COVID-19 Pneumonia: Severity & Supportive treatment

  • COVID-19 Pneumonia: Severity & Supportive treatment

Generally, Pneumonia is defined as the infection of lungs, which is caused by bacteria, fungi, and viruses. The pneumatic condition can make small air sacs into your lungs, known as alveoli, to fill with fluid.

Apart from the usual pneumatic condition, Pneumonia can also be caused by covid-19, which is considered a severe coronavirus illness.

How does the infection spread?

When covid-19 infected person’s respiratory droplets enter your upper respiratory tract, the virus multiplies and the infection starts and progresses into your lungs. The weak lungs and immune system increase the chances of having complications of Pneumonia. In covid-19 pneumatic condition, the alveoli and its surrounding tissues can get damaged.

You will be more prone to getting inflammation if you have a weak immune system. The inflamed lungs can lead to dead cells and tissues. All these factors impact the transfer of oxygen, leading to severe symptoms like dry coughing and breathlessness.

Still, the latest researches cannot determine all the complications caused by the Covid-19 and how the Covid-19 Pneumonia is different from other types of Pneumonia.

Most of the covid-19 cases involve mild to moderate symptoms, which needs basic medical attention. People with the pneumatic condition or similar symptoms must consult with their doctor for covid-19 test or treatment.

Symptoms of Covid-19 Pneumonia

  • Fever
  • Chills
  • Cough
  • Chest pain
  • Shortness of Breathe
  • Fatigue

There is a situation or some serious symptoms, which should not be ignored:

  • Difficulty breathing
  • Confusion
  • Rapid heartbeat
  • Constant feeling of pressure or pain in the chest
  • Trouble staying awake or difficulty waking

Who is more prone to catching a covid-19 infection?

  • Weaker immune system
  • Undergoing cancer treatment
  • HIV positive
  • Diabetes

How covid-19 is treated?

So far, there is no specific treatment introduced for covid-19 infection. A variety of drugs has been tested for the treatment of COVID-19. The treatment for COVID-19 is supportive only and given to support the immune system and maintain the oxygen level in the body.

Patients with COVID-19 pneumonia are also treated with oxygen therapy and severe cases require the support of a ventilator.

Long-term effects of COVID-19 infection

The severe damage due to COVID-19 pneumonia may lead to long-term bad effects.

A study reveals that more than 90 per cent cases who had COVID-19 Pneumonia, reported lung lesions when examined by CT scan.

Even after 2-3 months, patients reported mild breathing issues and difficulty doing heavy exercises.

Prevention & Care tips to avoid COVID-19 infections

  • Keep washing your hand until a highly trusted medicine or vaccine is developed
  • Eat healthy and vitamin C enriched diet
  • If you already are facing some medical condition, be strict to your medication and take good care of your health
  • Wear a triple-layered mask in public places and when you go outside of your home or workplace

Park Group of Hospitals requests you to follow all the directed guidelines by WHO and IMA. One of the best multispecialty hospitals in Gurgaon and Delhi, India, Park Hospital facilitates hi-tech facilities for all major health problems, transplants, and surgical procedures.

Consult the best Endocrinologist around you for any hormone-related issues

  • Consult the best Endocrinologist around you for any hormone-related issues

Dr. (Col.) Manoj Kumar Dutta

MBBS, MD (Medicine), DNB (Endocrinology)


Why should you visit your Endocrinologist for your diabetes control?

As you are aware diabetes is on the rise.

Endocrinologists are the specialists who deal with control of diabetes and metabolic disorders.

Your endocrinologist will start by taking a detailed history of your diabetes including the presence of diabetes in your family.

The endocrinologist will look into your blood glucose, HbA1c, lipid, renal function tests and evaluate for any target organ damage with other tests like biothesiometry, nerve conduction studies, funduscopy, ECG etc.

Why should you visit your Endocrinologist for your diabetes control?He will assess for other hormonal problems like PCOS, thyroid, adrenals.

He would prescribe diet exercise, oral drugs, GLP1analogues, insulin for sugar and metabolic control.

