Understanding Stomach Pain as a COVID-19 Symptom

Stomach pain isn’t typically recognized as a COVID-19 symptom, but about 20% of patients report experiencing it. This pain can sometimes appear before or instead of more common respiratory symptoms, like coughing or difficulty breathing. When stomach pain is present, it can make diagnosing COVID-19 more challenging.

What Does COVID-19-Related Stomach Pain Feel Like?

COVID-19-related stomach pain often resembles symptoms of a gastrointestinal infection. Patients might experience vomiting, diarrhea, or cramping. Interestingly, those with stomach pain often don’t have a fever, which is usually associated with COVID-19. The pain is “non-specific,” meaning it lacks unique characteristics that would set it apart from other types of abdominal pain.

In some cases, the pain feels like cramping, especially when diarrhea is present. If the pain occurs in the upper right abdomen, it could indicate liver inflammation. This condition can signal a more severe form of the illness.

Digestive Symptoms Associated with COVID-19

COVID-19 primarily causes respiratory symptoms, but some patients also report digestive issues, such as diarrhea, nausea, vomiting, and stomach pain. Researchers believe the virus interacts with the ACE2 enzyme, which is found in many abdominal organs, potentially causing these symptoms.

Studies have also found traces of SARS-CoV-2, the virus causing COVID-19, in stool samples. This suggests that the virus might affect the gastrointestinal tract, though the implications of this are still unclear.

Pain Without Respiratory Symptoms

Some patients experience stomach pain as their first or only symptom of COVID-19. This can make diagnosis difficult, especially if typical respiratory symptoms like coughing or shortness of breath never develop. While most people with COVID-19 do experience at least one respiratory symptom, the presence of only gastrointestinal symptoms can lead to misdiagnosis and delayed treatment.

Impact of SARS-CoV-2 Variants on Stomach Pain

As the virus has mutated, different variants have emerged, each with slightly different symptoms. However, studies have not found significant differences in the occurrence of stomach pain across variants like Alpha, Delta, and the Omicron subtypes. Ongoing research might reveal more about how these variants affect the body, including the gastrointestinal system.

Managing COVID-19-Related Stomach Pain

Most stomach pain resolves on its own without needing prescription medication. Here are some steps to manage symptoms:

• Stay Hydrated: Drinking water or electrolyte-replenishing beverages is essential, especially if vomiting or diarrhea is present. If you’re having trouble keeping fluids down, try small sips or ice chips.

• Eat Bland Foods: Foods like bananas, rice, applesauce, and toast (the BRAT diet) can soothe your stomach and prevent further irritation.

• Get Plenty of Rest: Rest is vital for recovery as your body needs energy to fight off the infection.

Seek medical attention if you experience severe symptoms like bloody diarrhea, as this could indicate a more serious condition.

Long COVID and Stomach Pain

Long COVID, a condition where symptoms persist long after the initial infection, can include ongoing gastrointestinal issues. Research indicates that between 3% and 79% of those with long COVID experience symptoms like stomach pain, acid reflux, bloating, and vomiting. The frequency and severity of these symptoms vary, and more research is needed to fully understand their connection to long COVID.

Conclusion

While not a hallmark symptom, stomach pain can occur with COVID-19, sometimes even before respiratory symptoms develop. For most patients, this pain is mild and manageable at home with hydration, rest, and a bland diet. However, it’s essential to monitor symptoms and seek medical advice if they worsen. Those dealing with long COVID may experience persistent gastrointestinal issues, which can be challenging and may require ongoing management.

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If you’re experiencing symptoms like stomach pain, fever, or cough and are concerned it might be COVID-19, don’t wait—book your appointment with Homed now. Our dedicated team is ready to provide the care you need, whether it’s a virtual consultation or an in-person visit. Prioritize your health and get the support you need to feel better, fast.