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Published on: Jul 09, 2020
2 minute read
By: Dr Rakesh Choudhary

COVID- 19 Tests – What Do You Need To Know?

COVID- 19 tests – What do you need to know?

Author: Dr. Rakesh Choudhary MBBS, MS, FRCS UK, FRCS Orth UK, MChOrth UK.

Dr. Choudhary is a practicing consultant surgeon in the UK.

So many of us think it is not their job to learn about COVID-19 tests and this should be left for the experts and governments to decide about these tests. But I strongly suggest the public must have a basic understanding of these tests which they may have to have themselves.

Basically there are two types of tests, one which can detect the virus in the body and the other one which tells if the person had the previous infection.

Virus test

The virus test detects an active infection. It detects the genetic material (RNA) of the virus during an active infection. It is also called a PCR (polymerase chain reaction) test or nucleic acid test and is sometimes inaccurately called an antigen test.

A swab is taken from deep in the back of your throat and deep in the nose. The swab should go deep up to 7-8 cm and is generally uncomfortable for the patient. Swabbing patients using the correct technique is paramount in ensuring an accurate result. By simply swabbing the inside of the nasal passage is not deep enough to verify that the virus is present.

What does virus testing tell you?

This test tells us if a patient is actively infected with the COVID-19 virus. Virus testing is used mainly for the diagnosis of COVID-19.

When should it be done?

The virus test works best during the first seven days of symptoms.

The coronavirus can be detected in swabs even before symptoms of illness first appear . This is why people can be infectious for a few days before the onset of symptoms, which usually appear about 5 days after the virus infects. Some people have no symptoms throughout their infection but are positive on the virus test and infectious to others. After a few days of illness, the concentration of the virus falls (as seen in swab samples) and the symptoms of the illness usually recede.

Accuracy of the test

In a person with COVID-19, the test is less likely to give a positive result late in the course of infection once the virus has been cleared by the immune system, or if an inadequate sample is taken from the nose or throat. There are concerns that the rate of ‘false negative’ test results could be as high as 30% and a significant number of people are wrongly being told they do not have the virus.

Antibody test

Antibody tests check your blood by looking for antibodies, which may tell you if you had a past infection with the virus that causes COVID-19. Antibodies are protein structures that are produced by the immune system in response to certain infections. The antibody can help fight off infections and can provide protection against getting that disease again (immunity). Antibodies are disease-specific. For example, measles antibodies will protect you from getting measles if you are exposed to it.

The antibody test detects the presence of antibodies as a marker of past infection. The antibody test (blood test) will only detect infections after the immune system has produced antibodies that recognize the virus. This happens approximately 7–10 days after symptoms develop.

Tests carried out a week after a patient develops symptoms will detect only 30% of people who had COVID-19 infection. Accuracy increases to 72% at two weeks and to 94% in the third week. Some people may take even longer to develop antibodies, and some people who are infected may not ever develop antibodies.

Interpretation of the antibody test is complex for non-medical people. Basically having antibodies to the virus that causes COVID-19 may provide protection from getting infected with the virus again. If it does, we do not know how much protection the antibodies may provide or how long this protection may last.

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Digestive System Disorders: Common Causes, Symptoms, and Prevention Tips

The digestive system plays a vital role in overall health by breaking down food, absorbing nutrients and eliminating waste. When this system does not function properly, it can lead to discomfort, poor nutrition and chronic illness. Digestive system disorders are increasingly common due to modern lifestyles, dietary habits and stress. Understanding their causes, symptoms and prevention strategies is essential for maintaining long-term gut health.

Public health research shows that a large proportion of adults experience digestive symptoms at some point in their lives, yet many delay seeking care until problems become severe.

What Are Digestive System Disorders?

Digestive system disorders are conditions that affect:

the oesophagus
stomach
intestines
liver
pancreas
gallbladder

They may be temporary or chronic and range from mild functional issues to serious inflammatory or structural diseases.

Common Digestive System Disorders

Acid Reflux and GERD

Gastroesophageal reflux disease (GERD) occurs when stomach acid flows back into the oesophagus.

Symptoms include:

heartburn
chest discomfort
sour taste in mouth
difficulty swallowing

Long-term reflux can damage the oesophagus if untreated.

Irritable Bowel Syndrome (IBS)

IBS is a functional bowel disorder.

