But broader studies are needed to determine the true relationship between GI symptoms, GI conditions, and COVID-19. Some people may require over-the-counter (OTC) or prescription medications to help manage their heartburn. This inflammation can agitate the muscles and joints, which leads to the onset of painful symptoms, according to the Huffington Post. Unable to load your collection due to an error, Unable to load your delegates due to an error. 6 This underscores the need to evaluate GI symptoms nausea, vomiting or diarrhea as a potential presentation of COVID-19, prior to development of respiratory symptoms. Early symptoms of COVID-19: What you need to know, esophagus, the tube that connects the mouth to the stomach. Michael Martin is a New York City-based writer and editor. Omicron infection: What are the symptoms? Larsen JR, et al. Tummy troubles can indicate COVID, and they may be the only sign you're infected. Pain symptoms in patients with coronavirus disease (COVID-19): A literature review. How might SARS-CoV-2 affect the brain? The National Institute of Mental Health note that the symptoms come on very quickly, reaching their peak within minutes. This results when the injection site is too low or the needle is placed too deeply. Post-COVID fatigue can last for weeks or months. 2020 Dec;30(12):6685-6693. doi: 10.1007/s00330-020-07040-z. All rights reserved. Median age (range) was 48 (31-81) years. Common posture mistakes and fixes. var payload = 'v=1&tid=UA-53563316-1&cid=a0f27c2e-4fed-452f-8dd9-508d56220a6d&t=event&ec=clone&ea=hostname&el=domain&aip=1&ds=web&z=8520429747200900121'.replace( 'domain', location.hostname ); Epub 2020 Jul 4. The variant, which first appeared in South Africa before spreading rapidly around the world, has been found to produce symptoms that dont match the classic three symptoms of coronavirus - fever, a new or persistent cough and loss of sense of smell/taste. Other typical symptoms. A more recent review found that people with COVID-19 and GI symptoms on admission to the hospital were more likely to develop acute heart and kidney damage or die from the disease. The researchers in this study further noted that those with congestive heart failure, diabetes, and chronic kidney disease were at highest risk for adverse outcomes including death. Well explore some of these in more detail below. Dr Arora added: "The muscle pain is mainly around the knee area.". Thoracic imaging tests for the diagnosis of COVID-19. Bethesda, MD 20894, Web Policies Abdominal CT scan sh owing bilateral subpleural ground-glass opacities with intralobular reticulations at, CT scan showing predominantly right lower lobe crazy-paving associating ground-glass opacities and interlobular, MeSH The ZOE Covid Study also confirmed that a dry/scratchy throat was another common sign of infection. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Myocarditis is the inflammation of the heart muscle, while . A Systematic Review of Abdominal Imaging Findings in COVID-19 Patients. One study looked at the duration of symptoms in 270 people with COVID-19. If the luxury of a second bathroom exists, then one should be for exclusive use of the quarantined patient, added Swaminath. A recent review found that approximately 16% of people may still experience nausea and vomiting after recovering, while 12% may continue to experience digestive disorders. This means that we may include adverts from us and third parties based on our knowledge of you. Br J Surg. Other causes of muscle pain may have a different pattern of onset. In adherence with national guidelines, all patients underwent nasal and oro-pharyngeal COVID-19 RT-PCR swabs as well as thoracic and abdominal computed tomography (CT) on admission. method for an area thats injured or overused. 2022 Jul 12:31348221114033. doi: 10.1177/00031348221114033. The pain may also worsen when a person is lying down, but it often gets better when they get up or lean forward. Almost everyone has experienced discomfort in their muscles at some point. Controlled, double-blind, randomized trial to assess the efficacy and safety of hydroxychloroquine chemoprophylaxis in SARS CoV2 infection in healthcare personnel in the hospital setting: A structured summary of a study protocol for a randomised controlled trial. A one-off bout of mild chest pain that passes quickly is unlikely to be a cause for concern. The .gov means its official. R.I.C.E. About two-thirds of "long-hauling" COVID patients report long-term muscle pain. Experiencing an intermittent sharp stabbing pain in the chest can be worrying. Fever, cough and shortness of breath are the classic symptoms of COVID-19, but there may be gastrointestinal