WRITING EXERCISE

Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms
may have COVID-19: These are the typical symptoms.
Cough
Shortness of breath or difficulty breathing
Fever
Chills
Muscle pain
Sore throat
New loss of taste or smell
But of late there are more symptoms other the above mentioned. What are those symptoms
and why do you think these happens?
Write your answer in not less 200 words,
Send your answer via email.
Thanks and stay safe always.
Coronaviruses are a family of viruses that can cause illnesses such as the common
cold, severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome
(MERS). In 2019, a new coronavirus was identified as the cause of a disease outbreak that
originated in China. The virus is now known as the severe acute respiratory syndrome
coronavirus 2 (SARS-CoV-2). The disease it causes is called coronavirus disease 2019
(COVID-19). In March 2020, the World Health Organization (WHO) declared the COVID-
19 outbreak a pandemic. Signs and symptoms of coronavirus disease 2019 (COVID-19) may
appear two to 14 days after exposure. This time after exposure and before having symptoms
is called the incubation period. Common signs and symptoms can included cough, shortness
of breath or difficulty breathing, fever, chills, muscle pain, sore throat and new loss of taste or
smell. But of late there are symptoms other the above mentioned. In this essay, I will outline
more symptoms and elaborate why it happens to the patients.
First and foremost, other less common symptoms have been reported, such as nausea,
vomitting or diarrhea. Some COVID-19’s patients experience nausea, vomiting or diarrhea
before they get a fever. Though the virus primarily causes fever or difficulty breathing,
gastrointestinal symptoms sometimes appear first. It’s still not clear how common
gastrointestinal symptoms are, though. A study published in the pre-print repository medRxiv
(which has not been peer-reviewed) looked at data from 1,099 patients. Less than 4% of those
people experienced diarrhea and about 5% experienced vomiting. However, a research about
how this viruses can cause the patients to get these gastrointestinal symptoms are found when
they detected the viruses in the patients stools. The first US patient diagnosed with COVID-
19 had diarrhea and reported abdominal discomfort the day after he arrived at the hospital,
according to a report published in the New England Journal of Medicine. Researchers later
detected the coronavirus’ RNA in his poop. Another study shared in the pre-publication
repository biorXiv, detected an enzyme signature of the virus in cells from the small intestine
and colon. Some researchers also detected that it spreads through our saliva and naturally go
into our stomach when we swallow it. The fact that they are seeing a lot of stool samples that
contains the virus could be the reason of why patients are commonly got these symptoms.
Secondly,  there are also other more unusual symptoms that patients have presented.
There were patients who experiencing tingling or fizzing sensation. As per a report
in Express.co.uk, some COVID-19 patients in the UK have reported a buzzing, static-like
pain in their hands, whereas, others have revealed that they experienced ‘electric feeling’ on
their skin, and a ‘buzz’ in their body. One patient reported having a tingling sensation in her
extremities as the first warning sign of coronavirus disease.Some patients have complained
about a tingling, fizzing or even burning sensation. Dr Waleed Javaid, the director of
infection prevention and control at Mount Sinai hospital in New York, told Today.com it was
likely the patient’s immune response to Covid-19 rather than the virus itself was causing
such sensations. He said: “There’s a widespread immune response that is happening. Our
immune cells get activated so a lot of chemicals get released throughout our body and that
can present or feel like there’s some fizzing. When our immune response is acting up, people
can feel different sensations. The new symptom, which is also known as parasthesia, can
cause a feeling of pins and needles. People with diabetes and those with an autoimmune
condition are more likely to develop tingling pain. While it’s not always possible to
determine the cause of this symptom, experts said the condition is often caused by pressure
on a nerve or a brief period of poor circulation.
Last but not least, an abnormal symptoms that were also found on the patients is a
“COVID toes” or other skin manifestations. Dermatologists are now reporting that certain
skin conditions appear to be emerging as symptoms of infection in milder cases. Among the
most common and striking is "COVID toes," a condition resembling chilblains, or pernio, on
the feet or toes, says Dr. Esther Freeman, director of global health dermatology at
Massachusetts General Hospital and director of the international Dermatology Covid-19
Registry. The registry has received more than 400 reports from dermatologists in 21
countries, and a little under half are cases of COVID toes, she says. Normally with chilblains,
"you would see pink, red or purple lesions on the toes or sometimes on the hands," Freeman
says. "That's often accompanied by swelling and can also be accompanied by a burning,
itching or tender sensation," she adds. Chilblains are caused by inflammation in the small
blood vessels of the skin, usually in reaction to colder temperatures or damp weather. For
example, spending a lot of time outside in wet socks could do it. Some patients develop
COVID toes early on, along with other symptoms such as fever or cough. Others develop the
condition well after their other symptoms have passed, almost like a post-viral response. And
a third category of patients seems to develop COVID toes as the sole symptom. However,
this symptoms is not to worrying because most of the patients are developing these COVID
toes and extremely well and are able to recover fully at home.
In short, there are many other symptoms that Covid-19’s patients are experiencing
other than I listed above. Despite there were also some patients who does not have any
symptoms. The most important things is if you have minor symptoms, such as a slight cough
or a mild fever, there is generally no need to seek medical care. Stay at home, self-isolate and
monitor your symptoms. Follow national guidance on self-isolation. When you attend the
health facility wear a mask if possible, keep at least 1 metre distance from other people and
do not touch surfaces with your hands. Seek immediate medical care if you have any
symptoms or any health complicatons. If possible, call your health care provider in advance,
so he or she can direct you to the right health facility.