Symptoms include:

abdominal pain
bloating
diarrhoea or constipation
alternating bowel habits

Stress and diet often trigger symptoms.

Constipation

Constipation involves infrequent or difficult bowel movements.

Causes include:

low fibre intake
dehydration
sedentary lifestyle

Chronic constipation affects comfort and gut function.

Diarrhoea

Diarrhoea results from rapid bowel movements.

Common causes include:

infections
food intolerance
medication side effects

Persistent diarrhoea may lead to dehydration and nutrient loss.

Peptic Ulcer Disease

Ulcers are sores in the stomach or intestinal lining.

Symptoms include:

burning stomach pain
nausea
bloating

They are often linked to infections or long-term medication use.

Inflammatory Bowel Disease (IBD)

IBD includes conditions like Crohn’s disease and ulcerative colitis.

Symptoms include:

chronic diarrhoea
abdominal pain
weight loss
fatigue

IBD requires long-term medical management.

Common Symptoms of Digestive Disorders

Digestive system disorders often present with:

abdominal pain or cramps
bloating and gas
nausea or vomiting
constipation or diarrhoea
heartburn
unexplained weight changes

Symptoms may fluctuate and worsen with stress or poor diet.

Causes of Digestive System Disorders

Poor Dietary Habits

Diets high in:

processed foods
refined sugars
unhealthy fats

strain the digestive system and alter gut microbiota.

Stress and Mental Health

Chronic stress affects gut-brain communication, worsening digestive symptoms.

Infections

Bacterial, viral or parasitic infections disrupt gut function.

Food Intolerances

Lactose, gluten or other intolerances cause digestive distress.

Sedentary Lifestyle

Lack of physical activity slows digestion and bowel movement.

Medication Use

Certain medications irritate the stomach lining or alter gut flora.

Who Is at Higher Risk?

People at increased risk include:

individuals with poor diet
those under chronic stress
older adults
people with family history of gut disease
individuals with sedentary lifestyles

Early lifestyle correction reduces risk significantly.

Diagnosis of Digestive Disorders

Evaluation may include:

medical history
physical examination
blood tests
stool tests
imaging or endoscopy

Diagnosis depends on symptom severity and duration.

Treatment Approaches

Medical Management

Treatment varies by condition and may include:

acid suppressants
anti-inflammatory medications
probiotics
antibiotics when needed

Dietary Modifications

increase fibre intake
limit trigger foods
eat regular meals
avoid excessive alcohol

Diet plays a central role in gut health.

Lifestyle Changes

manage stress
exercise regularly
stay hydrated
maintain sleep routine

Healthy habits support digestive function.

Prevention Tips for Digestive Health

Eat a Balanced Diet

Include fruits, vegetables, whole grains and lean proteins.

Stay Hydrated

Water supports digestion and prevents constipation.

Manage Stress

Mindfulness and relaxation techniques improve gut-brain balance.

Be Physically Active

Movement stimulates bowel activity and gut motility.

Avoid Smoking and Excess Alcohol

These irritate the digestive tract and worsen symptoms.

Seek Early Medical Advice

Early care prevents complications and chronic disease.

Long-Term Impact of Ignoring Digestive Problems

Untreated digestive disorders may lead to:

nutrient deficiencies
chronic inflammation
poor quality of life
increased disease complications

Early intervention is more effective and less invasive.

When to Consult a Doctor

Medical advice is recommended if:

symptoms persist beyond weeks
pain is severe
blood appears in stool
unexplained weight loss occurs

Prompt evaluation ensures safe management.

Conclusion

Digestive system disorders are common but often underestimated health issues. Symptoms such as bloating, pain, constipation and heartburn may seem minor initially but can signal deeper problems if ignored. Understanding causes, recognising early symptoms and adopting preventive habits help protect digestive health. With timely care, balanced nutrition and healthy lifestyle choices, most digestive disorders can be effectively managed, allowing the digestive system to function smoothly and support overall wellbeing.

References

Indian Council of Medical Research (ICMR) – Digestive Health and Nutrition Reports
World Health Organization (WHO) – Digestive Disorders and Gut Health Guideline
National Institute of Nutrition (NIN) – Dietary Fibre and Gut Health Researc
Lancet – Gastrointestinal Disease and Prevention Studies
Indian Journal of Gastroenterology – Digestive Disorder Research
Statista – Digestive Health Trends and Lifestyle Factors

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