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RxDx Post-COVID Rehabilitation Clinic

Enabling patients with continuing symptoms to Rebound to Health

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Recovered from COVID-19 but having any of these lingering symptoms?

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Long Covid Syndrome | Lingering Symptoms | Long Term Effects of Covid

There are growing evidences about the various residual effects of COVID 19.

Patients who have recovered are exhibiting neurological, autoimmune and cardiovascular symptoms that could manifest itself in the forms of strokes, heart attacks, multisystem inflammatory syndrome, cytokine storm, loss of taste and smell, and fatigue. Some of these symptoms may occur and last for weeks after recovery.

Listen to Dr Chhavi, Quality Head, RxDx, speaking about Post COVID in this video

Around 50% COVID patients who recovered have one or more lingering symptoms. This is also called Post-Covid Syndrome or Long Covid

Chest Pain

Cough

Memory issues

Fatigue

Fever

Gastrointestinal problems

Headache

Mental health conditions

Metabolic disruption (eg. poor control of diabetes)

Muscle pains and weakness

Rashes on skin

Shortness of breath

Thromboembolic conditions

Management of Long Covid requires a holistic-patient care approach. Accordingly, RxDx has set up Post-COVID Rehabilitation Clinic across all its branches in Bengaluru which is enabling patients with continuing symptoms to Rebound to Health.

What’s unique about RxDx Post-COVID Rehabilitation Programme?

The Long-Covid rehab clinics are lead by experienced RxDx’s physicians and are supported by Physiotherapists, Nutritionists, Mental Health Counsellors and trained Nursing Team. The post-Covid rehab clinic services are available face-to-face at our clinics or at your home in Bengaluru or through online mode globally.

Our COVID-19 care team has helped

Patients recover pan-India

Tested

Million Sensitized globally

RxDx Post-COVID Rehab Clinic

Programme Highlights

Core Components

15 Days Care Programme

30 Days Care Programme

Rs 7,000.00 Rs 10,000.00
Total No. in 15 days Total No. in 30 days

GP Evaluation & Consultations

4

6

Nutrition Consultation

1

1

Mental Health Counselling

1

1

Physiotherapy Sessions

5

10

Vitals Monitoring

4

8

Echo

2

2

Other experts on the panel (if needed)*

Cardiologist

Gastroenterologist

Pulmonologist

Nephrologist

Neurologist

Dermatologist

Other investigations (if needed)*

Blood Test

Urine Tests

Chest X-ray

ECG

Fingertip Pulse Oximeter (available)*

Medicines (available)*

*Additional charges applied

• 10% off on investigations
• Free Home Sample Collection (within 5 km of RxDx)
• Free Contactless Medicine Delivery (within 5 km of RxDx)
• Rs 25/km beyond 5 km

How to enrol in the Long COVID programme of RxDx?

You may use any of the following methods to enrol in the programme:

Call Us: 08049261111

Email: info@rxdx.in

Walk-in
RxDx Whitefield

Directions:

RxDx Kadugodi

Directions :

RxDx Bellandur

Directions :

RxDx CHANDY, SIddapura

Directions :

RxDx SAMANVAY, Malelswaram

Directions

How to pay for the programme?

Online

Cash

Credit Card

i

Letter of Authorization from your company, in case your company has a tie-up with RxDx

Frequently Asked Questions

What is a Post-COVID Syndrome?

Post COVID syndrome, also going by Long COVID, Post Viral Syndrome, and so forth, is the collective term currently used for symptoms experienced by patients who have recovered or are experiencing residual COVID symptoms or relapse, or going through a delayed recovery from serious complication, or developing something new that can be clinically attributed to the viral infection.

Post-acute COVID-19 symptoms may extend beyond 3 weeks from the onset of first symptom. Chronic-COVID-19 cases have symptoms extending beyond 12 weeks.

Lung, kidney, heart damages have been reported from patients requiring ICU care. However, a concerning fact remains that reports of COVID-19 effects relapsing / remitting or even development of new symptoms, aren’t limited to severe or critical patients. Growing evidence indicates that people with relatively mild symptoms, even those who have recovered at home, are also experiencing prolonged illness.

Why does the post-COVID symptoms happen?
The SARS-Cov-2 can reportedly infect cells from multiple organs like kidneys, skin, gastrointestinal tract etc. and affect systems like cardiovascular, neurological, etc. The virus not only triggers inflammatory response in the body but also causes complications like blood clotting, in some people.

