Does your tongue look weird with Covid?

For a while we've been noticing an increasing number of people reporting that their tongue doesn't look normal, particularly that it is white and patchy. Professor Tim Spector, COVID Symptom Study lead, tweeted about this in January and got a lot of responses - and some pictures!
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What are symptoms of COVID-19 in the mouth?


A lost or altered sense of taste, dry mouth and sores are common among COVID-19 patients and those symptoms may last long after others disappear, Brazilian researchers report.

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Is white coating on tongue a symptom of COVID-19?


Different tongue coat changes were reported in COVID-19 patients. Pang et al. [4] found that light red tongue with white coating is commonly seen in mild to moderate SARS-CoV-2 infection. Furthermore, they reported greasy coating as a significant characteristic in all patients.

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What are some of the first symptoms of COVID-19?

Early symptoms reported by some people include fatigue, headache, sore throat or fever. Others experience a loss of smell or taste. COVID-19 can cause symptoms that are mild at first, but then become more intense over five to seven days, with worsening cough and shortness of breath.
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What are some skin findings that may be related to COVID-19?

Some patients have skin rashes and darkened toes, called “COVID toes.”
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‘I had all of these bizarre symptoms’: What ‘long COVID’ means and how it’s affecting millions



What are the findings around COVID-19 skin rashes or reactions?

There are reports of skin issues in COVID-19 patients, but these symptoms alone don’t mean you have the virus. Hive-like itchy rashes, pink-reddish spots, or reddish-purple patches on the toes or fingers of COVID-19 patients have mostly been seen in children and young adults. These symptoms seem to follow a mild case of COVID-19. Little is known about why this happens. Based on just this symptom, you would not qualify for testing.

You should watch for symptoms such as fever, dry cough, or shortness of breath and you should self-quarantine, practice social distancing, and hand washing. If you develop more symptoms, notify your provider. Because they care for vulnerable patients, healthcare personnel with symptoms like finger/toe/foot rashes may be tested for COVID even without additional symptoms. Therefore, they should notify their supervisors, Occupational Health Services and their own providers.

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Does COVID-19 have an effect on your skin?

Cutaneous illnesses due to SARS-CoV-2 have been rising worldwide. These diseases typically fall into five different patterns, which include maculopapular rash, vesicular rash, pseudo-chilblain, livedo or necrosis, and urticaria. A red rash and urticaria are considered to be the most common manifestations of COVID-19.

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When do symptoms of the coronavirus disease typically start?

People with COVID-19 have had a wide range of symptoms reported – ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus.
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What do I do if I have mild symptoms of COVID-19?

If you have milder symptoms like a fever, shortness of breath, or coughing: Stay home unless you need medical care. If you do need to go in, call your doctor or hospital first for guidance. Tell your doctor about your illness.
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How long does it take to show symptoms after you have been exposed to COVID-19?

Symptoms may appear 2-14 days after exposure to the virus. If you have fever, cough, or other symptoms, you might have COVID-19.
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Can the Omicron variant cause long term COVID-19 symptoms?


The possibility of long COVID. While omicron may cause less severe symptoms, this may not mean a decreased risk of long-term sickness.

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Are there any side effects to the COVID-19 vaccine?

For the vast majority of people already vaccinated in the U.S. for COVID-19, the side effects, if any, have been mild. Serious or persistent side effects associated with the approved or authorized vaccines are extremely rare.

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What is a pre-symptomatic case of COVID-19?

A pre-symptomatic case of COVID-19 is an individual infected with SARS-CoV-2 who has not exhibited symptoms at the time of testing, but who later exhibits symptoms during the course of the infection.
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Can COVID-19 be spread through saliva?

The study, published in the journal Nature Medicine, shows that SARS-CoV-2, which is the coronavirus that causes COVID-19, can actively infect cells that line the mouth and salivary glands.
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What are some differences between COVID-19 and Strep throat?


Strep Throat Doesn't Usually Come With Respiratory Symptoms. COVID-19 Does. If you have a sore throat, but no respiratory symptoms, then chances are it might be from strep throat. If it's sensitive to touch (lymph nodes), or feels like swallowing “broken glass”, those are huge indicators for strep throat.

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What is the difference between a sinus infection and a COVID-19 infection?

People with COVID-19 and viral sinus infections may share similar symptoms, like congestion, sore throat, or cough. COVID-19 is much more serious than a sinus infection, though, and can be deadly. Both types of infections can be prevented through social distancing, masking, and frequent handwashing. If you have any symptoms that could be due to COVID-19, don’t try to self-diagnose. The best course of action is to get a test and self-isolate until you get a result.
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Can I recover at home if I have symptoms of COVID-19?


If you have a fever, cough, or other symptoms, you might have COVID-19. Most people have mild illness and are able to recover at home. If you are sick:

  • Keep track of your symptoms.
  • If you have an emergency warning sign (including trouble breathing), call 911.


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What medication should I take for mild COVID-19 symptoms?


If you are worried about your symptoms, the Coronavirus Self-Checker can assist in the decision to seek care. You can treat symptoms with over-the-counter medicines, such as acetaminophen (Tylenol) or ibuprofen (Motrin, Advil), to help you feel better. Learn more about what to do if you are sick.

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How long can symptoms of COVID-19 last?


Acute COVID-19. Once symptoms appear, you have entered the acute stage. You may have fever, cough and other COVID-19 symptoms. Active illness can last one to two weeks if you have mild or moderate coronavirus disease, but severe cases can last months.

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How long is the incubation period for COVID-19?

- The incubation period for COVID-19. Given that the incubation period can be up to 14 days, CDC recommends conducting screening testing at least weekly.
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Can COVID-19 symptoms come and go?

Yes. During the recovery process, people with COVID-19 might experience recurring symptoms alternating with periods of feeling better. Varying degrees of fever, fatigue and breathing problems can occur, on and off, for days or even weeks.
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Does everyone have serious COVID-19 symptoms?

Most people have mild illness and are able to recover at home.
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Can COVID-19 damage organs?


COVID-19 can cause lasting damage to multiple organs, including the lungs, heart, kidneys, liver and brain. SARS CoV-2 first affects the lungs through the nasal passages. When the lungs are severely affected, it can affect the heart.

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Do COVID-19 vaccines affect eczema?

To date, there is no robust evidence to indicate that Covid-19 vaccines make underlying skin conditions, including eczema, worse.
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Are allergy symptoms associated with COVID-19?


Whilst the main symptoms of COVID-19 are not typically associated with the symptoms of allergies, there are cases where additional symptoms may develop such as hives/rashes, coughing/sneezing, runny nose, pinkeye or blueish toes (COVID toes), that can develop which have some overlap with allergy symptoms.

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