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Published on: May 22, 2020
1 minute read
By: Dr Rajan Choudhary

Corona Virus In Young Patients And Kids

Kids seem to be relatively unaffected by COVID, but this does not mean they are invulnerable. As with adults, some children have pre-existing cardiac, respiratory, or metabolic conditions, and are therefore more vulnerable to the effects of COVID. Interestingly, children appear to have one more symptom when infected with coronavirus – COVID Toes.

I personally came across this phenomenon recently, with a young patient asymptomatic for COVID who presented with unusual symptoms of dark bruises on his toes. This had been present for just a few days. He did not have any pain, itching, swelling, no recent trauma, or injury to the feet. Circulation to his feet was normal, with no other rashes or skin changes, no other abnormal features in the history to note. It was certainly an odd presentation and certainly could have been an example of COVID toes.

This new phenomenon was noticed in April and has not gained as much notoriety because it is fairly rare compared to the major COVID symptoms, such as fever, cough, and lethargy. Doctors have described lesions on the feet of young people, usually purple-colored, around the tips of the toes. They have been compared to chilblains, painful swellings on feet, and toes that appear in the cold. Similarly to chilblains they do not cause any permanent damage and usually regress in days to weeks.

It's not clear why they occur or the mechanism behind the discoloration, because the presentation is rare and in healthy patients. We know COVID can cause systemic inflammation and can increase the risk of clot formation. It may be that localized inflammation is occurring in the toes, causing the vessels to clamp down and reduce blood flow to the area. This is similar to the mechanism for chilblains forming in the foot. Micro-clotting could also be partially responsible for this phenomenon.

COVID Toes is not the only skin symptoms related to COVID. In a paper published in the British Journal of Dermatology, researchers described five common skin presentations in 375 COVID patients. These were:

Asymmetrical chilblain like lesions in the hands and feet, found in younger patients lasting up to 2 weeks.
Small itchy blisters in the trunk and limbs, found in middle-aged patients before they present with symptoms, lasting about 10 days
Pink or white areas of raised skin, itchy, usually on the body
Raised bumps called macropapules, lasting about a week, seen in more severe infections.
Mottled, blotchy red-blue skin (known as livedo) seen in patients with severe illness.

So if you are currently suffering from COVID or have recently recovered from an infection, and suddenly notice odd colored toes, you too may have a case of COVID toes.

Dr Rajan Choudhary, UK, Chief Product Officer, Second Medic Inc

www.secondmedic.com

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Dairy-Free Options for All: A Comprehensive SecondMedic Guide for India

Dairy consumption has long been a part of Indian dietary culture, but rising awareness of digestive health, metabolic concerns, acne, inflammation and lactose intolerance has encouraged many individuals to explore dairy-free alternatives. India is experiencing a significant shift toward plant-based nutrition as people prioritise preventive health, gut comfort and personalised dietary choices.

SecondMedic’s nutrition experts emphasise evidence-based, dairy-free patterns that support digestion, hormonal balance, metabolic stability and overall wellbeing. This guide explores the best dairy-free options in India, their health benefits and how they integrate into daily preventive care.

Why Dairy-Free Eating Is Growing in India

1. Rising Lactose Intolerance

According to ICMR Digestive Health Trends, a high percentage of Indian adults experience lactose intolerance due to decreased lactase enzyme activity.

Common symptoms include:

Bloating
Gas
Acidity
Diarrhoea
Skin flare-ups

Dairy-free alternatives eliminate these discomforts.

2. Skin & Hormonal Concerns

Dairy may influence acne, PCOS symptoms and inflammation in certain individuals.

3. Improved Digestibility

Many plant-based options are easier on the gut and reduce inflammation.

4. Increasing Nutrition Awareness

NFHS-5 highlights micronutrient deficiencies-including Vitamin D and B12-leading people to choose fortified dairy-free alternatives.

Popular Dairy-Free Options in India

1. Almond Milk

Rich in Vitamin E and naturally low in calories.
Ideal for smoothies, coffee and cereal.

2. Soy Milk

High in protein and often fortified with calcium.
Great for cooking and baking.

3. Oat Milk

Creamy texture, high in soluble fibre.
Excellent for lattes and desserts.

4. Coconut Milk

Rich flavour, suitable for Indian curries and smoothies.

5. Nut-Based Yoghurt

Cashew and almond curds have become widely available.
Probiotic varieties support gut health.

6. Tofu & Plant-Based Paneer

Excellent protein source for vegetarians.

7. Lactose-Free Dairy

For those who prefer traditional taste without digestive discomfort.

Nutritional Benefits of Dairy-Free Options

1. Reduced Inflammation

Studies in Lancet Public Health show improved gut comfort among individuals switching to dairy-free diets.

2. Hormonal Balance

Plant-based alternatives help regulate insulin, estrogen and androgen patterns-especially valuable for PCOS and thyroid care.

3. Weight Management

Lower calorie load and better digestibility support metabolic health.

4. Allergy-Friendly Choice

A safe option for individuals sensitive to casein or whey proteins.

How to Build a Balanced Dairy-Free Diet

Ensure calcium intake:

Choose fortified plant milks.

Include plant proteins:

Tofu, dals, nuts and seeds.

Add healthy fats:

Ground flaxseed, chia and almonds.

Combine traditional and modern options:

Oat milk chai, tofu tikka, nut curd raita.

SecondMedic’s AI nutrition scoring helps evaluate vitamin density and carbohydrate load for optimal choices.

Dairy-Free Meal Examples

Breakfast

• Oats cooked with almond milk
• Fruit + chia seeds + nuts

Lunch

• Millet khichdi with tofu
• Vegetable salad with tahini dressing

Snack

• Coconut yoghurt with berries

Dinner

• Stir-fry vegetables with tofu
• Whole-grain roti + plant-based curd

Conclusion

Dairy-free options provide flexible, nutritious and preventive pathways for individuals across India. Whether motivated by digestive comfort, metabolic health, ethical choices or personal preference, dairy-free alternatives support long-term wellness. SecondMedic helps individuals evaluate and incorporate dairy-free nutrition through expert consultations, AI-based analysis and personalised dietary planning.

References

• ICMR Digestive Health & Lactose Intolerance Study
• National Family Health Survey (NFHS-5) - Nutrition & Dietary Patterns
• NITI Aayog - Plant-Based Nutrition & Preventive Wellness Framework
• WHO Guidelines on Healthy Dietary Alternatives
• Lancet Public Health - Dairy-Free Diets & Inflammation Research
• Statista India Plant-Based Food Market Analysis
• EY-FICCI Food Innovation & Health Trends Report

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