Only a certain percentage of the population experiences the condition, possibly due to one or a few of many reasons, namely persistent presence of virus in blood (possibly due to patient’s inadequate or absent immune response), inflammatory or other immune response, relapse or reinfection, and post-traumatic stress or other mental health factors.

What is RxDx Post-COVID Rehab Clinic?
Clinical management of both type of post-COVID-19 requires a holistic and patient centric approach.
RxDx’s Post-COVID clinic is designed as a multidisciplinary facility intended to manage patients witnessing a delayed recovery from a COVID-19 episode managed either in a dedicated COVID Care Hospital (DCH), a COVID Care Centre (CCC), or in Home Isolation. Our mission is to help such patients rebound to their original health.

RxDx Post-COVID Clinic team comprises of:

  • General Physician
  • Nutritionist
  • Counsellor
  • Physiotherapist
  • Nursing Team

We are also supported by:

  • Cardiologist
  • Gastroenterologist
  • Pulmonologist
  • Nephrologist
  • Neurologist
  • Dermatologist
  • Lab Team
  • Radiology Team
  • Pharmacy Team
How common is post-COVID syndrome?
Ongoing researches in the UK suggest that as much as 10% of patients who have tested positive for SARS-CoV-2 virus remain unwell beyond three weeks, and a smaller proportion for months. Another study being conducted in the US reveals that only 65% of the patents have been able to rebound to pre-COVID health conditions 14-21 days after testing positive.
What are the long-term health impacts of SARS-COV-2?

Unlike regular flu whose effects are limited within the respiratory system, SARS-COV-2 virus can attack multiple organs. Post-COVID syndrome or the post viral syndrome’s common neurological complaints have been fatigue (sometimes chronic fatigue) and brain fog (troubled memory or concentration).

In severe cases, patients have experienced what’s known as a ‘cytokine storm’ – a condition in which the human body’s immune system goes into a potentially fatal overdrive and causes multi-organ failure. This was noticed with influenza, SARS and MERS-CoV too.

Following long-term impacts are being noticed and monitored in patients who recovered from COVID-19:
• Shortness of breath
• Post viral cough
• Altered taste
• Fatigue / chronic fatigue
• Muscular weakness
• Headaches
• Confusion
• Scarring of the lung (symptom is persistent shortness of breath)
• Gastrointestinal tract infection
• Cardiovascular problems
• Skin issues
• Kidney ailments
• Neurological conditions like memory issues, confusion
• Mental health issues
• Blood clot that could lead to:
◦ Stroke or cause irreversible damage to the brain
◦ If the clot enters lungs, it can destroy the lung tissue

How long does the COVID-19 symptoms last?
Usually, symptoms disappear in 2-3 weeks in case of mild COVID-19 patients. But an ongoing study at King’s College, London, reveals that as many as 200,000 patients have been reporting symptoms for over 6 weeks since the study was launched.
Can coronavirus symptoms come and go?
Ongoing studies shows that in few coronavirus patients, symptoms accelerate fast in the initial days, then completely disappear in about 2 -3 weeks and then returns with a wide-ranging symptom which were not seen in the first occurrence.
Which organs are most commonly affected by the SARS-Cov-2?
Heart, Lung, Brain – these are the prime organs reportedly suffering maximum damage by the infection.
What is chronic fatigue (myalgic encephalomyelitis)?

Myalgic encephalomyelitis (ME) or Chronic Fatigue Syndrome (CFS) is a neuroimmune condition that depletes one’s energy. ME/CFS is classified as fatigue lasting more than six weeks. It is a disabling and complex illness and can confine patients to bed for long duration. This condition often does not improve with rest. Reasons can be not one but a combination of several triggers like viral infections, stress, etc.

How chronic fatigue syndrome (CFS) affects patients?

atients experiencing long term effects are also known as COVID-Long Haulers.