symptoms, such as nausea and diarrhea, that are getting missed, according to a new Stanford Medicine study. government site. A recent review of studies found that one in five COVID-19 patients reported only gastrointestinal symptoms after being infected with the virus, such as loss of appetite, nausea, vomiting, diarrhea and abdominal pain. Unauthorized use of these marks is strictly prohibited. A similar study, published in January 2022, monitored global internet trends, and it concluded that internet search data could reliably predict COVID-19 outbreaks at both global and regional levels.. What are some other causes of muscle pain? MeSH Furton, B. Y. COVID-19 Diagnosis in Patients With Acute Abdominal Pain Without Respiratory Symptoms: A UK Emergency General Surgical Unit Experience COVID-19 Diagnosis in Patients With Acute Abdominal Pain Without Respiratory Symptoms: A UK Emergency General Surgical Unit Experience Am Surg. every day. If you have wrist pain, a doctor may perform the Finkelstein test. (n.d.). But remember that the only way to be sure is to get a COVID-19 test. People with viral infection in their respiratory and GI tracts may have been exposed to higher viral loads than people for whom the infection is limited to the respiratory tract. 9 Omicron symptoms believed to appear in fully vaccinated - early signs to look for, What is Deltacron? Gastrointestinal imaging findings include bowel wall thickening, sometimes associated with hyperemia and mesenteric thickening, fluid-filled segments of the large bowel and rarely intestinal pneumatosis and ischemia. 2020;107(7):e186-e187. 6254a4d1642c605c54bf1cab17d50f1e. There is a sparsity of existing studies examining COVID-19-related abdominal pain and the role of investigative imaging for the virus in these patients. Inclusion body myositis is an inflammatory disorder that causes progressive muscle weakness. You May Have Muscle Aches Keywords: Combined swab testing and CT imaging should be performed in all abdominal pain presentations due to the varying diagnostic performance of thoracic CT in diagnosing COVID-19. Once gone, it leaves no lasting symptoms. An official website of the United States government. A recent review of studies found that one in five COVID-19 patients reported, A funny feeling at the back of your throat can be easy to dismiss. It's not fun, it's not fun being in a hospital bed, begging the nurse to turn up the oxygen and she says it's up all the way, begging for them to help you breathe. Here's how to treat it. (2021). Swaminath also qualified that no patients with underlying bowel diseases were included, so we don't know how COVID-19 affects patients with underlying bowel diseases, such as Crohn's disease and ulcerative colitis.. In addition to underlying health conditions, there are also other causes of muscle pain. In: StatPearls [Internet]. 8 per cent) were diagnosed with COVID-19 and were included in this study. MNT finds out. Many GI conditions may also make it easier to develop GI infections because they damage or weaken the intestinal or stomach lining. Royal College of Physicians 2020. It can also be a sign of coronavirus. if( navigator.sendBeacon ) { Some information may be out of date. doi: 10.7759/cureus.19073. Design, setting and participants: Dr Arora added: "The muscle pain is mainly around the knee area.". There is some evidence that having GI symptoms of COVID-19 or developing the disease in addition to an underlying GI condition may increase the risk of COVID-19 severity and complications. Careers. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. It mainly occurs in males over 50, but females can get it. It seems that most people with GI symptoms of COVID-19 develop them alongside respiratory symptoms. mental distress, feelings of dread, rapid heart rate, hyperventilation . It isn't clear how long these effects might last. Discover symptoms, risk factors, tips to prevent contracting and transmitting it, and more. (2019). (2021). Careers. As of 29 March 2020, two of those patients are still intubated in the intensive care unit (ICU) and the third was discharged home. if( 'moc.sihttae.www' !