What should I do if I still feel uncomfortable after "Yangkang"?
With the continuous development of the novel coronavirus infection epidemic, many friends have been in the stage of "Yang" to "Yin", but after the Yin there are still many symptoms, such as cough, fatigue, chest tightness, chest pain, appetite loss and so on. So why do these symptoms occur after "Yangkang"? Or do we need to see a doctor if we have similar symptoms? In addition, what do we need to pay attention to in our daily life after Yangkang? Let's wait. The following by Beijing Jishuitan Hospital infection disease Department director Sun Chengdong, to give us a detailed answer to the "Yangkang" after the precautions and related treatment.
Question 1 : What should I do if I have a persistent cough after COVID-19 infection?
Answer: Cough symptoms are very common after infection with the new coronavirus, and some people's cough symptoms will be alleviated or relieved in about a week, but quite a few people will cough for a long time, and it is very intense, as long as there is a little stimulation, whether it is the stimulation of odor, or the stimulation of cold air, or even a lot of talking, it will induce a severe cough. Cough can be divided into the following cases: first, dry cough without phlegm, in which case, we need to apply central antitussive agents, such as codeine, dextromethorphan, licorice tablets, etc. Second, cough, expectoration, and sputum is relatively viscous, then in addition to giving antitussive drugs, it is necessary to add expectorant drugs, such as ambroxol, Suhuang cough capsule, strong loquat syrup, etc.; There is also a state of airway hyperreaction, in which some cough suppressant drugs alone may not be particularly effective, you can add leukotriene receptor antagonists, such as Montelukast; In addition, some people cough a lot of pus sputum, need to consider whether the combination of bacterial infection, in this case, in addition to the use of cough drugs, we can add antibiotics, such as azithromycin, amoxicillin, cefaclor, etc., if the yellow sputum is more and more severe, it is recommended that we go to the hospital to do lung CT And blood work to rule out a lung infection.
Question 2: After turning Yin cough aggravated, must be "white lung"? Maybe we should go to the hospital and get a C.T. ?
Answer: "White lung" is easy to appear for people with underlying diseases. In general, a persistent cough does not necessarily translate into viral pneumonia, or white lungs. However, if the infection of the new coronavirus is not cured at that time, and the cough gradually worsens, even more sputum than before, and the symptoms of fatigue or fever appear again, in this case, you must go to the hospital for lung CT To check for pneumonia, to rule it out.
Question 3: "Yangkang" after some chest tightness, palpitations, fatigue symptoms, must be myocarditis?
Answer: The above symptoms are not necessarily myocarditis, if the patient has chest tightness, palpitations, fatigue, accompanied by fluster symptoms, in general, most of these patients have lung inflammation, causing ventilation dysfunction, resulting in hypoxemia, and even respiratory failure, the above symptoms will occur. In addition, this state of hypoxia is reflected to the heart, and there will be symptoms of panic and fatigue. However, if the number of heart rate is significantly increased, and even some symptoms of premature beat, this time must pay attention to go to the hospital as soon as possible to check the myocardial enzyme spectrum, and rule out whether there is myocarditis, because myocarditis caused by the virus is easy to appear explosive myocarditis, this situation may endanger life.
Question 4: "Yangkang" after the continuous back pain, this phenomenon is normal? What should I do if I have this symptom?
Answer: After the infection of the new coronavirus, it is very normal to have pain in the lower back and even sore muscles all over the body, because the virus enters the body with the blood, causing symptoms of various systems of the body, including muscle attack and damage, resulting in muscle soreness, which is actually a muscle inflammatory response. At this time, it is not recommended that you over-exercise as soon as possible, and wait until a month later, and then slowly increase the exercise, so that you can slowly recover this symptom.
Question 5: After "Yangkang" continued low fever, what should we consider in this case, or what tests need to be done?
Answer: First of all, you need to know whether it is low fever, and you need to measure your body temperature correctly. If there are low-fever symptoms, first of all, it is necessary to rule out whether it is caused by some drugs currently eaten. If there is drug fever, first stop taking the drug and observe whether the body temperature can return to normal; Second, it is necessary to consider infection, at this time must go to the hospital to check the blood routine or lung CT At the same time, it is necessary to determine whether there are other parts of the infection for other reasons.
