Rise in neurological issues faced by recovered Covid patients

A private health facility in the national capital on Saturday said it is reporting a rise in neurological issues among post-Covid patients. In the out-patient department (OPD), up to 60 per cent of patients are presenting increasing mental health issues like anxiety, depression and suicidal thoughts, and majority of these are post-Covid cases, the Moolchand Hospital said in a statement.

Doctors at the private facility said the neurological issues among post-Covid patients have seen a “troubling rise” here. The Moolchand Hospital said it has been “recording increasing cases of intracerebral (brain) haemorrhage, and 50 per cent of the neuroscience department is filled with such cases”.

The doctors also said that people who have survived the pandemic and those who were infected with Covid-19 are increasingly coming to the hospital many weeks later with symptoms such as headache, giddiness, fatigue, cognitive difficulties, memory problems, anxiety, depression, stroke, pain and sleep disorders. 

In the OPD, up to 60 per cent of patients are coming with mental health issues like headache, anxiety, depression, suicidal thoughts, feeling of loneliness etc, the statement said. “Majority of these cases are those who have had Covid-19 infection in the past, with a gap of two to three months,” senior neurosurgeon at Moolchand Hospital, Dr Asha Bakshi, said.

“Such issues are severely affecting their personal as well as professional lives. Many complained that they find it extremely tough to focus during work. People are struggling with work-life adjustment issues as well,” she said. Bakshi said the pandemic has led to some long-term neurological issues. She cited the Global Consortium Study of Neurologic Dysfunction in Covid-19 (GCS-NeuroCOVID) and the European Academy of Neurology Neuro-COVID Registry (ENERGY) of over 3,700 patients.

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Periodic checks essential after 40 to keep hypertension under check

Readings of blood pressure (hypertension) vary according to conditions, and precautions should be taken to ensure that proper readings are secured, said a chief interventional cardiologist.

Delivering the key-note address at the World Hypertension Day programme organised the Dr. said blood pressure should be measured immediately after the patient has had coffee or cigarette.

“Know your numbers” (blood pressure readings) is the theme of the World Hypertension Day this year.

The patient should sit for a few minutes and calm down after reaching the hospital or clinic. “There is a difference in reading if the patient has a full bladder and men should not wear full sleeves as it effects the readings” he said.

Big fluctuations in blood pressure cause damage to the fine blood vessels in the vital organs. While heart attack was an important side effect of high blood pressure, brain stroke leading to paralysis was also common and a bigger danger, he said.

There was little that could be done for patients with paralysis, therefore prevention of high blood pressure which caused it was more important.

A Dr. said hypertension could be controlled by modification of lifestyle, diet and physical activity.

Paediatric cardiologist said there was great danger in the sudden stopping of medication. This causes the blood pressure to shoot up even higher that when the medication was started.

Asked about low blood pressure, Dr. said there was a great variation in the blood pressures of people. Only those who suffer the symptoms of low blood pressure like giddiness were considered as having low blood pressure. There was no prolonged medical treatment for low BP, he explained.

Later, there was an interesting interaction session with patients who asked questions about reasons for pain after an angiogram, whether there were repeated paralytic strokes and the symptoms of low BP.

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IS IT ANGINA OR A HEART ATTACK?

Chest discomfort/chest pain, also known as angina, is a major symptom of heart disease. Angina occurs when the heart muscle does not get enough oxygen due to critical narrowing of coronary arteries that supply blood to the heart. This makes your heart cry out for more blood. And this cry is symptomised as chest pain. However, all chest pain is not angina.

HOW TO TELL
A different sensation: Classic angina is manifested with progressive tightness mid-chest, commonly described as a band around the chest or weight in the centre of the chest. Less commonly, there is pressure or squeezing. Some may also complain of suffocation, choking or breathlessness. The discomfort is diffused and deep-seated, best described as clenching a fist over the breastbone. Stabbing, pricking or other sharp and well-localised and transient chest pains are rarely due to angina. These could be due to indigestion or a muscle spasm. Anxiety may cause a dull aching, persistent pain around the left nipple, alternating with attacks of sharp, lancinating stabs lasting a few seconds. But it doesn't bear any relation to heart disease

It has triggers: Typically, angina has a regular pattern, and is brought upon by physical activity. This is stable angina. It is precipitated by physical exertion, developing gradually and increasing progressively as the activity is continued. Angina may also be aggravated by emotional stress and excitement. This is because suddenly your heart muscle requires more blood flow than can be supplied through the obstructed artery. Angina may appear more easily in the morning soon after waking up for the same reason. Rest relieves angina within a few minutes. It is rare for stable angina to persist beyond 30 minutes.The trigger is an important way to decode angina. Why? Because occasionally, discomfort or pain may be localised to sites of radiation such as the inner left arm, shoulders, lower jaw, teeth, neck or upper back without chest pain. Also, there may be other angina equivalents such as breathlessness, nausea, belching, heartburn, sweating and dizziness on physical exertion. More common in seniors and diabetics, the relation of physical activity helps to detect angina in them. Apart from activity, heavy meals and exposure to cold weather and cigarette smoke also seem to precipitate angina.Do keep in mind that as the coronary artery blockage advances, chest pains may occur more easily, more frequently and may last longer than before. Pains may persist despite rest or may even occur during rest or sleep. This is called unstable angina.

Nitroglycerine helps: Stable angina generally subsides within 10 minutes of keeping a nitroglycerine tablet under the tongue. Chest pain that is relieved after more than 10 minutes is either not angina or unstable angina. Unstable angina requires hospitalisation and measures to minimise the risk of heart attack. Sometimes, chest pain due to inflammation or spasm of the food pipe may be relieved by nitroglycerine; but this kind of pain has a burning sensation and may be aggravated by meals and lying down and relieved with milk, antacids or even light physical activity.

IS IT ANGINA OR A HEART ATTACK?
Heart attack occurs when there is complete cessation of blood flow across a coronary artery, making the heart scream with pain. Typically, the character of chest pain during a heart attack is quite similar to angina. But here's how to tell the difference between the two and take action immediately. Severe chest pain or discomfort that is becoming worse or lasts longer than 20 minutes. Pain or discomfort accompanied by profound weakness, nausea, profuse sweating, giddiness or fainting.  Pain or discomfort that does not go away even after several (>3) nitroglycerine tablets.

 THIS IS ONLY FOR INFORMATION, ALWAYS CONSULT YOU PHYSICIAN BEFORE HAVING ANY PARTICULAR FOOD/ MEDICATION/EXERCISE/OTHER REMEDIES.







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