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Dr. Manik G. Hiranandani
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Long Covid syndrome & its treatment

"The Long Covid Syndrome", (which denotes persistence of  symptoms after Covid), currently affects over a 100 million people world wide, affecting their quality of life, their ability to return to work and to resume their normal lives. 

​The long covid syndrome causes  a lot of disability with an estimated 1.7 million people in the UK still suffering from Long Covid.
In India 40 Million people are estimated to suffer from Long Covid.


Many  people, who survive covid, continue to suffer from some of the problems caused by covid,  as covid affects all organs, including  the lungs, heart, brain, thyroid, sinuses, kidney, liver, pancreas, the adrenal glands, the muscles and the joints. The symptoms point to  which organs are affected the most.

Some of the symptoms include fatigue, often extreme fatigue, weakness,  brain fog - difficulty in concentrating, remembering and thinking, difficulty in breathing, back pain, pain in the throat, chest or abdomen, muscle pain,  joint pain, sleep disturbances, a fast heart rate & palpitations, uncontrolled diabetes, loss of smell or/and taste, headaches, hair loss,  a hacking cough, gastric issues including  gas, bloating, acidity,  diarrhoea or constipation,  malabsorption of food and nutrients, mental  symptoms like anxiety and depression.

​Anyone with persistence of any of these symptoms for more than 6 weeks after the onset of symptoms of covid, should seek help for the Long Covid Syndrome.  These symptoms if tackled early, resolve within 2-3 months, while if not tackled early, may persist for many months or years, in spite of treatment. The treatment of this aspect of  the post covid complications does not receive enough attention from doctors worldwide as they are involved in the crises care.  I offer a personalised integrated treatment program both online and in person, to help you recover  from Long covid.  

Many patients continue to have low grade fever and other symptoms for several weeks after they test negative for covid using the RTPCR test. This is because the virus has cleared from the nose and throat, but still continues to be active, in the body's cells, until the body's immune system has fully cleared it from all their cells.  If this process is incomplete, these symptoms may progress and  persist for years. 

This Syndrome is more common in people with auto immune conditions, pre existing post viral syndromes, chronic fatigue syndrome, diabetics, obesity, and older people. Patients with severe covid infections who have been hospitalised,  treated with steroids, and those showing a CT score greater than 6/25, are at greater risk, of developing long covid syndrome.

Pulmonary Fibrosis  The delta strain also causes  pulmonary fibrosis, which is likely to affect more than 5 million people worldwide. These people will need to be dependent on oxygen concentrators,  causing a disability which severely curtails their quay of life & ability to work again.  People in the whom the oxygen saturation has dipped below 90%, who have auto immune diseases or who have been hospitalised or those showing a CT score greater than 6/25 are at greater risk of developing pulmonary fibrosis.  The symptoms of pulmonary fibrosis  usually manifest 3-6 months after the onset of the covid, and is characterised by difficulty in breathing. This is usually treated with oxygen, continued lifelong, which seriously impairs their quality of life and is difficult to treat with  conventional medicine.  Enrolling for the yoga classes I teach for patients with covid,  early after your recovery from covid, can help to restore oxygenation and circulation, which can help prevent pulmonary fibrosis.

Advice for those of you recovering from Covid.

1. Take enough rest. At least for 12 hours in each 24 hour period.
​2. Adjust your activities to a level where your body can deal with it. If you are tired, stop and rest. 

​Do not over exert. Exercise should be started slowly and increased very gradually.
Do not let yourself get near exhaustion, as it can take a couple of days (sometimes even weeks) to recover from that.
3. Stay off alcohol till you feel good and symptom free.
4. Don't get stressed by  the neurological symptoms caused by the covid infection, as it takes time to recover. 
5. Control your Blood Sugar.
6. Eat a light diet with more carbohydrates and fruit & less protein and fat.
7. Take supplements of Vitamins, B, C, D, zinc, chromium and selenium as advised by me or your physician. 
8. Breathing exercises to help expand the lungs, improves circulation, oxygenation and healing. Gyan Yoga is the best for it, as it teaches you to assess which areas of your lungs  are not receiving enough circulation and air. It   helps you to choose specific asanas to help the healing of each area of each lung individually.
9. Acupuncture, biofeedback & pulsed electromagnetic frequency treatment can help speed up your recovery.
​10. Steam Inhalations help liquefy and bring out the phlegm.


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