Coronavirus (COVID-19) Treatment

The most common symptoms of COVID-19 are a fever, coughing, and breathing problems. Unless you have severe symptoms, you can most likely treat them at home, the way you would for a cold or the flu. Most people recover from COVID-19 without the need for hospital care. Your doctor can help you decide whether it’s best to stay home or go the hospital.

Scientists are trying to make new medicines and test some existing drugs to see whether they can treat COVID-19. Though there isn’t an antiviral treatment yet, a number of things can relieve symptoms, both at home and at the hospital.

At-Home Coronavirus Treatment

If your symptoms are mild enough that you can recover at home, you should:

  • Rest. It can make you feel better and may speed your recovery.
  • Stay home. Don’t go to work, school, or public places.
  • Drink fluids. You lose more water when you’re sick. Dehydration can make symptoms worse and cause other health problems.
  • Monitor. If your symptoms get worse, call your doctor right away. Don’t go to their office without calling first. They might tell you to stay home, or they may need to take extra steps to protect staff and other patients.
  • Ask your doctor about over-the-counter medicines that may help, like acetaminophen to lower a fever.

The most important thing to do is to avoid infecting other people, especially those who are over 65 or who have other health problems.

That means:

  • Try to stay in one place in your home. Use a separate bedroom and bathroom if you can.
  • Tell others you’re sick so they keep their distance.
  • Cover your coughs and sneezes with a tissue or your elbow.
  • Wear a mask over your nose and mouth if you can.
  • Wash regularly, especially your hands.
  • Don’t share dishes, cups, eating utensils, towels, or bedding with anyone else.
  • Clean and disinfect common surfaces like doorknobs, counters, and tabletops.

What to expect

Symptoms begin 2 to 14 days after you come into contact with the virus. Early studies show that many people who have mild infections recover within 2 weeks. More severe cases tend to last 3 to 6 weeks.

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Talk to your doctor about how long you should isolate yourself if you have symptoms. CDC guidelines say you can leave isolation when:

  • You haven’t had a fever for 72 hours (3 days) without using a fever-reducing medication
  • Your symptoms, such as coughing or shortness of breath, are better
  • It’s been at least 7 days since your symptoms began OR you have two negative COVID-19 tests 24 hours apart

How do you know if your symptoms are getting worse?

Get medical care right away if you begin to have:

  • Trouble breathing
  • Pain or pressure in your chest
  • Confusion or severe drowsiness
  • A blue tint to your lips or face

Coronavirus Treatment in a Hospital

You don’t need to go to the hospital or ER if you have basic COVID-19 symptoms, like a mild fever or cough. If you do, many hospitals will send you home.

If your case is severe, members of the medical staff will check for signs that the illness is causing more serious problems. They might:

  • Check the levels of oxygen in your blood with a clip-on finger monitor
  • Listen to your lungs
  • Give you a COVID-19 test. This involves putting a 6-inch cotton swab up both sides of your nose for about 15 seconds.
  • Give you a chest X-ray or CT scan

You may get extra oxygen through two small tubes that go just inside your nostrils. In very serious cases, doctors will connect you to a machine that can breathe for you, called a ventilator.

You may also get fluids through a tube, or IV, in your arm to keep you from getting dehydrated. Doctors will also closely monitor your breathing. The goal is for your infection to run its course and for your lungs to heal enough that they can breathe on their own again.

An emergency FDA ruling lets doctors use medications called hydroxychloroquine and chloroquine in people who are in the hospital for COVID-19. At the same time, researchers are also studying these drugs and whether they work against the virus. If you take them, your doctor will watch you closely for side effects or interactions with other medicines.

WebMD Medical Reference Reviewed by Michael W. Smith, MD on April 02, 2020

Sources

SOURCES:

CDC: “Coronavirus Disease 2019 (COVID-19).”

Richard Lassiter, MD, department of emergency medicine, Emory University Hospital.

Medscape: "Coronavirus Disease 2019 (COVID-19) Treatment and Management,” “So You Have a COVID-19 Patient; How Do You Treat Them?”

Johns Hopkins Medicine: “I’ve been diagnosed with the new coronavirus disease, COVID-19. What should I expect?”

UpToDate: “Coronavirus disease 2019 (COVID-19).”

UCDavis Health: “Coronavirus (COVID-19) testing: What you should know.”

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