Headache and fatigue after "Yang"? These problems are seriously life-threatening.

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After that, headaches and fatigue are common, an expert from Zhejiang University said that the headache received recently, The increasing number of patients with fatigue is mostly caused by COVID-19 's symptoms, but some are combined with other diseases or other problems, leading experts to warn that if the following occurs, it is recommended to see a doctor in time. Uncle he (a pseudonym), 52, is a Fuyang man. "after seeing many people online who said that people with basic diseases were infected with COVID-19. He Shu's symptoms such as stuffy nose and sore throat improved. He considered that this was another case of hypokalemic periodic paralysis caused by potassium deficiency, with varying degrees of relaxation of the neuromuscular system. In serious cases, it will also lead to acid-base imbalance in the human body, metabolic disorders, arrhythmias, and even respiratory muscle paralysis, dyspnea, cardiac arrest. Recently received a significant increase in fatigue patients, coupled with vomiting, diarrhea and other conditions, will also lead to hypokalemic periodic paralysis.

Hangzhou Traffic 918 reporter: Wang Xin / correspondent: Wang Rui and Zhu Shiyi

Headache and fatigue after

People used to say hello.

I asked you if you had eaten.

Now the first thing we say when we meet

"are you a 'Yangkang' or a 'Dongyin worker'?"

This winter

It's a little harder than ever.

Many people say that

Headaches and fatigue are common after "Yang".

An expert from Zhejiang University said

The number of patients with headache and fatigue has been increasing recently.

Most of the symptoms are COVID-19.

But some have combined with other diseases.

Or other problems lead to

Experts remind me

If the following occurs

It is suggested that we should see a doctor in time.

This kind of weakness occurs.

Attention should be paid to it.

Uncle he (a pseudonym), 52, is from Fuyang and has high blood pressure and diabetes. As many people said online that people with underlying diseases are at greater risk of becoming seriously ill after they are infected with COVID-19, he basically stays at home.

However, although he had paid close attention to it, Uncle he still got hit around December 20. he had a fever, a headache, a "cement nose" and a "razor-blade voice". Although the fever went down two days later, he couldn't eat because he had a sore throat and lost his appetite. I was tired and lay in bed for several days.

A few days later, he Shu's symptoms such as stuffy nose and sore throat improved, but he still felt weak, unable to lift his hands and unable to walk. "after all, I have high blood pressure and diabetes, and I'm still a little scared, and I'm very weak." Uncle he said that for this reason, accompanied by his family, he came to the Department of Neurology of the first affiliated Hospital of Medical College of Zhejiang University.

Wu Dengsong, deputy chief physician of the Department of Neurology, received Uncle he. After learning about Uncle he's past medical history and current situation, he considered that this was another case of hypokalemic periodic paralysis caused by potassium deficiency. Sure enough, subsequent electrolyte detection showed that Uncle he's blood potassium concentration was only 2.1mmol/L, which was much lower than the normal value of 3.5~5.5mmol/L.

Potassium is an indispensable element in the human body, and its main function is to maintain the normal function of nerves and muscles. Therefore, once the human body is deficient in potassium, the most prominent manifestation is the weakness of the limbs and the relaxation of the neuromuscular system to varying degrees, especially in the lower extremities, which is called potassium deficiency soft paralysis. In severe cases, it will also lead to acid-base imbalance, metabolic disorders, arrhythmias, and cardiovascular system dysfunction, such as chest tightness, palpitations, and even respiratory muscle paralysis, dyspnea, cardiac arrest, life-threatening.

Fortunately, it was found in time, and after symptomatic treatment such as potassium supplement, Uncle he's condition improved quickly, and his serum potassium concentration returned to 4.5mmol/L, and he was quickly recovered and discharged from the hospital.

Experts said that recently, there has been a marked increase in the number of patients with fatigue, several of whom are hypokalemic periodic paralysis, concentrated in the middle-aged and elderly, basically because of a period of low dietary intake, coupled with vomiting, diarrhea and other conditions, resulting in potassium deficiency in the body. Therefore, even if the appetite in the illness is poor, experts say that we must pay attention to nutritional assurance, especially the elderly, patients with underlying diseases, we must pay attention to balanced nutritional intake, otherwise it is easy to have all kinds of problems.

In addition, excessive drinking, strenuous exercise, overwork, cold or emotional tension can also lead to hypokalemic periodic paralysis. In clinic, it is often seen that some patients are paralyzed after staying up all night and eating midnight snacks. Therefore, we must avoid being too happy after "Yangkang", eating and drinking too much, staying up all night to play, and so on.

Persistent headache

There may be many "murderers".

During this period, the number of headache patients who went to the Department of Neurology of the first Hospital of Zhejiang University also increased significantly.

"most of the headaches are caused by COVID-19, especially with a high fever, and as the body temperature returns to normal, the headache will be relieved. If you really have a severe headache, you can take drugs such as Sanlitong and ibuprofen, but be careful not to take drugs on top of each other. What's more, don't feel ineffective after taking one, take another immediately, usually at an interval of 46 hours." Chief physician Wang Kang, deputy director of the department of neurology, said, "if the long-term headache cannot be relieved, or even after turning negative, it is still necessary to see a doctor in time, without delay."

60-year-old Uncle Li (a pseudonym) still had a headache after the nucleic acid turned negative. After examination in the Department of Neurology of the first Hospital of Zhejiang University, it was found that it was the sequela of herpes simplex encephalitis he had suffered from some time ago. This is an infectious disease of the central nervous system caused by herpes simplex virus (HSV), which attacks the brain.

Herpes simplex virus is a common virus in nature, which can be transmitted by patients and healthy carriers, and can be infected at all ages, but people with low immunity are more likely to be infected with the virus. This virus can lurk in the human body, when the body's immunity decreases due to cold, fatigue, fever, mental stress and other factors, the virus will "attack".

Aunt Qian (not her real name), 40, had a severe headache after being infected with COVID-19, especially the pain from her right ear to the top of her head. She came to the hospital after taking painkillers. After examination, she found that she had shingles behind her right ear, causing neuralgia. This is a common skin disease caused by varicella-zoster virus (VZV).

Herpes zoster is a common disease in adults, the elderly, immunodeficiency and immunosuppressive patients, caused by the activation of latent viruses. In patients who have had chickenpox, a small amount of the virus lurks in the dorsal root ganglion of the spinal cord or the sensory ganglion of the cranial nerve. Trauma, fever and other factors will activate the virus latent in the ganglia, causing herpes zoster.

At present, both Li Shu and Aunt Qian have improved their conditions after treatment. "novel coronavirus infection itself may have headache symptoms, at the same time, during the illness, the human body is also more vulnerable to other viruses attack, sometimes patients show a headache, but there may be two or even several reasons." Chief physician Wang Kang said.

Experts said that if a high fever or headache persists for more than three days, it is still recommended to see a doctor in time, and if the headache continues after "Yangkang" can not be relieved, it is also necessary to seek medical screening in time to find out the real "murderer."

(Hangzhou Traffic 918)