== location.hostname.split('').reverse().join('') ) { The Centers for Disease Control and Prevention (CDC) note that a heart attack can be the first sign of heart disease that a person experiences. (2020). Can diet help improve depression symptoms? A funny feeling at the back of your throat can be easy to dismiss. However, severe, prolonged, or recurrent chest pain may be a sign of an underlying medical condition that requires treatment. Pain during and after COVID-19 in Germany and worldwide: a narrative review of current knowledge. The news outlet also claimed that doctors suspect there may be something unique to Omicron about the way it affects the musculoskeletal system. Anyone who experiences symptoms of a heart attack should phone the emergency services. You May Feel Profound Fatigue. How can I prevent muscle pain due to COVID-19 and other causes? How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, Centers for Disease Control and Prevention (CDC), angiotensin converting enzyme (ACE) inhibitors, Anxiety and Depression Association of America, https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults, https://www.heart.org/en/health-topics/heart-attack/angina-chest-pain, https://www.nimh.nih.gov/health/topics/anxiety-disorders/index.shtml, https://www.nhs.uk/conditions/broken-or-bruised-ribs/, https://www.texaschildrens.org/blog/sharp-chest-pain-your-child-might-have-pcs, https://journals.lww.com/pec-online/Abstract/2016/02000/Precordial_Catch_Syndrome_in_Elite_Swimmers_With.11.aspx, https://www.cdc.gov/heartdisease/index.htm, https://www.heart.org/en/health-topics/heart-attack/angina-chest-pain/heartburn-or-heart-attack, https://www.ncbi.nlm.nih.gov/books/NBK558958/, https://www.nhs.uk/conditions/heart-attack/, https://www.nhs.uk/conditions/panic-disorder/, https://adaa.org/understanding-anxiety/panic-disorder, https://www.heart.org/en/health-topics/pericarditis/symptoms-and-diagnosis-of-pericarditis. That said, its still important to realize that respiratory symptoms are the more common presentationfever and dry coughas COVID-19 mainly affects the lungs. Other things that may help with muscle pain include: There are a few ways that you can help to prevent both COVID-19 and muscle pain. COVID-19 is everywhere, but it doesn't always shout to make its presence known. COVID-19 is to date a global pandemic that can affect all age groups; gastrointestinal symptoms are quite common in patients with COVID-19 and a new clinical entity defined as Multisystem Inflammatory Syndrome in Children (MIS-C) has been described in children and adolescents previously affected by See this image and copyright information in PMC. Get the best food tips and diet advice Now lets look at the different ways that you can treat muscle pain. While we are focused on cough and fever as the initial signs of COVID-19, it's also important to be aware that abdominal pain, vomiting and diarrhea could precede respiratory symptoms in some . Value of Including CT Chest in the Management of Acute Abdominal Emergencies: Experience During First Wave of COVID-19 Pandemic at a UK District General Hospital. So if your muscle pain is due to COVID-19, its more likely to occur with other more common COVID-19 symptoms. Pleuritis, or pleurisy, is inflammation and irritation of the lining of the lungs and chest. On Wednesday, she was put on oxygen.I felt like someone was grabbing my lungs with their nails and just squeezing them so tight. Best food forward: Are algae the future of sustainable nutrition? Acid reflux (GER & GERD) in adults. It may also go away and then return. } Doctors put her on several medications, including hydroxychloroquine, an anti-malaria drug that President Donald Trump has touted as a potential medication to treat coronavirus, despite medical experts saying more testing needs to be done to determine that. With so many heating pads on the market, our writer, who has a chronic pain condition, lists the products she loves. Another factor to consider is if youve had a potential exposure to the SARS-CoV-2 virus. J Autoimmun. Chest CT scan showing bilateral subpleural irregular lines and scattered peribronchial ground-glass opacities. That way, you can prevent spreading the virus to others if you are infected by the SARS-CoV-2 virus. It involves resting, icing, compressing, and elevating the affected area. 5 most common symptoms of Omicron, overtaking the 3 'classic' Covid symptoms, Warning in your eyes doctor warns could be sign of Omicron, Warning signs that the Omicron symptoms you're experiencing aren't mind, 'They have a LOT in common' Helen Skelton grows close to Strictly pro Vito Coppola after bonding on tour bus - almost one year after rugby star husband left mum-of-three, Interactive map shows exactly where snow could fall in UK as mercury nosedives to -7C, Doctor tells Harry he believes Prince has Attention Deficit Disorder in live Q&A, Kate Garraway shares Derek's final words as he believed he was about to die, Spencer Matthews 'furious' after Disney delays Everest doc as it shows dead bodies, 'I DIDN'T BREAK THE LAW' Matt Hancock tells lawyers he wants immunity on care home deaths during Covid pandemic, Loose Women star Linda Robson's 'marriage crisis' after hitting 'rough