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Some patient with COVID-19 experience gastrointestinal symptoms , particularlydiarrhea , as the first house of malady , according to a Modern study .
Among this subset of patient — who have mild disease overall — respiratory symptoms show up only afterward in the illness , and some never develop respiratory symptom at all , the authors tell .
The findings are important because those without classicsymptoms of COVID-19 — such as cough , shortness of breath and febricity — may go undiagnosed and could potentially spread the illness to others , the investigator said .
Still , they note that digestive problems are vulgar overall and do n’t necessarily mean that a person has COVID-19 . But doctors should recognize that sudden digestive symptoms in hoi polloi with a possible COVID-19 tangency " should at least prompt consideration of the malady , " the authors wrote in their paper , published ahead of photographic print Monday ( March 30 ) inThe American Journal of Gastroenterology . " bankruptcy to recognize these patient role early and often may lead to unintentional facing pages of the disease . "
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The field is not the first to account digestive symptom as a mansion of COVID-19 . For example , a studyposted March 18 in the same journalfound that , among about 200 COVID-19 patients at three infirmary in Wuhan , China , around 50 % reported at least one digestive symptom , and 18 % reported diarrhea , vomiting or abdominal pain . However , that study and others have tended to focalize on patient with wicked illness , rather than those with modest disease .
In the new subject area , the research worker analyzed selective information from 206 patients at Union Hospital , Tongji Medical College in Wuhan , which was designated as a infirmary for COVID-19 patient . To be included in the study , patients needed to have a mild illness , without difficulty breathing or low roue oxygen story .
Overall , 48 patients ( 23 % ) were accommodate with digestive symptom only , 89 ( 43 % ) with respiratory symptom only and 69 ( 33 % ) with both respiratory and digestive symptoms .
Among all affected role with digestive symptoms ( 117 patients ) , about 67 ( 58 % ) had diarrhea , and of these , 13 ( 20 % ) experienced diarrhoea as the first symptom of their illness . patient role ' diarrhea hold up from one to 14 days , with an average continuance of five days , the report state . About one - third of patient role with digestive symptom never experienced afever .
Patients with digestive symptom tended to seek health care later than those with respiratory symptom , an average of 16 days from the start of their symptoms , compared with 11 days for those with respiratory symptoms , the study see . Those with digestive symptoms also took longer to empty the computer virus from their body ( exam negatively charged for COVID-19 ) , taking about 41 day on average , compared with 33 days for those with respiratory symptom only .
Finally , those with digestive symptoms were much more likely to have the newfangled coronavirus , SARS - CoV-2 , detected in their stool , with about 73 % feature positive crapper samples , equate with 14 % of those with respiratory symptom only . This finding suggests , but does not definitely confirm , that that virus infects the gastrointestinal tract , the authors say .
Overall , " these data underscore that affected role with new - onslaught looseness after a possible COVID-19 touch should be suspected for the illness , even in the absence of coughing , truncation of breather , sore pharynx or even fever , " the authors concluded . " Optimally , testing for COVID-19 should be perform using both respiratory and stool sample , if uncommitted . "
The authors note that their study was relatively small , and larger studies are needed to further describe digestive symptom in patient with mild COVID-19 .
to begin with published onLive Science .
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