Positive COVID-19 Rapid Test Results: A Patient's Journey

Positive result on COVID-19 rapid test?

Hello Dr.
Hong, I hope you are well.
I am currently in Indonesia and am using online consultation services, so I hope to gain a deeper understanding.
I apologize for the lengthy description.

Starting on the evening of June 12, I experienced a scratchy throat, but my sense of smell and taste were normal.
On June 13, the throat irritation did not significantly worsen, but I felt soreness in my muscles and joints.
That evening, I developed mild cold symptoms and took a combination cold medication—Johnson's Bi-Kang capsules—that I brought from Taiwan before bed.
However, there was no improvement, and I had a headache all night, making it difficult to sleep.
My sense of smell and taste remained normal, and I did not have diarrhea.

On the morning of June 14, my headache and pain around my eyes intensified, and I felt a sensation of heat and swelling in my throat, along with increased muscle soreness throughout my body.
I felt very weak and experienced some palpitations or anxiety.
That afternoon, I measured a temperature of 38.2 degrees Celsius and tested positive on a rapid antigen test.
I underwent a PCR test that same afternoon and am currently waiting for the results.

In the meantime, I have been taking over-the-counter medications that I purchased locally, which include three pills: triprolidine HCl 2.5 mg, pseudoephedrine HCl 60 mg, along with Kenacort (triamcinolone) 4 mg, and acetylcysteine 200 mg.
I have taken these three times, but the headache has not improved; it feels as if someone is twisting my head.
Therefore, I also took an additional dose of Panasonic paracetamol 500 mg for the headache.

Given that local medical care is limited, I am hesitant to seek in-person treatment.
I would like to know if it is appropriate to self-medicate with these medications.
I am still feeling very weak and have body aches, and the headache returns once the medication wears off.
Thank you.

Jessica, 30~39 year old female. Ask Date: 2021/06/15

Dr. Hong Yuanbin reply Internal Medicine

Hello, based on the symptoms you described, they do resemble a COVID-19 infection; however, we still need to wait for the PCR test for confirmation.
The medications you mentioned are all for relieving cold symptoms.
If you have cold symptoms, they can be taken to alleviate discomfort, but they do not have any therapeutic effect on the coronavirus itself.
I recommend purchasing a simple pulse oximeter to measure your blood oxygen levels.
If your oxygen saturation is above 95%, there is no need to worry.
If it is below 94%, it is advisable to seek medical attention promptly.
Thank you for your inquiry.

Reply Date: 2021/06/15

More Info

Hello! Thank you for reaching out with your concerns regarding your recent COVID-19 diagnosis and the symptoms you are experiencing. It sounds like you are going through a challenging time, and I hope to provide you with some clarity and guidance.

Firstly, let's discuss the symptoms you've described. You began experiencing throat discomfort and body aches, which progressed to a fever and a positive rapid test for COVID-19. The symptoms you are experiencing, such as headache, muscle pain, and fatigue, are common in COVID-19 infections. The fact that you had a fever of 38.2 degrees Celsius indicates that your body is responding to the viral infection, which is a normal immune response.

Regarding the medications you are taking, it’s important to understand their roles:
1. Triprolidine HCl is an antihistamine that can help relieve allergy symptoms, such as runny nose and sneezing, but it may not be effective for COVID-19 symptoms.

2. Pseudoephedrine HCl is a decongestant that can help relieve nasal congestion, which may provide some comfort if you are experiencing sinus pressure.

3. Kenacort (triamcinolone) is a corticosteroid that can reduce inflammation, but it should be used cautiously, especially in viral infections, as it can suppress the immune response.

4. Acetylcysteine is a mucolytic agent that helps thin mucus, which can be beneficial if you have respiratory symptoms.

5. Paracetamol (acetaminophen) is a pain reliever and fever reducer, which is appropriate for managing headaches and fever.

While these medications can provide symptomatic relief, it’s crucial to monitor your symptoms closely. If your headache persists or worsens, or if you experience new symptoms such as difficulty breathing, chest pain, or confusion, you should seek medical attention immediately. Given that you are in Indonesia and may have concerns about the healthcare system, consider reaching out to local health services or telehealth options for further guidance.

In terms of your question about whether you can manage your symptoms at home, it is generally acceptable to do so if your symptoms are mild and you are able to maintain adequate hydration and nutrition. However, if you notice any deterioration in your condition, such as a drop in oxygen saturation (below 94%), increased difficulty breathing, or persistent high fever, it is essential to seek medical care.

Regarding the timeline for recovery, many individuals with mild to moderate COVID-19 symptoms can expect to see improvement within a week or two. However, some symptoms, such as fatigue and headaches, may linger longer. It is also important to rest and allow your body to heal.

Lastly, regarding your concern about the effectiveness of the medications and whether they are appropriate for your condition, it is always best to consult with a healthcare professional who can assess your specific situation and provide personalized recommendations. If you feel uncertain about your treatment plan, consider discussing your symptoms and medications with a local healthcare provider or a telehealth service.

In summary, while you can manage mild symptoms at home with the medications you are taking, it is crucial to monitor your condition closely and seek medical attention if your symptoms worsen. Take care of yourself, stay hydrated, and rest as much as possible. I wish you a smooth recovery!

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