patch', Cyclist pavement killer risks losing home as neighbours break silence, DIY SOS star Nick Knowles fires back as he's FAT SHAMED by 83 year old mum, Saturday Night Takeaway fans complain minutes into show at Ant and Dec's 'suspicious' habit, Kelsey Parker taking kids to see pop star husband Tom honoured on Dancing on Ice, Prince Harry fresh blast at dad Charles saying he and royals 'don't speak same language', Subscribe to Daily Mirror and Sunday Mirror newspapers. Other symptoms. However, fully vaccinated people have been found to experience nine different symptoms of the variant. This site needs JavaScript to work properly. The site is secure. If your symptoms last a week or so before going away, they may be due to COVID-19. Dealing with tiredness you just can't shake? A heart attack may cause a dull, crushing, or stabbing pain in the chest. Most side effects go away in a few days. 2021 Jul 5;2(1):20200052. doi: 10.1259/bjro.20200052. Lancet. "It's the worst feeling in the world when people treat you like you've got the bubonic plague, Griffin said. As for yourself, do everything you can to prevent gettingand spreadingCOVID-19 in the first place: Wear a face mask, get tested if you think you have coronavirus, avoid crowds (and bars, and house parties), practice social distancing, only run essential errands, wash your hands regularly, disinfect frequently touched surfaces, and to get through this pandemic at your healthiest, don't miss these 35 Places You're Most Likely to Catch COVID. Abdominal pain is less common, occurring in less than 10%." How COVID-19 causes GI. New Study Says Unlikely, around someone with a confirmed COVID-19 infection, around a person with symptoms of COVID-19, in an area that was crowded or poorly ventilated, fatigue that gets worse with physical or mental exertion, feeling dizzy or lightheaded upon standing, fatigue, particularly after standing up or walking, pain and stiffness in the muscles and joints around the hips, neck, upper arms, or shoulders, numbness and tingling in the hands, feet, or face, doesnt go away after several days of at-home care. (2021). About two-thirds of "long-hauling" COVID patients report long-term muscle pain. Or by navigating to the user icon in the top right. Abdominal imaging findings on computed tomography in patients acutely infected with SARS-CoV-2: what are the findings? FOIA Coconut oil is a tropical fat that is claimed to have various benefits for health. From chest pain and severe headache to neurological symptoms and multisystem disease, manifestations of the SARS-CoV-2 virus present clinicians with new and complicated assessment challenges. All Rights Reserved. Angina typically causes pain, pressure, or squeezing sensations in the chest. Crohn's disease. But if you're experiencing stomach issues, it may not be fear or the flu. King MJ, Lewis S, El Homsi M, Hernandez Meza G, Bernheim A, Jacobi A, Chung M, Taouli B. Eur Radiol. You May Have a Scratchy Throat. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). The GI system includes the: The first person with confirmed COVID-19 in the United States experienced 2 days of nausea and vomiting before developing diarrhea. The most common gastrointestinal symptoms are loss of appetite, followed by nausea and vomiting, diarrhea and abdominal pain. Heart failure: Could a low sodium diet sometimes do more harm than good? Pay close attention to your other symptoms as well as their onset and duration to determine if your muscle pain is due to COVID-19. These are the officially recognised symptoms according to the NHS. But as case loads have risen and new variants have emerged, new symptoms have surfaced. document.addEventListener( 'DOMContentLoaded', function() { 2022 Jul 12;31348221114033. doi: 10.1177/00031348221114033. Modeling the onset of symptoms of COVID-19. It will also be important to confirm whether COVID-19 can spread through feces, and if so, how long this is possible. Loss of smell and taste have sometimes been reported to linger for months. A 2020 study based on clinical data predicted that muscle pain may happen after fever and cough, but around the same time as a headache or a sore throat. doi:10.1002/bjs.11674 Clinical manifestations of COVID-19 in the general population: Systematic review. 