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- DictionaryLong Covid
noun
- 1. a syndrome characterized by the persistence or development of symptoms attributed to Covid-19 (typically including extreme fatigue, breathlessness, and muscle weakness) more than twelve weeks after initial infection: "many patients with long Covid have been unable to return to work six months after infection, the study found"
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Long COVID can include a wide range of ongoing symptoms and conditions that can last weeks, months, or even years. Most people with Long COVID symptoms see significant improvement after 3 months, while others may see improvement up to 6 months after symptoms first appear.
- Overview
- Symptoms and Causes
- Diagnosis and Tests
- Management and Treatment
- Prevention
- Outlook / Prognosis
- Living With
Long COVID is a collection of symptoms that last three months or longer after your first COVID symptoms. It can steal your energy, your ability to think clearly, and your sense of smell or taste. You might feel anxious or depressed, get frequent headaches, be short of breath or have heart palpitations. Treatment depends on your specific symptoms.
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OverviewSymptoms and CausesDiagnosis and TestsManagement and TreatmentPreventionOutlook / PrognosisLiving With
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What are the symptoms of long COVID?
Long COVID has a variety of symptoms. Some people with long COVID have more than one symptom, but most people don’t experience all of them. The two most common symptoms are fatigue (lack of energy) and shortness of breath. Other possible symptoms include: Loss of or altered sense of smell or taste (anosmia or dysgeusia). Trouble thinking or focusing — “brain fog.” Chronic cough. Headaches. Difficulty sleeping or insomnia. Depression. Anxiety. Chest pain. Heart palpitations. Diarrhea.
What causes long COVID?
Experts can’t pinpoint one single cause for long COVID. But other coronaviruses, including Middle East respiratory syndrome (MERS) and severe acute respiratory syndrome (SARS), have been known to cause long-term effects. So perhaps it’s no surprise that COVID symptoms can last a long time, too. Multiple factors might contribute to the causes of long COVID, including: Tiny blood clots. Very small blood clots might not cause a major event (like a stroke), but they can prevent your lungs, brain and other organs from working properly. Inflammation. Your immune system may overreact and continue to cause inflammation in your organs and tissues long after it’s fought off the infection. Autoimmune disorders. For reasons we don’t understand, COVID might cause your immune system to start attacking parts of your own body, like an autoimmune disorder. Viral persistence. SARS‑CoV‑2, the virus that causes COVID-19, might hang around in your body long after you feel better from your initial illness. You can test negative for COVID and you aren’t contagious anymore, but it could continue to cause issues in your body. Reactivation of other viruses. Some viruses remain inactive, or dormant, in your body without you knowing it. These can sometimes get reactivated and cause symptoms again. Some evidence suggests that COVID might reactivate Epstein-Barr virus (the virus that causes mono), causing long-lasting symptoms. Long-term psychological effects of having a serious illness. If you had a severe case of COVID, especially if you were hospitalized, you might have anxiety, depression or other mental health conditions as a result.
How is long COVID diagnosed?
Healthcare providers diagnose long COVID by listening to your symptoms and your health history. They may also perform tests to understand more about your symptoms and how to treat them. Depending on your symptoms, they might perform: Blood tests. Chest X-rays or other imaging. Getting pictures of the inside of your lungs, brain or other organs can allow providers to look for changes that might be causing your symptoms. CT scans. Certain types of lung inflammation may affect how providers treat you with specific medications. Your provider may need to get a CT (computed tomography) scan to see this inflammation. Lung (pulmonary) function tests. These tests tell your provider how well your lungs are working. Electrocardiogram (EKG/ECG) or echocardiogram(Echo). These tests help providers identify issues with your heart.
How do I get rid of long COVID?
There isn’t one treatment for long COVID. You and your provider may need to try a few different options to find what works for you. Depending on your symptoms, treatment options might include: Medication. Providers can treat certain symptoms and conditions, like cough, headaches, anxiety and depression with medication. If they can find an underlying cause for long COVID (like blood clots), they might be able to treat the cause with medications. Stellate ganglion block or olfactory retraining. Providers can use these treatments to try to bring back your sense of smell and taste. A stellate ganglion block numbs certain nerves in your neck that can affect your sense of smell. Olfactory retraining uses common smells to help your brain remember what things should smell like. Physical therapy. Physical therapy incorporates exercise, massage and other treatments that can help you with pain or movement issues. Pulmonary rehabilitation. Pulmonary rehabilitation is a special kind of exercise and education program that can help you breathe better and learn how to manage breathing issues at home. Counseling. Counseling gives you someone to talk to who can help you manage the psychological effects of severe or long-term illness. Care at Cleveland Clinic Find a Primary Care Provider Schedule an Appointment Advertisement
Can you prevent long COVID?
