Fatigue, headache most common symptoms months after COVID-19: Study – Times of India

New Delhi: More than four months after having COVID-19, participants most frequently reported experiencing fatigue and headaches, according to the researchers.
Succeeding Symptoms The long list of persistent symptoms include muscle aches, cough, changes in taste and smell, fever, chills, and nasal congestion.
Researchers from the Medical College of Georgia report their findings in the journal Science Direct. “Our results confirm emerging evidence that there are chronic neuropsychiatric effects after COVID-19 infection,” they write.
“There are so many symptoms that we didn’t know what to expect at the start of the epidemic,” says Elizabeth Rutkowski, MCG neurologist and doctor. studycorresponding author of. “But now it is clear that there is a long covid condition and a lot of people are suffering.”
The first visit to the CONGA, or the Covid-19 Neurological and Molecular Prospective Cohort Study in Georgia, recruited 200 patients on average about 125 days after testing positive for the Covid-19 virus. The published study presents preliminary findings from the first visit of these patients.
With the aim of enrolling 500 people over a five-year period, CONGA was developed at the MCG at the start of the pandemic in 2020 to assess the severity and prognosis of neurological issues.
Eighty percent of the initial 200 individuals reported neurological symptoms, with fatigue at 80.5 percent, followed by a Headache at 68.5 percent. More than half of the participants (54.5%) and testers (54%) reported changes, and 47% of them met the standards for mild cognitive impairment, with 30% showing poor vocabulary and 32% showing poor working memory Were were
In addition to their experience with COVID-19, 21% of individuals also reported disorientation, and hypertension was the most prevalent medical condition.
Although none of the participants reported having a stroke, coordination issues, muscle weakness, or an inability to regulate speaking muscles, these were some of the less frequently reported symptoms.
Twenty-five percent of participants fit the criteria for depression, and those who did were more likely to have diabetes, obesity, sleep apnea, and a history of depression. 18% of those meeting the objective criteria for anxiety had a history of anemia and depression.
Although the results so far are not shocking and are in line with what other researchers are finding, according to Rutkowski, it was interesting that participant traits often did not match what was detected by objective testing. Additionally, it was mutual.
For example, most subjects claimed changes in taste and smell, but the results of empirical tests of these senses did not always support their claims. By objective measurements, a higher percentage of people who did not report changes actually showed signs of reduced functioning, the researchers wrote. Although the reasons are unclear, according to Rutkowski, part of the discrepancy may be due to a change in the quality of their taste and smell rather than an actual impairment.
Although the results so far are not shocking and are in line with what other researchers are finding, according to Rutkowski, it was interesting that participant traits often did not match what was detected by objective testing. Additionally, it was mutual.
For example, most subjects claimed changes in taste and smell, but the results of empirical tests of these senses did not always support their claims. By objective measurements, a higher percentage of people who did not report changes actually showed signs of reduced functioning, the researchers wrote. Although the reasons are unclear, according to Rutkowski, part of the discrepancy may be due to a change in the quality of their taste and smell rather than an actual impairment.
Conversely, they claim that cognitive tests can increase disability in disadvantaged populations.
Initial enrollment was 35.5 percent male, with the majority being female. About 40% of them were black, they averaged 44.6 years old, and 7% had Covid-19-related hospitalizations. The researchers claim that black participants were often disproportionately affected.
23.4 percent of white individuals and 75% of black participants met the criteria for moderate cognitive impairment. The results most likely show that different ethnic groups are assessed differently using cognitive testing. Additionally, black people may be disproportionately affected by socioeconomic, psychological (problems such as family troubles, depression and sexual abuse) and physical health variables, the researchers wrote. They note that this could also mean that cognitive testing may exacerbate clinical impairment in disadvantaged people.
After COVID-19, black and Hispanic people are twice as likely to be hospitalized, and ethnic and racial minorities are more likely to live in places with high infection rates. They are also more prone to experience the increased effects of COVID due to genetics, just as they are more likely to develop high blood pressure and heart disease earlier in life and with greater severity.
To better understand how the elevated risk and impact of COVID-19 affects Black people, who make up about 33% of the state’s population, is one of CONGA’s main goals.
It is possible that elevated levels of inflammation, the body’s normal response to infection, is one reason why fatigue is such a significant concern in people with COVID-19. For example, blood tests performed at the initial consultation and then at the follow-up visit showed that some people’s inflammatory markers were and remained high.
According to these and other findings, some symptoms such as fatigue are exacerbated by prolonged inflammation, even when virus-specific antibodies are depleting. She explains that fatigue is a common symptom in people who have autoimmune diseases such as multiple sclerosis and rheumatoid arthritis, both of which have high levels of inflammation.
They experience physical exhaustion, which makes them short of breath, and when they go to do the dishes, they experience palpitations. According to Rutkowski, he then immediately has to sit because his muscles feel like he’s just run a mile or more.
Because patients also have brain fog and complain that it is painful to think and read a single email, she speculates that possibly some neurological fatigue may be present. Some studies show even mild to moderate disease causes a decrease in brain volume.
Some health facilities have set up long COVID clinics, which were doctors specializing in a variety of issues, they were gathering to treat each patient. It is because of these multisystem, constant challenges.
Participants in the CONGA who reported more symptoms and issues were more likely to struggle with sadness and anxiety.
According to Rutkowski, these issues, moderate cognitive impairment, and even decreased language may be the result of prolonged isolation, which for many people is caused by COVID-19.
Rutkowski claims that the activities most people enjoy doing—such as hanging out with their friends—are not what you are doing. “On top of this, you may be facing health issues, the loss of friends and relatives, and your employment.”
Participants in the CONGA self-report their symptoms and respond to inquiries about their general health, including whether they smoked, drank, exercised, and had any known medical problems. But they also get a thorough neurological exam that checks things like motor control, reflexes, and mental status. Additionally, they complete validated tests to measure cognitive performance, with results adjusted for age. They also conduct intensive tests at home where they are asked to test their ability to recognize odors and taste different tastes including sweet, sour, bitter, salty and salty. Additionally, blood analysis is performed to look for markers of oxidative stress and inflammatory, which are signs of ongoing infection.
Neuropsychiatric symptoms are seen during the acute phase of infection, but the researchers note that it is important to accurately describe how symptoms change over time.
For some people in particular, the symptoms continue to bother them. According to Rutkowski, even previously high-functioning people, who typically worked 80 hours a week and exercised every day, would only be able to work an hour a day and spend the rest of the day in bed. Can spend
Investigators are looking for explanations for why and how, and although Rutkowski claims she is unable to do so yet, she can reassure them that they are not alone or “crazy.”
According to Rutkowski, one of the best things one can do going forward is to continue practicing infection prevention, including helping to protect your brain and body from long-term COVID symptoms and protecting others from infection. To help include vaccination or promotion. There is evidence to suggest that the likelihood of persistent issues increases with the number of infections.
As a result of the anticipated high participation rate of a study with ongoing issues, Rutkowski cautions that its results may be slightly skewed toward a higher percentage of persistent symptoms.
SARS-CoV-2, a coronavirus that has been associated with upper respiratory tract infections such as the common cold in humans for many years, is expected to infect people for the first time in late 2019.
Since COVID-19 began, experience and research have shown that immediate neurological effects can include loss of taste and smell, brain infections, headaches and, less frequently, seizures, stroke, and nerve damage or death. The researchers note that there is increasing evidence that conditions such as loss of taste and smell, as well as cognitive fog, extreme tiredness, sadness, anxiety, and sleeplessness, can be chronic. These and other persistent symptoms are now referred to as “long covids”.