your health before and after COVID-19.
Sleep problems, headaches and other common neurological symptoms
Research has shown that neurological and cognitive symptoms of COVID-19 are present Among the most common The patients they deal with, and they can affect the way people are able to live their daily lives. Some of the common neurological symptoms that clinicians are still seeing in 2023, described in the AAPMR guidance statement, are:
effect to Cerebral nerves (nerves that help you taste, smell, see, and more) Headaches Neuropathic pain or neuropathy (numbness, tingling, etc.) sleep disturbances, myalgia, weakness and tremors
In a media briefing Tuesday, physician and directive co-author Dr. Monica Verduzco Gutierrez described COVID-19 as a “fluid of ignition” for other things that may have been going on in your body before COVID-19. This can be true of sleep disorders, she said, causing an underlying sleep problem (such as trouble falling asleep at night) to become much worse and warrant a sleep study.
The guidebook’s authors note this Symptoms of a disturbed sleep cycle overlap COVID patients have long had common cognitive symptoms, including difficulty concentrating or memory problems. Similar to other neurological symptoms described in the guidelines, patients with COVID-19 or COVID-19 should be given a detailed sleep examination and pursue appropriate treatment, some of which are also described in the guidelines.
Read more: The stages of sleep deprivation and the warning signs you need to look out for
Detection of a tall ‘red flag’ symptom of COVID
Drawing a line between prolonged “red flag” COVID symptoms (which are symptoms that require immediate medical attention) and common prolonged COVID symptoms is especially important given the ambiguity of prolonged COVID as a disease and spread Medical gas lighting among the people who suffer from it.
For example, headaches may be one of the most common neurological symptoms for long-term COVID patients, but a severe headache or “thunderclap” that comes on suddenly means you should Seek medical attention right away.
Leslie Rydberg, co-author of the guidance statement, said: New release Tuesday. “These symptoms may be due to prolonged COVID versus another medical condition, but a history and physical examination are essential.”
Here are some nervous “red flags” that require attention, according to the guidelines. Keep in mind that these are only neurological warning signs, and that you should seek medical attention anytime something is concerning or out of the ordinary.
Progressive weakness: Some people have experienced numbness or tingling from COVID-19, but weakness in your body that gets worse (especially if it gets worse quickly) could be a sign of a stroke or health condition. Strokes are medical emergencies. Learn about the signs of a stroke here.
Sensory changes, such as changes to your smell or taste suddenly, can be signs of a stroke and require attention. Poor bowel or bladder control: Unexplained enuresis, or even constipation, can be a sign that something is affecting the brain or spinal cord, according to the guidelines.
Loss of consciousness may mean that you are having a seizure or that there is another cause that requires attention. This differs from the feeling of fatigue in many people who have had a long experience with COVID. Hallucinations or decreased awareness are some of the neuropsychiatric symptoms that require medical attention.
Severe headaches that seem like the worst of your life or come on suddenly could indicate a problem in the brain. Other symptoms such as your pathological or reactions Suddenly dilated pupils. Unexpectedly dilated pupils could be a sign of something more serious and you should seek care.
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