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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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Switch Soda with Detox Water: A Simple Step Toward Better Metabolic Health

Soda and sugary beverages have become a major contributor to India’s rising burden of metabolic diseases. According to NFHS-5 and ICMR data, high intake of sugary drinks significantly increases the risk of obesity, high blood sugar, fatty liver disease and heart problems. Replacing these drinks with detox water is one of the easiest and most sustainable lifestyle changes for preventive health.

Detox water is not a medical treatment-it is a healthy hydration alternative that supports the body’s natural processes. SecondMedic encourages simple, evidence-based swaps like this to help individuals improve daily habits without drastic diets.

Why Soda Is a Major Health Concern in India

1. Extremely high sugar content

A single can of soda contains:

8-10 teaspoons of sugar
Over 140 empty calories

This spikes glucose levels and increases insulin resistance.

2. Artificial additives

Flavours, colours and preservatives strain the liver and may worsen inflammation.

3. Link to chronic diseases

ICMR and Lancet studies show soda consumption increases risk of:

Type 2 diabetes
Hypertension
Weight gain
Non-alcoholic fatty liver disease (NAFLD)

4. Poor hydration

Soda does not hydrate the body. Caffeine and sugar can actually increase dehydration.

Benefits of Switching to Detox Water

Detox water provides hydration and additional wellness support through natural ingredients.

• Improved metabolism

Ingredients like lemon, ginger and cinnamon support metabolic balance.

• Better digestion

Mint and ginger soothe the digestive system.

• Stable blood sugar

Sugar-free detox blends prevent rapid glucose spikes.

• Enhanced hydration

Water absorption improves when infused with electrolytes and antioxidants.

• Reduced cravings

Replacing soda breaks dependence on sugar.

• Skin health improvement

Hydration + antioxidants help reduce dullness and inflammation.

Popular Detox Water Ingredients and Their Benefits

Lemon

Rich in vitamin C and antioxidants, helps improve digestion and immunity.

Mint

Reduces bloating and supports gut comfort.

Cucumber

Hydrates deeply and reduces water retention.

Cinnamon

Known for supporting stable blood sugar.

Ginger

Anti-inflammatory and excellent for digestion.

Apple slices

Add natural sweetness without added sugar.

Berries

High in antioxidants; good for heart health.

Easy Detox Water Recipes

1. Lemon + Ginger Detox

Supports metabolic health and digestion.

2. Cucumber + Mint Hydration Blend

Great for daily hydration and cooling.

3. Apple + Cinnamon Water

Helps stabilise glucose naturally.

4. Mixed Berry Infused Water

Boosts antioxidant levels for skin and heart health.

5. Turmeric + Lemon Detox

Mild anti-inflammatory properties.

How Detox Water Helps Reduce Soda Dependence

1. Replaces sweetness gradually

Natural fruit flavours reduce the urge for sugary beverages.

2. Keeps you full

Hydration decreases cravings, especially in the evening.

3. Offers variety

Different combinations keep the habit interesting.

4. Improves energy

Consistent hydration reduces fatigue and brain fog.

The Science Behind Hydration and Metabolic Health

According to WHO and NITI Aayog health reports:

Hydration improves nutrient transport
Helps maintain blood pressure
Aids liver detoxification
Supports kidney function

Soda disrupts these processes, while detox water supports them.

How SecondMedic Helps You Transition from Soda to Healthy Hydration

• AI Health Guide

Identifies sugar consumption patterns and suggests healthier beverage alternatives.

• Dietitian support

Provides personalised hydration plans for metabolic health.

• Preventive care tracking

Monitors progress for weight, energy and blood sugar.

• Health education

SecondMedic guides families, teenagers and adults on sustainable lifestyle swaps.

Tips to Make the Switch Successfully

1. Start gradually

Replace one soda per day with detox water.

2. Add natural flavour

Use citrus or herbs to enhance taste.

3. Keep it accessible

Carry a bottle to avoid impulse soda purchases.

4. Choose chilled detox water

Cold drinks create a similar refreshing experience.

5. Track your progress

Energy and digestion improve noticeably within 2-3 weeks.

Conclusion

Switching soda with detox water is a small step with big preventive health benefits. It reduces sugar intake, supports metabolic wellness, improves hydration and strengthens long-term health. With personalized recommendations from SecondMedic, this transition becomes easy, enjoyable and effective.

References

• ICMR - Sugar Consumption & Metabolic Health Report
• NFHS-5 - Obesity, Diet and Lifestyle Indicators
• NITI Aayog - Preventive Health & Hydration Behaviour Study
• WHO - Health Effects of Sugary Drinks
• Lancet - Soda Consumption & Disease Burden India
• Statista - Beverage Consumption Trends in India
• EY-FICCI - Lifestyle Behaviour & Preventive Health Report

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