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Ask Dr. Roach: What is the appropriate treatment for mild cases of COVID-19? | Lifestyle

Dear Dr. Cockroach: The number of cases has increased and all information about COVID-19 is available, but I have not yet read what to do for people with only mild cases. I know three people in their late to mid-twenties who were all positive, had only sinus problems, and one complained of a sore throat. If so, please tell us about the treatment they should receive.

— MW

Dear reader: Fortunately, most cases of COVID-19 are mild and do not require hospitalization. Symptoms range from a large number of people with no recognizable symptoms to nasal and throat symptoms that you describe, and gastrointestinal symptoms. However, the most common symptoms among those who develop it are fever and cough, often accompanied by muscle and headaches. Shortness of breath is sometimes seen. Fatigue is sometimes overwhelming.

For people newly diagnosed with COVID-19 infection, it is important for therapists to assess the risk of serious illness. This includes reviews of underlying medical conditions that endanger humans, especially those over 65 years of age, obesity, chronic kidney disease, diabetes, and immunosuppression due to illness or treatment. Heart and lung disease should also be considered risk factors.

Oxygen levels have proven to be a very useful tool for assessing risk. Many hospitals provide oximeters to people diagnosed with COVID-19, with levels below 95% indicating that they need a face-to-face assessment. Severe shortness of breath is a powerful indicator of more serious illness, as well as confusion and lethargy.

Although there are established new treatments for people hospitalized with COVID-19, there are few treatment options other than supporting mildly ill people who are managed at home. One new treatment approved is called bamlanivimab. It is reserved for people with the above risk conditions and has been shown to reduce the risk of hospitalization. However, at the time of this writing, there are not many medications available and most people with mild illness do not receive specific treatment. New treatments will be available soon, and something new may be available even before it is released.

Dear Dr. Cockroach: I am 85 years old and have been taking blood pressure medication in the morning for probably 25 years. I take metoprolol, losartan, and water pills. Recently I read that I should take this medicine at night. That way, when you wake up in the morning when most heart attacks and strokes occur, you will be better protected from heart attacks and strokes. My reading has been great since I started taking medicine at night — for example, 117/70 in the doctor’s office! Surprisingly, my heart doctor told me to go back to taking my medicine in the morning because she disagrees with the new proposal. What is your opinion?

— Anon.

Dear reader: A 2019 Spanish study showed that taking blood pressure medications at night has surprisingly significant benefits. Those who went had a lower risk of heart attack and stroke. The difference was so great that it was difficult for some experts to believe how important the time was. But while waiting for confirmation, I told the patient to take all blood pressure medications at night. However, some people find it difficult to take diuretics (“water pills”) at night.

Contact Dr. Roach ToYourGoodHealth@med.cornell.edu

Ask Dr. Roach: What is the appropriate treatment for mild cases of COVID-19? | Lifestyle

Source link Ask Dr. Roach: What is the appropriate treatment for mild cases of COVID-19? | Lifestyle

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