Digestive symptoms should be a new focus for clinicians testing for novel
What are the symptoms?
Abdominal pain, diarrhea, anorexia and vomiting. Anorexia is more common and can be found in 80 % patients. Average time from onset of symptom to hospital admission was 8.1 days. However, it was 9.0 days for patients with GI symptoms, including those with anorexia, compared with 7.3 days for those who did not have digestive symptoms.
The most important point to note that few patients can have only digestive
Can virus have feco-oral route of transmission?
Yes. Investigators from Guangdong Province in China examined the viral RNA in stool from 71 patients with confirmed COVID-19. The duration of positive stool tests may range from 1-12 days and patients can remain positive via stool tests after showing negative in respiratory samples.
Because COVID-19 is found in stool, it’s probably best to use meticulous hand hygiene and bleach/antiseptic wipes in shared bathrooms (if self- quarantined).
Can this virus cause liver injury?
Yes. Mild to moderate liver injury as revealed by elevated aminotransferases,
What is the evidence of Gastrointestinal tract involvement?
There is clear evidence from endoscopy that it can damage the stomach and the intestines. Patients with more of gastric body involvement do have
What is the outcome?
Patients with digestive symptoms have a longer time from onset of admission and their prognosis is worse than patients without digestive symptoms. The
Conclusion: Physician should recognize that digestive symptoms may be a presenting feature of COVID-19, and there should be increased index of suspicion for an early diagnosis than waiting for respiratory symptoms to develop. Virus has a potential of feco-oral transmission.