Categories
Blog Article Featured

Children, COVID19 and Multisystem Inflammatory Syndrome – The What’s What

Children, COVID19 and Multisystem Inflammatory Syndrome - The What’s What

Shares

Parents around the world, including Sri Lanka, have been concerned about Multisystem Inflammatory Syndrome or MIS-C appearing in children who have been diagnosed with COVID19. In this article, we break down what’s known, what remains unknown and the steps to take if you suspect your child could be suffering from MIS-C.

What is MIS-C?

MIS-C is a condition where different parts of the body can become inflamed including the heart, lungs, brain, eyes, kidneys or gastrointestinal tract. 

It appears in children who have had or been around someone who has been diagnosed with COVID19. It’s considered to be a potentially serious condition, developing as a delayed complication of COVID19. Data shows that it usually develops two to six weeks after children have recovered from the virus. It can even develop in those children who were asymptomatic to COVID19. 

What are the symptoms of MIS-C?

Call your regular paediatrician or an on-demand paediatrician or family doctor at anytime on the oDoc app if your child is experiencing:

  • A fever and any of the following symptoms:
    • Abdominal pain
    • Bloodshot eyes
    • Chest tightness/pain
    • Diarrhoea
    • Extra fatigue or feeling unusually weak or dizzy
    • Headache
    • Low blood pressure
    • Neck pain
    • Rash 
    • Vomiting

If your child is showing any of the following signs, please seek emergency care immediately

  • Difficulty in breathing
  • Continuous pain or pressure in the chest
  • Inability to stay awake or alert
  • Pale, grey or blue coloured skin, lips or nail bed

This is not an exhaustive list of symptoms, please call a medical professional immediately if any other signs or symptoms appear that are severe or concerning to you. 

Please call 1990 for the Suwa Seriya ambulance service.

Can MIS-C be treated?

Doctors will conduct diagnostics tests on your child to look for inflammation and other signs of disease. Once diagnosed, doctors will closely monitor your child and use a variety of medications to reduce inflammation and protect the affected organs. 

It is vital to seek medical care at the earliest indication of MIS-C. 

What are the unknowns?

There are still a lot of questions out there such as why do some recovered children develop MIS-C and others do not? What health factors could contribute to MIS-C? 

Scientists are working hard to answer these questions and we will update this blog as and when new research is published. 

And finally…

The best way to protect your child from MIS-C is to protect your household from COVID19, this includes:

  • Getting all adults in the household vaccinated at the first opportunity to do so
  • Continuing to mask when interacting with others from different households
  • Washing hands often with soap and water
  • Conducting play dates within a social bubble and in an outdoor environment

If you are concerned about COVID19 or MIS-C and would like medical advice, please consult a pediatrician or family doctor on the oDoc app. Click here to download the app.

Sources

  1. For Parents: Multisystem Inflammatory Syndrome in Children (MIS-C) associated with COVID-19, CDC.gov website (2021)

  2. Multisystem Inflammatory Syndrome in Children (MIS-C), Boston Children’s Hospital (2021)

  3. MIS-C and COVID-19: Rare Inflammatory Syndrome in Kids and Teens, Johns Hopkins Medicine (2021)

Shares

Channel a doctor in just three taps

Download oDoc Now

Back to oDoc Blog

Categories
Blog Article Featured

Long COVID: What we know so far

Long COVID: What we know so far

Shares
Since May 1st, over 300,000 cases of COVID-19 been diagnosed in Sri Lanka. We are mostly familiar with the short term symptoms of the disease (e.g. fever, cough, sore throat, runny nose to name a few). Most have recovered but ca. 8,700 persons have died at the time of writing. Some have seen symptoms persist for a longer period, a condition globally known as long COVID. In this article, we break down what we know so far about long COVID.

What is long COVID?

The UK’s National Health Service describes long COVID as having symptoms that continue for more than 12 weeks after initial diagnosis which cannot be attributed to another illness.

The UK COVID Symptom study found that 1 in 7 adults experienced symptoms for longer than 4 weeks and 1 in 20 adults experienced symptoms beyond the 8 week mark.

long COVID

What are the common symptoms of long COVID?

There are over 200 symptoms that have been reported that affect various organs in the body from the brain to the skin. Symptoms vary from person to person.

Most common symptoms include:

  • Extreme fatigue
  • Brain fog (problems with memory or concentration)
  • Joint pain
  • Changes to taste or smell
  • Shortness of breath, heart palpitations and chest tightness

Other symptoms range from hallucinations, insomnia, hearing and sight changes, gastrointestinal problems to changes in periods and skin conditions².

Those that experience long COVID have described it as “a storm. One day you can have zero symptoms … then it will just go crazy and as quickly as it hits you it can go.”³

What makes some people prone to long COVID whilst others recover quickly?

The science is still out on exactly why some people suffer for longer. Persons experiencing long COVID are not thought to be infectious but one theory is that the body continues to respond to small amounts of the virus that remains in the body & become reactivated. Another theory is that the infection causes some people’s bodies to go into overdrive, attacking its own tissues.

The COVID symptom study¹ had also found that those who experienced a milder version of COVID19 are more prone to long COVID over an extended period of time.

There is evidence that the following categories of people may be more prone than others:

  • Women
  • Older adults
  • People with pre-existing asthma
  • People who had a wider range of symptoms during their initial illness

Can children get long COVID?

A recent study by King’s College London found that for most children, COVID tends to be a mild, short illness. The 1,500 subject study reported that the average duration of symptoms for a child is six days and fewer than 1 in 50 children are unwell after eight weeks.

How long does it take to recover from long COVID?

Recovery estimates vary but most people with long-COVID are able to live life as relatively normal. However, It is important to get healthcare advice from a trusted professional, listen to your body and rest as much as possible when symptoms flare up.

Are there any treatments available?

Large studies are underway to better understand the nature of this secondary condition. As the 216m persons infected with COVID around the world recover, their experiences help shed light on the disease.

Whilst there are no specific treatments available, the focus is on managing symptoms and enabling a slow return to normal activity.

Nutrient rich foods rich with vitamins & minerals that support the immune system are deemed beneficial and experts encourage patients to eat a holistic, well rounded diet.

Worried you may be suffering from long COVID?

If you are experiencing any new or worsening symptoms, especially 4-8 weeks post your initial COVID-19 diagnosis, speak to a doctor on oDoc. Your doctor will discuss your symptoms and if necessary, order clinical tests to rule out other causes. They will provide guidance on how to best manage your symptoms.

If you are worried or anxious about COVID19 or long COVID, speak to a mental health professional on oDoc.

Click here to download the oDoc app to your mobile device.

Sources:

  • COVID Symptom Study, 2020 How long does COVID-19 last? ZOE COVID Study, UK
  • Davis, H et al., (2021) Characterizing long COVID in an international cohort: 7 months of symptoms and their impact. The Lancet
  • Guardian, UK., 2020, Lingering and painful: the long and unclear road to coronavirus recovery.
  • COVID Symptom Study, (2020) Do children get long COVID? ZOE Covid Study, UK
  • Molteni et al., (2021).,Illness duration and symptom profile in symptomatic UK school-aged children tested for SARS-CoV-2., The Lancet
Shares

Similar Articles...

Channel a doctor in just three taps

Download oDoc Now

Back to oDoc Blog