There’s no single way to prevent long COVID, but there are some ways to reduce your risk. They include: Antiviral medications. One study suggests that taking the antiviral nirmatrelvir (Paxlovid®) within five days of a positive COVID test reduces your risk of long COVID. Only people who were at risk for severe COVID were studied. Note that providers usually only prescribe antivirals within five days of when your symptoms started. Vaccination. People who aren’t vaccinated against COVID are at a higher risk for long COVID if they get infected. Avoiding infection. You can’t get long COVID without getting COVID first. You can reduce your risk of getting COVID with good hand-washing habits and wearing a multilayer, snug-fitting mask (like an N95 or KN95) when you’re around other people. Avoid other people when you or they are sick, or if one of you has been exposed to COVID.
What can I expect if I have long COVID?
Symptoms of long COVID may come and go or get better or worse over time. Many long-haulers do eventually get better, though how long that takes is different for each person. You may need to: See a primary care provider (PCP) and one or more specialists to manage your symptoms. If there’s one in your area, a long COVID clinic can get you to the right specialist for your specific symptoms. Be persistent and patient while trying treatments to see what works for you. Allow yourself more time than you usually would for your normal tasks and take more breaks throughout your day. Some people need to take extended time off work or school to recover.
How long do symptoms like fatigue last after COVID?
After COVID, many people feel tired or run down for several weeks. But for some people, fatigue and other symptoms last for months or longer. Most people with long COVID recover within 12 to 18 months.
When should I seek care?
See a healthcare provider if you have: Severe COVID symptoms. Symptoms that last a long time, even if your initial symptoms have gotten better. Any symptoms that disrupt your daily life. Tell them about your symptoms and how they’re impacting your life. Let them know when you had COVID and when your current symptoms started.
What questions should I ask my doctor?
It might be helpful to ask a healthcare provider: What are my treatment options? Do you know what’s causing my symptoms? Do people with my symptoms usually improve? How do I take my medication? When should I follow up with you? What symptoms should I go to the ER for? A note from Cleveland Clinic Sometimes, medical knowledge lags behind what patients have already been experiencing for a long time. Fortunately, we’ve come a long way in understanding some of the long-lasting symptoms of COVID. Many healthcare providers now work together on diverse teams dedicated to understanding and treating your symptoms. It’s still a learning process — it may take some trial and error to find the treatment that works best for you. Enlist the help of someone who can advocate for you if you aren’t able to do so yourself. They can help you find healthcare providers, support groups and counseling. Let your family, friends and employer or school know that you may need extra time on certain tasks or more breaks. Giving yourself permission to be gentle with yourself while you recover can be the first step to feeling better. Medically Reviewed Last reviewed by a Cleveland Clinic medical professional on 06/19/2023. Learn more about our editorial process.
Aug 23, 2024 · In the U.S., some experts have defined long COVID as a long-lasting, called chronic, condition triggered by the virus that causes COVID-19. The medical term for this is an infection-associated chronic condition. As researchers learn more about long COVID, this definition may change.
1 day ago · Long COVID includes a wide range of symptoms or conditions that may improve, worsen, or be ongoing.” These symptoms can include shortness of breath, fatigue, brain fog, muscle pain, and a slew ...
Jun 17, 2024 · Long COVID refers to the health problems you may have long-term after recovering from COVID-19. You may also hear long COVID called long-haul COVID, post-COVID...
People with long COVID, or “long-haulers,” are COVID-19 survivors but they have persistent symptoms such as shortness of breath, fatigue, headaches, palpitations, and impairments in mental health and cognition.
Jul 11, 2024 · Long COVID is defined as a chronic condition that occurs after SARS-CoV-2 infection and is present for at least 3 months. Long COVID includes a wide range of symptoms or conditions that may improve, worsen, or be ongoing.