Question 6: How long after Yangkang can do physical exercise?
Answer: After the infection of the new coronavirus, the impact on autoimmune function is particularly large, including the damage to the myocardium, even if there is no myocarditis, many people will appear chest tightness and palpidity, especially after exercise. Therefore, this acute infection period, it is necessary to rest, a week later, the symptoms have basically disappeared, no fever, cough symptoms are also significantly relieved, there is no chest tightness, shortness of breath, flustered symptoms, this time can be appropriate to walk, generally about a month before you can carry out real exercise, and gradually increase the amount of exercise, especially intense exercise or competitive exercise, For example, table tennis, badminton, running, mountaineering, it is not recommended that you do it within a month.
Question 7: "Yangkang" after the appetite is not good, or after eating something will have some nausea symptoms, usually should pay attention to what?
Answer: For this digestive tract symptom, some people have a particularly good appetite, and some people basically can not eat. In the first group, it is caused by excessive bowel movements; For the second type of people, exhaust is particularly small, appetite is particularly poor, in fact, the virus encroaches on the intestine, resulting in serious damage to intestinal peristalsis function and digestion and absorption function, treatment can be given Cisapride, but also to give some Chinese patent medicines, such as Dachingqi decoction, large hawthorn pills, stomach digestion tablets and so on; In addition, it is also necessary to improve the immune function of the intestine, because viral infection or fever will destroy the normal flora, so it is recommended that you can eat some intestinal probiotics to promote the recovery of intestinal function.
Question 8: Many patients will have some of the symptoms of abdominal pain, diarrhea, what should we do?
Answer: There are symptoms of abdominal pain and diarrhea, let's deal with the symptoms. For abdominal pain, for example, epilepsy tablets or piverium bromide can be used to relieve symptoms. For diarrhea, you can use diarrhea stop, montmorillonite powder, and you can add intestinal flora regulators, such as whole intestine sheng, Peifei Kang and so on.
Question 9: "Yangkang" after insomnia how to do?
Answer: After "Yangkang" in addition to insomnia, there is a decline in understanding, memory decline, white night reversal, etc., in fact, viral infection leads to the degeneration of brain cells edema, and then lead to a change in the cerebrospinal fluid environment, in addition to some vascular lesions. It is recommended that we try not to use diazepam and sulazepam and so on such sedatives, because sedatives will inhibit breathing, you can first use some Chinese patent medicines, such as zaoren calming pills, Baolsleep and so on. When the hypoxic symptoms are completely relieved, you can use Diazepam or Salazepam, or other anti-psychotic drugs such as Synos.
Question 10: "Yangkang" after, headache, dizziness how to do?
Answer: First, let me tell you about the principle of headache. Headache is not only caused by coronavirus infection, but also by other common colds. For coronavirus infection, the most important one is hypoxemia. After lung injury, blood oxygen saturation decreases, and brain hypoxia can cause headache. The second is due to inflammation, which causes the blood vessels in the brain to dilate, which also causes headaches. Treatment recommendations, the first to improve oxygen and, then, while controlling inflammation, if you still have a headache, you can give ibuprofen, you can also give the Chinese patent medicine Chuanxiong tea tiao powder, Huoxiang Zhengqi water.
Question 11: After "Yangkang", what should I do about tinnitus?
Answer: tinnitus is because the nasal inflammation is relatively heavy, this is because the virus infringes the nasal mucosa, resulting in nasal congestion, which causes eustachan tube blockage, and even leads to otitis media, so tinnitus can occur. In terms of treatment, you can use this Minjanglang and deafness Zuoci pills, which can play a very good effect.
Question 12: After the failure of taste and smell, how long does it usually take to recover, or do you have some tips for life?
Answer: For taste and smell failure, it is a symptom of infection, not a complication, because the virus combines with the taste bud cells or olfactory cells, resulting in degeneration and necrosis of the cells, so some functions are lost, generally in the third to fifth day of infection, smell and taste are the worst, and slowly recover in about a week. It usually takes about four to five weeks to fully recover, and some people may take longer. For the loss of smell, it is recommended that you smell more spices and vinegar in the future, which is beneficial to stimulate the recovery of this sense of smell, and for the loss of taste, it is recommended that you can contain some dark plum or sour plum.
Question 13: After "Yangkang" eyes dry and sour distension, how should we relieve?