According to experts, CFS can have debilitating impact on these COVID long-haulers. As per studies, CFS is triggered by flu which leaves:

• 75% of those affected unable to work
• 25% patients become homebound or bedridden
• It impacts 15 million to 30 million people worldwide,

What might be causing post COVID-19 fatigue?
Nothing could be said with a certainty. However ongoing studies appears to indicate:

• Some dysfunction in the central nervous system apparently triggered by COVID-19
• The affected patient doesn’t seem to exhibit the same level of cognitive abilities which was there prior to contracting the virus
• Common symptoms of CFS among the COVID long-haulers are fatigue, pain, post exercise-malaise, and “brain fog” – a problem related to memory and concentration

What could be the other long-term effects of the virus on a corona survivor?
Experts are learning how else the virus could impact a patient who recovered from COVID-19. Several long-term and large cohort studies have been repurposed to study the effects of the pandemic. It may take some time till concrete answers could be given. However, some insights could be drawn from the survivors of Severe Acute Respiratory Syndrome (SARS), a coronavirus that originated in 2003. Two studies were conducted in Hong Kong on the long-term effects of SARS. The findings are:

• One study revealed that only 78% of SARS patients were able to return to full‐time work 1 year after infection
• Another study, found that 40% of people recovering from SARS still had chronic fatigue symptoms 3.5 years after being diagnosed
• Viral infections such as SARS and Epstein-Barr virus are known to trigger chronic fatigue syndrome that can last for months or years.

What are the inflammatory effects of COVID-19?
The SARS-Cov-2 incites a “cytokine storm”, which may cross the blood-brain barrier into the hypothalamus of brain which regulates hormone, body temperature, etc. This may in turn lead to autonomic dysfunction, hence high fever, cognitive and sleep abnormalities, fatigue, etc. This condition is called the post viral syndrome.
What is the COVID cytokine storm?
Cytokine storm is in fact a hyperactive immune response through the build-up and release of chemokines, interferons, interleukins, tumour-necrosis factors, and other mediators whose effect on the central nervous system may lead to most of the symptoms.
What kind of skin problems are noticed as part of Post COVID symptoms?
People have reported skin rashes of various nature like vesicular, maculopapular, urticarial, chilblain (chill burn) like lesions on extremities (also known as COVID toe).
What is the significance of chest pain in long-COVID?
“Lung burn” or any kind of chest pain a common symptom in post-acute covid19, requires careful clinical assessment as some chest pain may be musculoskeletal in nature while others may suggest cardiovascular problem. A patient’s medical history, investigations like echocardiography, cardiac MRI, etc are tools clinicians rely on, to understand the patient’s condition in case of unclear diagnosis.
What cardiovascular complications are associated with post-COVID?
Clinically significant cardiac issues have been noticed in 20% patients admitted with COVID.

Those with heart issues as comorbidity have reported cardiopulmonary complications. Some previously active and young patients have reported experiencing heart and lung complications like dysrhythmias, pulmonary embolus, myocarditis, pericarditis, myocardial infarction, etc. even several weeks after acute COVID-19.

What complications may older / elderly COVID-19 survivors experience?
The symptoms of COVID-19 have been comparatively more severe in elderly patients and even after recovery, risk of sarcopenia, malnutrition, depression, and delirium remain. Post COVID chronic pains have been common for this age group. Multi-professional team of doctor and occupational therapist may be needed along with rehabilitation support to help the older patients rebuild their strength and go back to normal life.
What is the COVID effect on blood clots?
This coronavirus increases chance of Thromboembolism. Reasons are unclear, one possible cause is the collection of inflammatory mediators in organs, but the virus increases coagulation process in some patients, thus increasing chances of blood clot which may reduce oxygen supply to the organ, leading to shutting down of its function, and eventually, organ death.
What lungs complications have been reported for COVID patients?
People with comorbidities, compromised immunity, or advanced age, are in particular risk of pneumonia like acute respiratory syndromes or any long-term lung impairment.
How can SARS-Cov-2 effect the kidneys?
Renal dysfunction in COVID patients or survivors have a few proposed explanations. One is that the virus targets receptors on kidney cells. Inadequate oxygen level in blood may be another reason. Another possible explanation is the Cytokine storm. Blood clots under the viral influence may also lead to organ damage. Patients may require specialist monitoring if symptoms / lab markers of renal complications persist.
Are there any gastric complications in COVID patients?
A detailed information is not available on this, however, a cluster of symptoms specifically matching gastrointestinal infection included nausea, diarrhoea, vomiting, loss of appetite associated with headaches and chest pain were the common observations among some patients.