Thriving beyond the fog: managing long COVID symptoms and reclaiming your life

Long COVID, also referred to as post-COVID syndrome, is a complex condition that affects individuals long after their initial COVID-19 infection has resolved. This condition has impact many lives. Understanding the symptoms and learning how to manage them is esencial for reclaiming quality of life.

What are the common symptoms of long COVID?

The symptoms of long COVID can vary widely and may affect different parts of the body. The most common symptoms include:

• Fatigue: this is often described as overwhelming tiredness that does not improve with rest.
• Brain fog: many patients report difficulties with memory, concentration, and cognitive function.
• Shortness of breath: breathlessness, even after mild activity, is a frequent complaint.
• Muscle pain: this can include aches and discomfort in different areas of the body.
• Heart palpitations: irregular or rapid heartbeats are common.
• Sleep disturbances: many patients experience insomnia or disrupted sleep patterns.

There are other symptoms, such as joint pain, dizziness, and loss of smell or taste, but these are less common.

Why do some people develop long COVID?

The exact cause of long COVID is not fully understood. Some theories suggest it may be related to the immune system’s ongoing response to the virus, while others propose that organ damage or inflammation may play a role. What we do know is that long COVID does not only affect those who had severe initial infections; even those with mild or asymptomatic COVID-19 can develop persistent symptoms.

How is long COVID diagnosed?

Diagnosing long COVID can be challenging as there is no specific test for the condition. Diagnosis is typically made based on a patient’s history, symptom pattern, and the exclusion of other possible causes. If you suspect you have long COVID, your GP or specialist may recommend tests to rule out other conditions and to assess the severity of your symptoms.

What treatments are available for long COVID?

There is no single treatment for long COVID, as the symptoms vary from person to person. Management is usually focused on relieving symptoms and supporting recovery. Some common approaches include:

• Rehabilitation programmes: tailored rehabilitation involving physiotherapy, occupational therapy, and speech therapy can help address physical and cognitive symptoms.
• Breathing exercises: these may help manage breathlessness and improve lung function over time.
• Medication: depending on symptoms, medications may be prescribed for issues like pain, sleep disturbances, or mental health conditions.
• Mental health support: many patients with Long COVID experience anxiety, depression, or mood swings. Support from a psychologist or counsellor may be helpful.

Can lifestyle changes help in managing long COVID?

Yes, lifestyle changes can play an essential role in managing symptoms and supporting recovery. Some recommended changes include:

• Pacing: learning to balance activity with rest to avoid exacerbating fatigue.
• Healthy diet: a well-balanced diet can help support the immune system and overall health.
• Sleep hygiene: establishing good sleep habits can improve rest and recovery.
• Mental health: practising relaxation techniques, mindfulness, and managing stress can be beneficial for both mental and physical symptoms.

Is long COVID permanent?

The outlook for long COVID varies from person to person. While many individuals improve over time, others may experience symptoms for an extended period. Research is ongoing to better understand why some people recover more quickly than others. If you are struggling with long COVID, it is important to seek support from healthcare professionals and to remain patient with the recovery process.

When should I seek help for long COVID symptoms?

If you are experiencing symptoms of long COVID that are affecting your daily life, it is important to seek medical advice. Your GP can provide guidance on managing your symptoms and refer you to a specialist if necessary. Early intervention and ongoing support can help improve outcomes.

Long COVID is a challenging condition, but with the right support and management strategies, it is possible to regain control and move forward with your life