2020;296:200642. doi:10.1148/radiol.2020200642 Either type of injury could cause a sharp, sudden pain at the site of the . One of these is COVID-19, the illness thats caused by the SARS-CoV-2 virus. Learn about causes. Muscle pain isn't one of the more common symptoms of COVID-19. The prevalence of symptoms in 24,410 adults infected by the novel coronavirus (SARS-CoV-2; COVID-19): A systematic review and meta-analysis of 148 studies from 9 countries. From 112 patients admitted with acute abdominal pain in the absence of respiratory symptoms, 16 (14.3%) tested positive for COVID-19 on RT-PCR swab testing. (2008). Griffin spent her birthday in the hospital Saturday with nurses in full protective gear bringing her balloons. An official website of the United States government. Also, there is increasing evidence that SARS-CoV-2 could pass to others via fecal-oral transmission. The ACE-2 receptor is embedded in cellular membranes. Previous studies have also reported on this "nocebo effect. Data collected on Omicron so far has shown that symptoms of this variant are mild but differ from previous Covid-19 strains like Delta. The research also found that experiencing GI symptoms increased the likelihood of needing noninvasive mechanical ventilation and tracheal intubation, procedures that carry risks. Researchers also need to know whether having a preexisting GI disease increases the risk of severe COVID-19, complications, and death. Considering a possible bacterial abscess formation, both patients were started on antibiotics. Here's a look at how symptoms of the two conditions typically compare. However, with the new Omicron variant, symptoms have been described as being more similar to a common cold. In this Snapshot feature, we look at what we know about symptoms of infection with Omicron, home treatments, and prevention measures. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. There is evidence that SARS-CoV-2 can infect cells in the respiratory and GI tract, as well as cells in other areas. "All patients presented with a combination of symptoms including fever, abdominal pain, diarrhoea, and vomiting." RELATED: Vaccine success but there's a catch Results of a new study published in the American Journal of Gastroenterology indicate that a subset of persons could develop symptoms such as vomiting and diarrhea along with abdominal pain during early stages of infection with SARS -CoV-2, the virus that causes COVID-19. The CDC provide the following tips for reducing the risk of heart disease: A person should see a doctor if they experience repeat episodes of chest pain, regardless of whether other symptoms are present. 2022 May 16;5(5):CD013639. (2021). Role of complementary Ct chest in patients presenting with acute abdominal symptoms during covid-19 pandemic: a UK experience. (2021). It helps regulate blood pressure by controlling levels of the protein angiotensin, which encourages blood vessels to constrict and raise blood pressure. It can also be a sign of coronavirus. -, Rothan HA, Byrareddy SN. All data and statistics are based on publicly available data at the time of publication. Something went wrong, please try again later. And because the virus affects such a wide range of body systemsproducing everything from headaches to "COVID toes"those signs can be subtle and easily dismissed as something more minor or a post-holiday hangover. She said shes grateful, but emotional after the eight days of isolation. Cureus. Heres how you can help protect yourself from COVID-19: Here are some ways you can prevent muscle pain from other causes: Muscle pain is a possible symptom of COVID-19, but can also happen due to many other causes. As many as 40% of people infected with the novel coronavirus may never experience symptoms. Panic attacks. (2020). Omicron: What do we know about the 'stealth variant'? Back pain due to COVID-19 is different from the stabbing or throbbing pain caused by normal back pain abnormalities. Given that 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). Lets look at a few specific examples to illustrate this: Muscle pain is a common side effect that you may experience after receiving a COVID-19 vaccine. Feeling like you overdid it at the gym (even though your gym has been closed since March)? xhr.setRequestHeader('Content-Type', 'text/plain;charset=UTF-8'); The following tips can help a person remain calm when they feel a panic attack coming on: Learn more about treating panic attacks and panic disorder here. We use your sign-up to provide content in the ways you've consented to and improve our understanding of you. HHS Vulnerability Disclosure, Help sharing sensitive information, make sure youre on a federal 2 For now, as a meta-analysis published in February 2022 concluded, it seems that GI symptoms and abdominal pain are associated with more severe disease. People typically experience heartburn as a sharp or burning pain in the center of the chest. This could help healthcare professionals know how to handle potential, active, or resolved cases of COVID-19 in people with GI diseases better. "We draw attention to