![]() From a gastrointestinal standpoint, from a GI standpoint as far as the symptoms, that probably have not been paid as much attention to as really diarrhea. Though there are more reports that children are obviously affected, as well. Hopefully today we'll be able to cover some aspects of how to take care of ourselves and our patients and our children through this era of COVID-19 and looking at the GI, gastrointestinal problems.Ĭhildren in COVID-19, thankfully at this time, for what we know are not as affected as adults. I am the section chief for pediatric gastroenterology. ![]() ![]() This will become incredibly important over the coming weeks as we will need the highest level of scrutiny for any outbreaks among children returning to school.So I'm Dr. The more confidence we can establish in the set of criteria, the better we can do this. “It is becoming increasingly clear that we face a difficult grey area of defining case symptoms for those who do not obtain a positive PCR result during the window of virus positivity. “This is an important study, which together with the earlier data from the Kings College app users starts to build the case for including gastrointestinal symptoms among the Covid-19 case-defining criteria,” he said. “We are also seeing gut symptoms and loss of appetite appear commonly as well as the classical fever,” Spector said, adding that while gastrointestinal problems were seen in both adults and children, they were slightly more common in children compared with other symptoms.ĭanny Altmann, a professor of immunology at Imperial College London, said it might be useful to feed the findings into symptom checklists. “Our data on nearly 250,000 children from the Covid symptom study app suggest that children who test positive have a wide range of symptoms and that a cough is not as common in children as it is adults,” he said. Prof Tim Spector, of King’s College London, said the findings chimed with research by his team. “Lots of children will have a running nose this winter sneezing – that is not a sign,” he said. He said the study should also reassure parents. While only 34 children were symptomatic in the study, Waterfield said the findings were important, not least as diarrhoea and vomiting were clear and obvious problems to spot. For children without antibodies the figures were 11%, 4% and 3% respectively. Some symptoms were particularly common, with 31% of the 68 children reporting fever, 18% reporting headache and 19% reporting gastrointestinal symptoms such as diarrhoea, vomiting and stomach cramps. ![]() The team found that 68 children – 6.9% of the total – had antibodies for the disease, suggesting they had had Covid-19, and half of these reported having had symptoms. None had been admitted to hospital with Covid-19.Īll had a blood sample taken, which was tested for antibodies to coronavirus, and data was also gathered on whether they had experienced any symptoms – crucially this was done before antibody results were revealed. The study took place between 6 April and 3 July and involved more than 990 children of healthcare workers from across the UK aged between two and 15. Waterfield said that going by the current three recognised symptoms, testing symptomatic children would identify 76% of cases, assuming a perfectly accurate test, while adding gastrointestinal symptoms to the checklist would bring the figure to 97%.
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