20/09/2020

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About Half of COVID-19 Cases Show Digestive Signs

THURSDAY, March 19, 2020 (HealthDay News) — Diarrhea and other digestive symptoms are the most important grievance in approximately 50 % of coronavirus patients, Chinese scientists report.

       

Most patients with the coronavirus have respiratory symptoms, but these findings from the early levels of the outbreak demonstrate that digestive complications are common in a lot of patients with COVID-19.

       

“Clinicians will have to bear in intellect that digestive symptoms, these kinds of as diarrhea, may well be a presenting attribute of COVID-19, and that the index of suspicion may well need to have to be lifted previously in these conditions relatively than waiting around for respiratory symptoms to arise,” wrote the investigators from the Wuhan Clinical Treatment Skilled Group for COVID-19.

       

The scientists analyzed information from 204 COVID-19 patients, regular age approximately 55, who ended up admitted to three hospitals in  the Hubei province amongst Jan. 18 and Feb. 28, 2020. The regular time from symptom onset to medical center admission was 8.one times.

       

However, the acquiring showed that patients with digestive symptoms had a extended time from symptom onset to medical center admission than patients with out digestive symptoms, 9 times as opposed to seven.three times.

       

This implies that patients with digestive symptoms sought treatment later due to the fact they did not still suspect they had COVID-19 owing to a lack of respiratory symptoms, these kinds of as cough or shortness of breath, the scientists explained.

       

Patients with digestive symptoms had a selection of complications, such as decline of hunger (approximately eighty four%), diarrhea (29%), vomiting (.8%) and stomach agony (.four%).

       

7 of the patients in the study had digestive symptoms but no respiratory symptoms.

       

As the severity of the illness elevated, digestive symptoms became extra significant, the scientists observed.

       

Patients with out digestive symptoms ended up extra most likely to be treated and discharged than those people with digestive symptoms (sixty% as opposed to 34%), according to the study printed March 18 in the American Journal of Gastroenterology.

       

If health professionals only watch for respiratory symptoms to diagnose COVID-19, they may well pass up conditions that in the beginning present with other symptoms, or the illness may well not be diagnosed until finally after respiratory symptoms arise, the authors explained.

       

“In this study, COVID-19 patients with digestive symptoms have a worse medical final result and larger possibility of [loss of life] in contrast to those people with out digestive symptoms, emphasizing the relevance of such as symptoms like diarrhea to suspect COVID-19 early in the illness class in advance of respiratory symptoms develop,” Dr. Brennan Spiegel, journal co-editor-in-main, said in a journal news release.

       

“This may well lead to previously analysis of COVID-19, which can lead to previously remedy and extra expeditious quarantine to lower transmission from men and women who in any other case keep on being undiagnosed,” Spiegel said.