Insomnia, hair loss, weak nails and other consequences of covid-19

As time passes, they are detected new consequences of covid-19 and it is foreseeable that even more will emerge. From the collective of persistent covid point out that each patient suffers an average of 36 sequels and in total more than 200 have been counted. Chronic fatigue or asthenia, which in many cases It does not subside neither during the night nor during the day., is one of the most repeated by those people who have suffered Covid-19. Also encephalopathies or conditions of the nervous system. But other less common, more atypical ones are also reported.

Dizziness, fever, loss of appetite, rash, hair loss, or weak nails are some of the effects identified by the Ministry of Health. There are others that are neurological in nature, such as the so-called "brain fog", difficult to focus, paresthesia (tingling) and mood disturbances. In the documents of Health Problems swallowing, ringing in the ears, dry eyes, or conjunctivitis have been reported.

One of the strangest consequences of the coronavirus has been reported in recent days: restless anus syndrome. According to the publication BMC Infectious Diseases, it could be a variation of restless legs. This was described after studying the case of a Japanese man with anal discomfort, which after undergoing tests, resulted in internal hemorrhoids. Spanish proctologists have not commented on the matter yet, they consider that it's premature.

This psychologist points out that the decrease in sleep quality has "great relevance" in the homeostasis of the immune system. This is aggravated in the cases of those people who have been hospitalized, since they were in isolation areas and without company, "to which we must add fear, anxiety, hopelessness, depression and discomfort caused by the disease itself," adds Altabás. The psychologist warns that these factors can affect the immune response.

To treat this type of sequelae, the cognitive behavioral therapy As an "effective treatment", it is delivered through digital platforms and is made up of six sessions offering advice and support. This process can be completed with a psychoeducational program.

In the latest list of sequels prepared by the Ministry of Health, there is also talk of kidney-type injuries, which if acute, can lead to a transplant, as occurs in 5% of covid-19 patients who were hospitalized - and in 20 or 30% of those in the ICU -. They also warn of various diabetes.

Consequences have also been found at the joint and muscle level. "We are dealing with patients with diffuse, unclear pain, such as fatigue in the shoulders or legs", indicates Javier Muñoz, traumatologist at the HC Miraflores Hospital in Zaragoza. Although it cannot be completely linked to covid-19: it may be due to the disease itself or the time spent bedridden. The ailments are of a "neurological" type, like sciatica, and also more linked to rheumatology. Before the coronavirus pandemic, these types of ailments were related to fibromyalgia, more common in women over 40 years of age.

Cardiovascular problems are added to this list, although these are more noticeable in the acute phase of the disease and then revert. "More specific to the heart is the postural orthostatic hypotension. "Patients get dizzy when they get up or become tachycardic," he says. Héctor Bueno, cardiologist at the National Center for Cardiovascular Research. This effect affects the quality of life. The cardiologist at Hospital 12 de Octubre and the Spanish Society of Cardiology also considers that it is also necessary to monitor possible scars on the heart or signs of weakness. Bueno recommends going to the doctor if you experience this type of ailment. "Sometimes, research related to the coronavirus can unmask some undiagnosed alteration," concludes this doctor.