OpenHealth Q&A

Continued Health Challenges Post-COVID in 2023

Since my COVID diagnosis in December 2023, I've been struggling with a variety of health issues. I've consulted with my primary care physician regularly and also sought help from specialists in urology, gynecology, and pulmonology. Although I've faced suspicion of an autoimmune condition for years due to fluctuating white blood cell counts, no definitive diagnosis has ever been established. The persistent symptoms are seriously affecting my mental well-being and overall life quality, yet the various tests I’ve undertaken consistently return normal results. As a nurse, I find it perplexing that I am encountering such unique challenges, and I'm in urgent need of clarity regarding my condition. I am a 29-year-old female with a medical history that includes hypertension, ADHD, depression, anxiety, obesity, and specific genetic mutations (MTHFR C677T and A1298C). Unfortunately, my family medical background remains largely unknown. Currently, my medications include hydrochlorothiazide, amlodipine, Vyvanse, an over-the-counter daily probiotic, and occasional use of sennokot. My COVID infection occurred in December 2023, despite receiving vaccination and two booster shots beforehand, with a third booster administered afterward. I have also kept up with the flu vaccine. Initially, I experienced severe vomiting for several months, which has now ceased. Another symptom I face is an intermittent orange coating on my tongue, which is not painful but does induce feelings of nausea. This coating cannot be scraped off and sometimes transforms into smooth, red, and sore patches. Additionally, it contributes to a yeast-like odor on my breath, which I have also noted, at times, in my urine and stool, particularly during flare-ups of the tongue issue. This symptom persists. I am also dealing with a persistent dry, barking cough that occasionally leads to involuntary urinary leakage. Pulmonary function tests and a chest X-ray have shown no abnormalities, and neither inhalers nor other medications have resolved the issue. The cough appears to have no identifiable trigger and continues unabated. I have experienced UTI-like symptoms, yet clean catch cultures reveal no bacterial infection. Despite a lack of pain or burning with urination, I often feel that my bladder does not empty completely and experience pressure or a sense of urgency at the urethra that differs from typical UTI symptoms. A bladder scan indicated only 8ml residual urine after voiding. Attempts to treat my cough-related stress incontinence with Mirabegron have been unsuccessful. A vaginal swab tested positive for a yeast infection, yet I exhibited no typical symptoms. Two rounds of Diflucan did not alleviate any issues, and those symptoms still persist. There is a strong ammonia scent on my underwear, though my urine itself does not have a notable odor. I consistently wear 100% cotton underwear, avoid douching, and do not use soap on my vulva; still, the bacterial infection tests return negative. My urine is usually clear to pale yellow, and I have no vaginal discharge or odor, aside from what is noted on the underwear fabric. This condition remains ongoing. Recent laboratory evaluations have shown results within the normal range with the exception of elevated leukocytes and alkaline phosphatase levels. This pattern has been observable since I was about 14 or 15 years old, yet no underlying cause has ever been identified. Further tests for deficiencies in vitamin B and niacin came back normal, and I have tested negative for celiac disease multiple times over the past decade.

Answers (1)

3/31/2025, 11:30:51 PM

OpenHealth AI

It sounds like you're facing a complex and frustrating array of symptoms after your COVID diagnosis, and it’s understandable that you’re seeking clarity and relief. Given the variety of ongoing health issues, it’s important to approach this situation step by step, focusing on the most pressing concerns first.

Key Points:

1. Persistent Symptoms: You are experiencing multiple troubling symptoms including a dry cough, issues with your tongue, and urinary concerns.
2. Medical History: Your history of fluctuating white blood cell counts and existing health conditions may play a role in your current symptoms.
3. Mental Well-being: Ongoing health issues are impacting your quality of life and mental health, which is an important aspect to address.

Explanation:

It’s not uncommon for people to have lingering symptoms after COVID-19, which can sometimes overlap with other conditions. The orange coating on your tongue and changes in your breath odor may indicate an oral or gastrointestinal issue, while the cough and urinary symptoms could suggest underlying conditions that merit further exploration.

Your elevated leukocyte counts could indicate inflammation or an immune response, which is often the body’s way of reacting to infection or other issues. However, the absence of definitive diagnoses suggests that a multifaceted approach may be necessary.

Next Steps:

1. Symptom Management:

   • Hydration & Diet: Ensure you stay well-hydrated and consider dietary adjustments. A bland diet might help reduce nausea and support digestive health.
   • Tongue Care: Good oral hygiene can help manage the coating on your tongue. Rinse with a saline or baking soda solution to cleanse your mouth and reduce any potential oral imbalance.

2. Cough & Urinary Issues:

   • Respiratory Support: Use a humidifier to help with your dry cough, especially during nighttime. Consider saline nasal sprays to keep your airways moist.
   • Urinary Symptoms: Keep a diary of fluid intake and urination patterns to help identify any potential triggers. Kegel exercises may assist in managing incontinence.

3. Mental Health:

   • Support Resources: Given your concerns about mental well-being, seeking support through counseling or therapy can be beneficial. A mental health professional can help you navigate the emotional toll of these persistent health issues.

4. Follow-Up Testing:

   • Discuss with your healthcare provider the possibility of testing for conditions like interstitial cystitis or other auto-immune conditions, given your symptoms and medical history.

5. Consider Specialized Care:

   • Given the complexity of your situation, you might benefit from a multidisciplinary approach. Consider revisiting specialists with a focus on autoimmune conditions, or seek a referral to a center specializing in post-COVID syndromes.

Overall, it’s crucial to remain proactive in advocating for your health, seek support for your mental well-being, and work closely with your healthcare providers to explore the underlying causes of your symptoms. You are not alone in this, and there are paths to better health and understanding.