What to do when one doubts of having contracted Covid-19

131 more coronavirus cases confirmed in China.
Coronavirus can survive in the air for hours in fine particles known as aerosols, say researchers. Image courtesy: IANS

New Delhi: Think you have COVID-19 but not sure? Your test came our positive for coronavirus, now what? IANSlife speaks to Dr. Vikas Maurya, Director and Head, Dept. of Pulmonology & Sleep Disorders, Fortis Hospital, Shalimar Bagh to find out what steps you can take incase of such an event.

The main symptoms include fever, cough, and breathlessness. It also includes fatigue, chills, bodyache, headache, sore throat, loss of smell and taste, nausea, and diarrhoea. Some people are more prone for the disease example elderly, diabetics, patients with hypertension, heart disease, chronic lung disease, chronic kidney disease, chronic liver disease, cancer disease, immunosuppressive therapy, transplant patients, and those who smoke cigarettes.

Steps to follow if you think you have COVID 19

Firstly, if you feel you have COVID 19, have an e-consult with a doctor. Try to avoid going to a hospital. Not only will this significantly reduce the risk of the infection spreading, but it will also prevent you from over exertion

Once you have had the consult, the doctor will decide if you need to get a COVID 19 test done. If he feels it should be done, he will write a formal note indicating the same.

You can get the test done at the hospital nearest to you or the sample can be collected from your home. Once your sample has been collected you will need to wait for 24 to 48 hours before the result comes.

Once the result comes, the doctor will advice you on the further steps. In mild cases, doctors advice patients to stay at home and quarantine themselves within a single room. If more serious cases, patients need to get admitted into the nearest hospital. They will be put into isolated COVID 19 wards which has a separate staff that only tends to them. Symptomatic treatment is usually advised along with multivitamins.

In home quarantine, the patient can either avail a homecare package for COVID 19 patients or continue e-consults with the doctor who prescribed the test.

At home, regular temperature checks along with high fluid intake is of paramount importance. The rest of the family should be completely cut off from the patient - there should be no contact, interaction, a significant distance should be maintained, and shared dishes and other items are a strict 'no'.

The patent should sanitise his/her hands often and should always use triple layer medical mask. The mask must be replaced after 8 hours of use or earlier (if they become wet or visibly soiled). Disposable masks are never to be reused. A used mask should be considered as potentially infected.

Masks used by patients / care givers/ close contacts during home care should be disinfected using ordinary sodium hypochlorite solution (1%) and then disposed of either by burning or deep burial.

In home quarantine it is important to keep monitoring if the symptoms are getting worse. If they are it is important to get admitted to the nearest hospital because otherwise the patient's condition can get aggravated and lead to pneumonia, respiratory failure, septic shock, and death.

Symptoms of a worsening condition:

» Trouble breathing or shortness of breath

» Ongoing chest pain or pressure

» New confusion

» Cannot wake up fully

» Bluish lips or face

Once the patient is shifted to the hospital (in serious cases) or has recovered, his living quarters need to be completely cleaned out and disinfection of all belonging and the entire area needs to be done by professionals.

The doctor's advice is you should not panic as the infection is often mild or asymptomatic (in 80-85 percent of cases) or moderate with pneumonia requiring hospitalization in 15 percent of cases and only 5 percent cases become serious and 1 percent become critically ill requiring the ventilator.

Therefore, always follow social distancing (at least 1.5 to 2-meter distance from each other), usage of masks, gloves, hand hygiene and respiratory etiquettes.

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