Answer: In fact, it is because of viral infection caused by viral conjunctivitis, viral scleritis, viral iritis, in fact, this situation is not particularly common, this situation is not recommended to use antibiotic eye drops, such as levofloxacin eye drops, we can choose hormone eye drops, at the same time, in terms of traditional Chinese medicine, you can eat some Qiju Dihuang Dihuang pills, In addition, you can use chrysanthemum and cassia seeds to soak in water and drink, which can relieve eye fatigue.
Question 14: "Yangkang" after always a weak sweat, need to pay attention to what?
Answer: First of all, let me tell you why you sweat more, some people are using too many antipyretic drugs and sweating drugs, such as cold medicine, including Western medicine and proprietary Chinese medicine, and even some people eat a variety of antipyretic drugs together, large doses of such drugs, resulting in more than sweating. Therefore, in view of this sweat flow, convergence treatment should be carried out, in Western medicine, atropine can be used, but the side effects of atropine are relatively large, it is not recommended that you use, in Chinese medicine, with some sour jujube seeds, schisandra seeds, etc., or imperial screen powder.
Question 15: "Yangkang" almost a month, nucleic acid test or positive, what is the reason?
Answer: The first reason is that the immune function of the patient is decreased, and the immune function at this time is not enough to completely eliminate the virus, forming a chronic state of the body with the virus, so it leads to repeated nucleic acid or antigen positive, but the infectivity of this situation is not strong, and the nucleic acid CT value is generally close to 35. The second state is that there are a large number of nucleic acid fragments of the novel coronavirus in the nasal cavity or the mouth, and this fragment has existed for a long time. In this case, the nucleic acid test is also positive, and it is recommended to rinse the nasal cavity with normal saline, which can be re-tested. The third state is that there is a re-infection, that is, after "Yangkang", again contact with positive patients, in this case, may be a second infection, but not necessarily disease, because your body has a large number of antibodies, although not disease, but the virus is still in the mouth or nasal cavity, so the detection of nucleic acid is also positive.
Q16: Lung CT after COVID-19 infection There are small nodules found, but there was no such small nodules before, is this related to the new crown?
Answer: Nodules in the lungs are very closely related to coronavirus infection, and pulmonary nodules appear after viral infection, in fact, most of them are nodules caused by inflammation. Another CT scan can be done two months later, and the nodule, or nodule like lesion, usually disappears after the lung inflammation has been absorbed.
Question 17: Some people have a fever after taking a bath or washing their hair. What is the reason?
Answer: First of all, during the infection of the new coronavirus, the body itself is in a state of low oxygen. In the bathroom, the water vapor is relatively large, and the oxygen concentration is low, so it will aggravate your hypoxia state. At the same time, hot water causes the dilation of skin blood vessels, which can lead to cerebral ischemia and hypoxia, easily causing dizziness and even fainting. In addition, when the water is particularly cold, it is easy to get cold, resulting in a decline in the body's immunity, thus aggravating the infection of the new coronavirus. In fact, if the bathroom does not have a lot of water vapor, the water temperature is appropriate, it is actually possible to take a bath.
Q18: "Yang Kang"; After a fever, then they need to see a doctor immediately after this, whether to consider rehabilitation or secondary infection?
Answer: First of all, we need to consider whether there are other causes of fever, common digestive tract, urinary system, etc.; In addition, you can test the antigen by yourself, do the antigen for two to three days in a row, if the antigen is negative, there is still fever after treatment such as antipyretic symptoms, you need to see a doctor to clarify the cause of fever; If the antigen is positive, persistent high fever does not return, or there are other symptoms such as chest tightness, breathlessness, it is also recommended that you seek medical treatment as soon as possible.
Question 19: On XBB What should we do before we get here?
Answer: First of all, "Yangkang" does not mean that nothing is safe, although we have antibodies in the body, but it is still recommended that everyone wear a mask. In addition, we need to improve our immunity, Huangdi said in the internal classics, "positive qi memory, evil can not be done", improving immunity can prevent virus infection. Finally, remind everyone that there is no need to worry too much, and the cross immunity of the virus has a certain protective effect on everyone.
Beijing Jishuitan Hospital infection disease Department
Sun Chengdong and Cao Fei
The views expressed are solely those of the author