Your endocrinologist is also an expert in Type 1 diabetes and would start children o insulin pumps.

Besides he will also guide on management of associated obesity, Polycystic ovarian syndrome, Cushings syndrome, drug induced diabetes, Gestational diabetes.

Inpatient management of complications of diabetes including use of sophisticated sensor devices, insulin pumps, insulin infusion protocols and critical care glycemic control are also done by him.

Common diabetes managed by your Endocrinologist are:

  1. Type 1 Diabetes mellitus
  2. Type 2 Diabetes mellitus
  3. Gestational diabetes mellitus
  4. Secondary diabetes mellitus( steroid induced / cushings / Pancreatic)

Why is it important to consult your Endocrinologist for your irregular periods?

Very often the cause of your irregular periods is hormonal imbalance. Your Endocrinologist is the right person to assess you clinically to know if you are suffering from hormonal imbalance like:

Polycystic ovarian syndrome-characterised by excessive facial and body hair, obesity, hypertension, increased cholesterol, insulin resistance.

Cushings syndrome-increased steroid levels in body due to various reasons.

Hypothalamic amenorrhea- due to starvation, diet changes, stress, exercise.

Pituitary disorders – tumors, radiation, trauma, sheehan’s syndrome.

Thyroid disorders – Hypo/hyperthyroidism.

The Endocrinologist evaluates clinically then does hormonal testing to diagnose your condition and prescribes ideal hormonal treatment for the disease.

Why should you visit your Endocrinologist if you are an infertile couple?

Your Endocrinologist is the appropriate specialist doctor to evaluate for both male and female factor infertility. He would look for various anthropometric clinical data, sexual maturation scales, hormonal and chromosomal tests to see if you are suffering from a chromosomal disorder, hypogonadism, pituitary, thyroid, adrenal, ovarian or testicular problem. In addition he is also an expert on pubertal disorders. All these conditions can contribute to infertility.

Why is it important to meet an Endocrinologist if your child is not growing tall enough?

An Endocrinologist is an expert on growth disorders who looks into various aspects of growth and Puberty.

He will look into a detailed family/medical/developmental history followed by painstaking measurements of height, weight, sexual maturation scales, bone age before ordering tests to exclude chronic disease, vitamin deficiency, malnutrition, coeliac disease, hormonal imbalance, growth hormone deficiency, adrenal, bone disorders which can effect height of an individual. He will exclude developmental aberrations like constitutional delay in growth and puberty.

He also excludes chromosomal causes of short stature.

An Endocrinologist performs complicated hormonal stimulation and suppression tests depending on the suspected condition to reach a diagnosis.

Common causes of short stature:

  1. Constitutional delay in growth and puberty
  2. Idiopathic short stature
  3. Syndromic disorders
  4. Pituitary/thyroid/adrenal/testicular disorders

Once diagnosed appropriate treatment is started.

Why should you visit your endocrinologist if your child is precocious (Has early sexual maturation)

– Early sexual maturation can be socially and emotionally a big problem for parents and it is then that an endocrinologist comes to the rescue with the right emotional assurance and performs detailed testing, bone age evaluation, sexual maturity scaling , ultrasound evaluation of testes and ovaries to diagnose the condition and start appropriate treatment to arrest the premature sexual maturation and later allow sexual maturation to occur at an appropriate stage.

Why should you get evaluated by your Endocrinologist if you are having bone problems (pain, easy fractures)

The Endocrinologist is the expert specialist who evaluates the strength of your bones with Dexa scan and looks for causes associated with fragile bones. He does frax assessment to look for risk of fracture. He also evaluates for risk of fracture in postmenopausal women and assesses for hormonal imbalances causing increased osteoporosis. The Vitamin D deficiency state and its treatment are also done by him. In addition he counsels regarding diet, calcium, Vitamin D, hormonal replacement therapy.

Endocrinologist has various agents to use depending on type of osteoporosis and condition of patient which include oral, IV, subcutaneous anabolic and antiresorptive agents.

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