Is it Wuhan pneumonia?
Hello, doctor.
On Tuesday afternoon, I experienced fever, muscle aches, and mild diarrhea accompanied by abdominal cramps.
The fever subsided on Wednesday morning, leaving only slight diarrhea.
On Friday, I noticed that my breasts were painful to touch.
I haven't had any cough, runny nose, or other respiratory symptoms this week.
I haven't traveled abroad this year, nor have I visited tourist attractions during the holidays, and I have no relevant contact history.
Due to the recent concerns about COVID-19, I am a bit anxious.
Should I go to the hospital for testing? If so, should I make an appointment with the infectious disease department or go directly to the emergency room?
Niming, 20~29 year old female. Ask Date: 2020/04/17
Dr. Hong Yuanbin reply Internal Medicine
Hello, if there is no travel history or contact history, the likelihood of contracting COVID-19 is very low.
It is suspected to be acute gastroenteritis.
It is recommended to visit an infectious disease outpatient clinic for consultation, and testing for COVID-19 may not be necessary.
Thank you for your inquiry.
Reply Date: 2020/04/17
More Info
Based on your symptoms and the current context of the COVID-19 pandemic, it is understandable to feel anxious about the possibility of infection, especially given the ongoing concerns surrounding variants and transmission. Here’s a detailed analysis of your situation and recommendations regarding COVID-19 testing.
Understanding Your Symptoms
You mentioned experiencing fever, muscle aches, mild diarrhea, and abdominal cramps, followed by breast tenderness. Importantly, you did not report any respiratory symptoms such as cough or nasal congestion, which are commonly associated with COVID-19. The absence of these symptoms is a significant factor in assessing your risk of COVID-19.
Testing Recommendations
1. Symptom Assessment: While your initial symptoms (fever and muscle pain) could be indicative of a viral infection, they are not specific to COVID-19. Given that you have not experienced respiratory symptoms, it may be less likely that you have COVID-19. However, gastrointestinal symptoms can occur with COVID-19, so it is essential to consider the full picture.
2. Exposure History: You indicated that you have not traveled abroad or had contact with anyone known to be infected with COVID-19. This reduces your risk of exposure, but it does not eliminate it entirely, especially considering community transmission.
3. Testing Decision: Given your symptoms and the current public health guidelines, it is advisable to get tested for COVID-19. Testing is particularly important if your symptoms persist or worsen. You can consider the following options:
- Infection Control Clinic: If you have access to an infection control clinic, this would be a suitable place to get tested. They can provide guidance based on your symptoms and exposure history.
- Emergency Department: If you experience worsening symptoms, such as difficulty breathing, chest pain, or if your fever returns, it would be prudent to visit the emergency department. They can perform a more comprehensive evaluation and testing if necessary.
Additional Considerations
- Self-Isolation: Until you receive your test results, it is wise to practice self-isolation to prevent potential spread, especially if you develop any new symptoms.
- Monitoring Symptoms: Keep track of your symptoms. If you notice any respiratory symptoms developing, such as cough or difficulty breathing, seek medical attention promptly.
- Mental Health: It’s natural to feel anxious during this time. Consider reaching out to a healthcare provider for support if your anxiety becomes overwhelming.
Conclusion
In summary, while your symptoms may not strongly indicate COVID-19, it is still advisable to get tested, especially given the current climate of the pandemic. Testing will provide clarity and peace of mind. If you decide to get tested, an infection control clinic is a good starting point, but do not hesitate to go to the emergency department if your condition worsens. Remember to monitor your symptoms closely and take care of your mental health during this stressful time.
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