• Published on: Apr 04, 2020
  • 1 minute read
  • By: Dr Vibhash Mishra

Corona Virus (COVID-19) Being Responsible

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The world is in a state of panic with fear of Corona and perhaps rightly so. Official, semi-official and unofficial guidances are pouring in from all possible sources. Social media has been promoting the use of masks only for sufferers of Corona infection and those who are having symptoms of cough and fever. Some experts have gone to the extent of suggesting that the use of mask for members of the general public may even be harmful. It may promote a sense of complacency among people, a false sense of safety leading to negligence of other precautions. Masks may be so ill-fitting that the user has to touch it frequently to adjust it, which may lead to transmission of infection. The virus is supposed to be transmitted by droplets coughed out by the sufferers. The purpose of the mask used by these people is to stop passing on the droplets to others. While this notion seems to make sense, it may not be entirely true and the use of masks by people at large may still have some protective value. There may be people who are infected and not aware of it. Avoiding relatively close contact with such people at public places may not be easy in populous countries which are not locked down completely yet. Use of mask in that situation may provide some protection at least. After all the infected droplets need to be inhaled to cause further infection and a mask over the mouth and nostrils will prevent the inhalation to some extent. It seems, therefore, that discouraging people from using masks may be an irresponsible act. What should be emphasized instead is that using a mask is not the end of your responsibility towards protecting yourself and others. Other precautions are equally important. Following are a few examples:
1. If you have cough and/or fever, confine yourself indoors and avoid coming in contact with people, specially children, elderly and those with chronic illnesses.
2. Wash your hands well with soap and water frequently and certainly after touching anyone or anything.
3. Avoid touching your face and eyes unnecessarily.
4. Do not cough in the open or on your hands. Use a tissue or your sleeve instead. Bin the tissue immediately.
5. Avoid unnecessary travels.
6. Avoid public gatherings.
7. If you suspect you may be infected with Corona, do not use antibiotics, they will not be effective.
8. When interacting with strangers or those with cough/fever, stand at least three steps away.

Dr Vibhash Mishra, London, UK, Chief Medical Officer, Second Medic

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Pale skin

Pale Skin Symptoms: Causes, Health Conditions, and When to Seek Medical Care

Skin colour provides important clues about internal health. When the skin becomes noticeably lighter than usual, it may indicate an underlying medical condition. Pale skin symptoms, also referred to as pallor, are commonly associated with reduced blood flow, low hemoglobin levels or impaired oxygen delivery to tissues.

In India, pale skin is frequently linked to anemia, nutritional deficiencies and chronic illnesses, making early recognition essential.

 

What Is Pale Skin?

Pale skin refers to:

  • lighter-than-normal skin tone

  • reduced redness

  • pale appearance of lips, gums or nail beds

It can affect the entire body or specific areas such as the face or hands.

Common Pale Skin Symptoms

Typical signs include:

  • pale face or complexion

  • pale lips or tongue

  • light-colored gums

  • pale nail beds

  • cold hands and feet

  • fatigue and weakness

These symptoms often occur together.

 

Most Common Causes of Pale Skin

Anemia

Anemia occurs when hemoglobin levels are low.

This reduces oxygen delivery to tissues, causing:

  • pale skin

  • fatigue

  • breathlessness

  • dizziness

NFHS-5 reports anemia affects a large proportion of Indian adults, especially women.

 

Iron Deficiency

Iron deficiency is the leading cause of anemia.

Contributing factors include:

  • poor dietary intake

  • blood loss

  • absorption problems

ICMR identifies iron deficiency as a major public health issue.

 

Poor Blood Circulation

Reduced circulation causes:

  • less blood reaching the skin

  • visible pallor

Conditions such as heart disease or shock impair circulation.

 

Acute Blood Loss

Sudden blood loss from:

  • injury

  • gastrointestinal bleeding

  • heavy menstrual bleeding

can cause rapid pallor and weakness.

 

Chronic Diseases

Chronic illnesses such as:

  • kidney disease

  • liver disease

  • cancer

often cause anemia and pallor over time.

 

Infections and Inflammation

Severe infections cause:

  • blood vessel constriction

  • redistribution of blood flow

This leads to pale or clammy skin.

 

Nutritional Deficiencies

Deficiencies of:

  • vitamin B12

  • folate

affect red blood cell production and cause pallor.

 

Hormonal Imbalance

Conditions like hypothyroidism reduce metabolic activity, causing:

  • pale, dry skin

  • fatigue

Thyroid disorders are common but underdiagnosed.

 

Genetic Conditions

Inherited disorders such as thalassemia affect hemoglobin production, leading to chronic pallor.

 

Pale Skin in Children and Older Adults

Children:

  • may develop pallor due to iron deficiency or infections

Older adults:

  • often develop pallor due to chronic disease or nutritional deficiency

Both groups need careful evaluation.

 

Warning Signs That Need Immediate Medical Attention

Seek urgent care if pale skin is associated with:

  • sudden weakness

  • chest pain

  • breathlessness

  • fainting

  • rapid heartbeat

These may indicate serious medical emergencies.

 

How Pale Skin Affects Daily Life

Persistent pallor often causes:

  • low energy

  • reduced physical endurance

  • difficulty concentrating

Quality of life may decline without treatment.

 

Diagnostic Evaluation

Doctors may recommend:

  • complete blood count

  • iron studies

  • vitamin B12 and folate levels

  • kidney and liver function tests

Identifying the cause is critical for treatment.

 

Role of Preventive Health Checkups

Preventive screening helps detect:

  • early anemia

  • nutritional deficiencies

  • chronic disease

Early treatment prevents complications.

 

Management and Treatment Options

Treatment depends on cause and may include:

  • iron or vitamin supplementation

  • treatment of underlying disease

  • dietary correction

  • medical therapy for chronic conditions

Self-treatment without diagnosis should be avoided.

 

Lifestyle Measures to Prevent Pallor

Helpful strategies include:

  • balanced diet rich in iron and vitamins

  • adequate hydration

  • regular health monitoring

  • treating infections early

Lifestyle changes support long-term health.

 

Importance of Early Detection

Ignoring pale skin delays diagnosis of:

  • anemia

  • internal bleeding

  • chronic illness

Early recognition improves outcomes.

 

Conclusion

Pale skin symptoms are more than a cosmetic concern. They often signal anemia, poor circulation, nutritional deficiencies or underlying medical conditions. While temporary pallor may occur due to minor causes, persistent or sudden pale skin requires medical evaluation. Early diagnosis, preventive health screening and appropriate treatment can restore normal skin tone, improve energy levels and protect long-term health.

 

References

  • Indian Council of Medical Research (ICMR) – Anemia and Nutritional Deficiency Reports

  • National Family Health Survey (NFHS-5) – Anemia and Adult Health Data

  • World Health Organization (WHO) – Anemia and Circulatory Health

  • Lancet – Pallor, Anemia and Chronic Disease Research

  • NITI Aayog – Preventive Healthcare and Early Symptom Detection

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