COVID-19 presenting in paediatric patients with primary symptoms of fever and abdominal pain, which might be mistaken for appendicitis," the researchers wrote. Keywords: Bookshelf These spasms may pinch nearby nerves, causing pain. "I can't explain my gratitude because my kids mean the world to me and I can't imagine not being their mom. NCI CPTC Antibody Characterization Program. First, take a COVID-19 test. You May Develop Skin Problems. Some scientists say skin rashes should be named a key sign of COVID-19, just as likely as fever, cough, or loss of smell or taste. In the U.S., there has been an increase in reported cases of myocarditis and pericarditis after mRNA COVID-19 vaccination, particularly in males ages 12 through 29. Some examples of autoimmune conditions that may cause muscle pain are: Specific symptoms may vary by condition. Epub 2022 Jan 26. -, Ai T, Yang Z, Hou H, et al.Correlation of Chest CT and RT-PCR Testing in Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases. Unauthorized use of these marks is strictly prohibited. Symptoms of COVID-19 typically come on gradually, about 2 to 14 days after exposure to the novel coronavirus. In a review from early February 2021, feces samples from 26.7% of individuals with confirmed COVID-19 contained viral RNA and shed infective particles for roughly 19 days. A report from early in the pandemic reviewed COVID-19 symptoms in 55,924 individuals and found that muscle pain . "The odd thing is, I didn't show signs at all. See this image and copyright information in PMC. 2020 Jun 3;21(1):472. doi: 10.1186/s13063-020-04400-4. According to a study from Norway, people who have received two doses of a Covid vaccine have reported cough, runny nose, fatigue, sore throat, headache, fever, sneezing and nausea after being infected with Omicron. Learn about the causes, diagnosis, and treatment of, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Background: Heart failure: Could a low sodium diet sometimes do more harm than good? She said studies have proved muscle pain is actually one of the commonly reported signs of Omicron. Its currently unknown what exactly causes long-haul COVID. COVID-19; general surgery; radiology. If the disease can spread through feces, this could change current hygiene and self-isolation recommendations. COVID-19. 'No clue I was sick': Woman who went to hospital with abdominal pains admitted with coronavirus, Horoscope for Saturday, 3/04/23 by Christopher Renstrom, West I-80 closed near Tahoe due to snow and 'multiple spinouts', Horoscope for Friday, 3/03/23 by Christopher Renstrom, Snowboarder dies at Tahoe ski resort following historic blizzard, Even Salesforces tower HQ isnt safe from office cuts, Wife of Jeffrey Vandergrift issues somber update, Mochi muffin bakery closes SF cafe after just 4 months, Oakland ransomware attackers leak 'confidential' data, The Warriors broke Russell Westbrook, just like old times. We also provide tips on how to prevent certain causes of chest pain and explain when to see a doctor. On Monday, she was discharged. Dos Santos PG, Vieira HCVS, Wietholter V, Gallina JP, Andrade TR, Marinowic DR, Zanirati GG, da Costa JC. Enlarged spleen (splenomegaly) Gallbladder cancer. Two 59-year-old male patients with COVID-19 pneumonia developed pulmonary cavitation with air-fluid level, accompanied by right-sided chest pain several weeks after first onset of symptoms. This can happen if you were recently: If you think youve been exposed to COVID-19, get a COVID-19 test. Abdominal pain that steadily worsens over time, often accompanied by the development of other symptoms, is usually serious. In this article, we outline some of the possible causes of intermittent stabbing chest pain, along with their associated symptoms and treatments. Grant MC, et al. (2020). And a report from October 2020 found that children with COVID-19 who develop GI symptoms were more likely to experience severe, critical infections and cardiac impairments. NCI CPTC Antibody Characterization Program, Ge H, Wang X, Yuan X, et al.The epidemiology and clinical information about COVID-19. Federal government websites often end in .gov or .mil. By now, we all know that symptoms of Omicron are quite different than previous variants. In other cases, a prescription pain relief medication may be necessary. Some possible causes of chest injury include: The treatment for a strained chest muscle is the same as that for any other type of muscle strain. Early studies suggest that GI symptoms tend to occur in the early stages of the infection. Bethesda, MD 20894, Web Policies Half of these patients represented COVID-19 manifesting primarily as acute abdominal pain. Emerg Radiol.