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

Corona Virus In Young Patients And Kids

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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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Food Poisoning in Monsoon

How to Prevent Food Poisoning in Monsoon

Monsoon brings relief from the heat—but along with cool breezes and rains come increased chances of infections, especially food poisoning. The high moisture in the air creates a perfect breeding ground for bacteria, making food more likely to spoil and cause illness.

In this article, we’ll help you understand how to stay safe with easy, practical tips on how to prevent food poisoning in monsoon.

 

Why Is Food Poisoning So Common in Monsoon?

The damp and humid conditions during the rainy season promote bacterial and fungal growth. This contamination can easily affect the food we eat and the water we drink.

Common causes of food poisoning in monsoon include:

  • Eating contaminated street food
     

  • Drinking unfiltered or untreated water
     

  • Improper storage or refrigeration
     

  • Eating undercooked or reheated leftovers
     

Symptoms can range from mild stomach pain to vomiting, diarrhea, and fever—and can become serious if not treated on time.

 

How to Prevent Food Poisoning in Monsoon: Easy Tips

Let’s go step by step into what you should do (and not do) during this season to avoid foodborne illness:

 

1. Avoid Street Food and Raw Salads

Street vendors often use unclean water and keep food exposed to dust, flies, and pollution. In monsoon, this risk becomes even higher.

What to avoid:

  • Chaat, golgappas, sandwiches from carts
     

  • Cut fruits or raw vegetables sold outside
     

  • Juices from roadside stalls
     

Instead, eat home-cooked meals where you can control the hygiene.

 

2. Drink Only Boiled or Purified Water

Unfiltered water is a major cause of stomach infections during monsoon. Make sure your drinking water is:

  • Boiled for 10 minutes, or
     

  • Filtered using a RO/UV purifier, or
     

  • Packaged from a trusted brand
     

Avoid consuming water-based drinks like sherbets or ice made with unclean water.

 

3. Eat Fresh and Hot Food

In monsoon, bacteria multiply quickly. Avoid eating food that has been left out for hours.

Tips:

  • Eat freshly cooked meals while still warm
     

  • Avoid reheating food multiple times
     

  • Don't leave cooked food at room temperature for more than 2 hours
     

 

4. Refrigerate Perishables Quickly

Your fridge is your best friend in this season—but only if you use it right.

Refrigeration tips:

  • Store cooked food in airtight containers
     

  • Don't keep raw meat and vegetables together
     

  • Use leftovers within 24 hours
     

  • Check for expired or spoiled food regularly
     

 

5. Clean Fruits and Vegetables Properly

Rainwater often brings mud and germs to fresh produce. Even greens from the market can carry bacteria and insect eggs.

Cleaning tips:

  • Wash produce thoroughly with clean water
     

  • Use salt water or vinegar soak for 10–15 minutes to disinfect
     

  • Peel fruits like mangoes and bananas before eating
     

  • Avoid leafy vegetables that are difficult to clean, like spinach and lettuce
     

 

6. Practice Good Kitchen Hygiene

Contamination often starts in your kitchen.

Hygiene habits to follow:

  • Wash hands before and after handling food
     

  • Keep utensils and chopping boards dry and clean
     

  • Don't let water collect on kitchen surfaces
     

  • Wash dish cloths and sponges regularly
     

 

Related Health Checkups to Consider

If you're experiencing stomach problems or want to monitor your digestive health during monsoon, these lab tests (available via SecondMedic powered by Thyrocare) may help:

???? Complete Blood Count (CBC)

Checks for infections or inflammation.

???? Stool Routine & Culture Test

Detects bacterial infections, parasites, or digestive disorders.

???? CRP Test (C-Reactive Protein)

Shows whether your body is fighting an infection.

???? Food Intolerance Test

For people with recurring food-related digestive issues.

All tests come with home sample collection and online report access at www.secondmedic.com.

 

Foods You Can Eat During Monsoon

Here are some healthy, safe food choices during the rainy season:

  • Warm soups and khichdi – light and easy to digest
     

  • Steamed vegetables – safer than raw
     

  • Ginger tea – helps digestion
     

  • Turmeric milk – natural immunity booster
     

  • Boiled eggs or well-cooked lean meat
     

Avoid oily, uncooked, or refrigerated food that’s more than a day old.

 

Conclusion

Monsoon brings beauty, but also bacteria. Staying safe is all about being smart with your food and water. By following simple hygiene rules and eating fresh, clean food, you can enjoy the season without worrying about stomach issues.

Be alert, eat smart, and protect your family by following these tips on how to prevent food poisoning in monsoon.

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