During the epidemic of new coronavirus pneumonia (Covid-19), some people developed symptoms of fever and diarrhea, and they were worried about contracting new coronavirus pneumonia.
In fact, inflammatory bowel disease (IBD) can also cause fever and diarrhea. We need to carefully control this to avoid confusion.
Zhu Liangru, chief physician of Department of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology made the following explanation.
What is inflammatory bowel disease? Inflammatory bowel disease is a type of chronic idiopathic bowel disease, including Crohn's disease and ulcerative colitis.
Patients usually have varying degrees of immune disorders, which do not necessarily manifest as weakened immunity.
However, if the patient is using certain drugs, such as glucocorticoids, immunosuppressive agents or biological agents, such immunosuppressive drugs, they will indeed be in a state of low immunity and more likely to be infected with the virus.
Therefore, it is necessary to take careful precautions, try not to go out, and avoid going to hospitals where there are many people.
If you are in remission and the condition is relatively stable, it is recommended to defer to the hospital for treatment, you can consult online.
Patients with active inflammatory bowel disease may develop fever symptoms, and the common symptoms of new coronavirus pneumonia are also fever. The two symptoms are similar and easily confused.
Therefore, we need to carefully treat the fever symptoms of patients with inflammatory bowel disease and carry out scientific evaluation to avoid cross-infection caused by blind medical treatment. Specifically, the following should be done:
1. If it is only low-temperature 37 °C ~ 37.5 °C, there is no obvious cough, sputum, chest tightness, chest pain, dyspnea, muscle soreness, fatigue, loss of appetite, etc., it is recommended to isolate at home and closely observe the symptoms.
If the symptoms are severe, you can go to a nearby hospital.
2. If the temperature exceeds 38 °C, it is recommended to go to a fever clinic and keep close communication with your IBD doctor to let the doctor determine what caused it.
3. If there is fever and chest tightness, you should remain alert and seek medical attention as soon as possible.
4. If you have been contacted with a confirmed or suspected new type of coronavirus pneumonia, but do not have any discomfort at present, it is recommended that you stay at home for 14 days and mainly monitor body temperature changes.
5. If the cause of fever is not clear and the new coronavirus pneumonia cannot be ruled out, it is recommended to suspend the use of immunosuppressive agents and biological agents and go to the hospital to investigate the cause of fever.
In addition, patients with active inflammatory bowel disease and patients with new coronavirus pneumonia will develop symptoms of diarrhea. So how should we judge?
Monitoring your temperature is the best way. If the body temperature is normal, follow-up can be continued, and medication according to the IBD active phase treatment plan.
If the body temperature exceeds 38 °C, it is recommended to go to a fever clinic and keep close communication with your IBD doctor.
In short, IBD patients should be scientifically protected during the epidemic, adhere to daily temperature monitoring, pay attention to diet management, and maintain close communication with the attending doctor at any time, believing that the body will slowly recover.
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