COVID-19
Hello, Doctor.
My daughter is 14 years old.
Yesterday evening, she experienced diarrhea, a sore throat with phlegm, and a fever (temperature of 37.7 degrees Celsius).
I gave her medication (Children's Lisinopril), and about an hour later, her fever subsided.
She has not had a fever since then, and her sore throat and diarrhea symptoms have improved significantly.
I would like to ask if I need to take my daughter for a COVID-19 rapid test, or if we should just monitor her at home.
Thank you!
Chen Mama, 40~49 year old female. Ask Date: 2021/07/17
Dr. Lin Wufu reply Internal Medicine
Hello: Your daughter's symptoms meet the screening criteria for COVID-19, but of course, common cold symptoms can also be similar, making it difficult to determine the possibility of COVID-19.
It is recommended that unless all symptoms have completely resolved, you should consider going to a nearby community testing site for a free COVID-19 test for peace of mind.
Reply Date: 2021/07/17
More Info
Given the symptoms your daughter is experiencing—diarrhea, sore throat with phlegm, and a mild fever—it's understandable to be concerned about the possibility of COVID-19. While her symptoms have improved after taking medication, it is still prudent to consider testing for COVID-19.
1. Symptoms and Testing Guidelines: The symptoms you've described can overlap with both COVID-19 and other viral infections, such as the flu or a common cold. The Centers for Disease Control and Prevention (CDC) recommends testing for COVID-19 if an individual exhibits symptoms consistent with the virus, especially in the context of ongoing community transmission. Since your daughter had a fever and other respiratory symptoms, it would be wise to get her tested to rule out COVID-19. This is particularly important if she has been in contact with anyone who has tested positive for the virus.
2. Testing Options: You can opt for a rapid antigen test or a PCR test. Rapid tests provide results quickly, usually within 15-30 minutes, while PCR tests are more sensitive and may take longer for results. If you choose to go for testing, ensure that she follows the instructions for the test carefully, and consider the timing of the test in relation to her symptoms. Testing too early after exposure may yield a false negative result.
3. Home Observation: If you decide against immediate testing, closely monitor her symptoms. If she experiences a resurgence of fever, worsening of her sore throat, or any new symptoms, it would be advisable to seek medical attention and consider testing at that point. Additionally, maintaining good hygiene practices, such as frequent handwashing and wearing masks, can help prevent the spread of any potential infection within your household.
4. Impact of COVID-19 on Children: Generally, children tend to experience milder symptoms compared to adults when infected with COVID-19. However, some children can develop severe illness or complications, including multisystem inflammatory syndrome in children (MIS-C), which can occur weeks after infection. Therefore, being vigilant about her health and seeking medical advice if her condition changes is crucial.
5. Emotional Considerations: It's also important to consider the emotional impact of this situation on both you and your daughter. The uncertainty surrounding COVID-19 can be stressful. Providing reassurance and maintaining open communication about her symptoms and feelings can help alleviate anxiety.
In conclusion, given your daughter's recent symptoms, it is advisable to proceed with COVID-19 testing. This will provide clarity and peace of mind, allowing you to take appropriate actions based on the results. If the test is negative and her symptoms continue to improve, you can continue to monitor her at home. However, if symptoms worsen or new symptoms arise, do not hesitate to seek medical care.
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