What Is Long Covid?

Long COVID is a condition where symptoms continue or develop for weeks or months after a COVID-19 infection, often affecting energy levels, breathing, concentration, and daily activities. Online long COVID consultations with Mobi Doctor allow a doctor to assess ongoing symptoms, identify possible complications, and recommend investigations, treatment, or referral where clinically appropriate.  

What Is Long Covid?
Medically reviewed

Dr. Chrysoula I. Liakou MD, PhD Google Scholar LinkedIn

Internal Medicine Specialist
Cancer Immunology Researcher

What Is Long Covid and How Long Does It Last?

Long COVID is when symptoms persist for more than 12 weeks after a COVID-19 infection. It can affect multiple body systems, including fatigue, breathlessness, and brain fog.

Some people develop long-term symptoms after COVID-19, but most recover fully. Despite the need to fully understand long COVID-19, researchers have gained a deeper understanding of its prevalence and potential treatments.

Having COVID-19 takes different amounts of time for various people to feel better. Some people may recover in a few days, but for others, it may take several weeks. We don't fully understand why this happens, but here's what we know.

Long COVID still lacks a single definition. The UK's National Institute for Health and Care Excellence defines long-term COVID as symptoms that occur 12 weeks or more after the initial illness. According to the WHO, Long Covid is defined as symptoms that persist for at least two months. In addition, your signs must not be caused by anything else.

In addition, long-term Covid symptoms can disappear and reappear, making it difficult to keep track of the progression. Long Covid is still relatively unknown, reflected in these rather loose definitions.

 

What Are the Symptoms of Long Covid?

Long Covid has been linked to up to 200 different symptoms.

The most commonly reported long Covid symptoms include:

•  Experiencing fatigue
•  Breathing difficulties
•  Sense of smell is affected
•  Pain and aches in the muscles

In addition to affecting organs and tissues throughout the body, long CCOVID can have various symptoms.

People have also reported the following symptoms of long Covid:

•  PTSD, anxiety, depression, and trouble sleeping are mental health issues
•  Problems with thinking, memory, and concentration
•  Pain in the chest, palpitations, and blood clots occur in the heart and blood vessels
•  There is weakness in the muscles and stiffness in the joints
•  Hair loss, hives, rash on the skin
•  Diarrhoea, nausea, vomiting, stomach ache
•  Deficiency of lung function in the lungs
•  Insufficiency of the kidneys


Although COVID-19 enters the body through the respiratory system, it is considered a systemic disease, not just a respiratory disease.

 

How Common Is Long Covid in the General Population?

There is no definitive answer to the prevalence of long Covid. It is difficult to pinpoint an exact number due to various data sources and definitions.

A reassuring fact is that most people who get Covid don't experience long-term symptoms. However, there are still a significant number of us who do. According to a study conducted in Scotland, one in twenty people suffers long-term effects from COVID-19. Approximately 42% of the study participants had only partially recovered 18 months after the initial assessment, while 6% had not.

Despite the relatively small percentages, they still represent a significant number of people. Two million people in the UK have reported long Covid symptoms lasting more than four weeks as of June 2022.

 

Who Is Most at Risk of Long Covid?

Several studies have examined COVID-19 patients who were hospitalised. According to a survey, three-quarters of patients with chronic pain still suffer symptoms six months after being hospitalised.

There is, however, no guarantee that the symptoms of COVID-19 will last as long as the severity of the signs at the beginning. Approximately one-third of people with persistent symptoms initially experienced mild symptoms.


People with conditions such as these are more likely to suffer from Long Covid:

•  Hypertension
•  Overweight and obesity
•  Inflammatory bronchitis
•  Mental illness exists


There is also the possibility that fit, healthy, relatively young people can develop long Covid.

Long Covid complications are associated with older age, but the group most at risk of long Covid complications is 35- to 49-year-olds, followed by 50- to 69-year-olds, and then over 70-year-olds.

COVID-19 infections are more common in men, but women are more likely to develop long COVID-19 infections.

 

Long Covid Risk Factors and Symptoms
Risk Group Common Symptoms
Ages 35–49 Fatigue, breathlessness, brain fog
Women Anxiety, insomnia, and hormonal irregularities
People with obesity or hypertension Chest pain, muscle weakness, joint pain
People hospitalised with COVID-19 Long-term breathing issues, fatigue
Those with mild initial symptoms Memory loss, digestive issues, poor sleep

 

Why Are Women More Likely to Get Long Covid?

Our immune systems may differ based on our gender. Women's risk of catching infections is lower, but they are more likely to develop autoimmune diseases like multiple sclerosis and rheumatoid arthritis.

 

Can You Prevent Long Covid?

COVID-19 cannot be avoided unless you prevent yourself from catching it in the first place. There are many reasons why getting vaccinated is so important. COVID-19 and its complications can be reduced by vaccination. Even if you're already infected with Long Covid, getting vaccinated can lower your chances of getting it.

 

How Is Long Covid Diagnosed and Treated?

Follow-up care should be available to everyone who has had long COVID. Researchers are currently testing various treatments for the condition, as there is still a limited understanding of it.

A multidisciplinary team of specialists may be required to treat long COVID, as it affects multiple parts of the body. Please feel free to ask your doctor about the services offered in your area.

 

What to Do If You Think You Have Long Covid

Seek medical attention right away. They can examine your symptoms and develop a plan for your recovery, which may include rehabilitation help from a specialist. Discussing your symptoms with a Mobi Doctor can help determine the best course of action for you. With Mobi Doctor, you get online urgent care.



Long COVID FAQs

Long COVID refers to symptoms that continue or develop after the initial COVID-19 infection and cannot be explained by another condition. Common symptoms include fatigue, breathlessness, brain fog, muscle aches, and sleep problems, with symptoms often lasting for several weeks or months.

Many long COVID symptoms can be assessed through an online medical consultation. A doctor can review your symptoms, medical history, and recovery since your COVID-19 infection to help determine whether further tests, treatment, rehabilitation, or specialist referral may be appropriate.

Long COVID can affect multiple parts of the body. The most commonly reported symptoms include persistent fatigue, shortness of breath, brain fog, muscle and joint pain, headaches, loss of smell or taste, sleep disturbances, and difficulty concentrating.

Persistent fatigue is one of the most common features of long COVID. Even after the initial infection has resolved, some people experience reduced energy levels, post-exertional exhaustion, and slower physical recovery that can interfere with work, exercise, and everyday activities.

Yes. Long COVID can affect people of any age, including those who had mild COVID-19 or no underlying medical conditions. Although severe illness increases the risk, ongoing symptoms can also occur after relatively mild infections.

Medical assessment is important if symptoms persist for several weeks, worsen over time, or significantly affect your ability to work, exercise, or carry out daily activities. Chest pain, severe breathlessness, fainting, new neurological symptoms, or rapidly deteriorating health require prompt medical evaluation.

Yes. Many people with long COVID experience brain fog, poor concentration, memory problems, and slower thinking. These cognitive symptoms may fluctuate over time and can occur alongside fatigue, headaches, or sleep disturbance.

There is no single treatment for long COVID because symptoms vary between individuals. Management focuses on relieving symptoms, treating any identified complications, supporting rehabilitation, and helping people gradually return to normal activities based on their individual recovery.

Recovery varies considerably from person to person. Some people improve within a few months, while others continue to experience fluctuating symptoms for longer. Regular medical review can help monitor recovery and guide treatment if symptoms persist or new problems develop.


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