The Be Well Medical Centre has shared with the Royal Coast Review recommendations for Covid-19 patients isolating at home. Under the latest government protocol, self-isolation is now the standard procedure for most patients with no or mild symptoms provided they have adequate accommodation.

Fortunately, most cases the Clinic has seen have no or mild symptoms, hardly needing medical support, and recovering quickly. This is likely thanks to the high level of vaccinations in our province and, possibly because (following statistics in various countries) it seems the Omicron variant is more contagious but less severe than the Delta variant.

The main message is: “no reason to panic but take your infection seriously”.

Medical advice for COVID-19 patients in self-isolation.

If you are COVID-19 positive and in isolation at home, we have the following recommendations.

Don’t be overly concerned! For most people, notably those who are fully vaccinated and in good health, COVID[1]19 poses only a very minimal risk of developing into a severe illness.

The Omicron variant, now also dominant in Thailand, is proven to be more contagious, however, the latest statistics here and in various other countries show a significantly lower hospitalization and fatality rate. Still, this does not mean you should not take your infection seriously.

The best treatment of patients with no or mild symptoms is:

• get enough sleep and rest

• avoid stress and try to relax

• keep a level of exercising in/around your house as suited for your condition (e.g. walking)

• eat healthy food notably fruit and vegetables

• drink plenty of fluids e.g. water and fruit juices

• stop or at least highly restrict the intake of nicotine and alcohol

If you would like to use medicines to support the strengthening of your immunity, we recommend the herbal drug Andrographis (180mg per day) locally known as “fah talai jone”. It is promoted by the Thai medical authorities and is widely available.

If you have a fever, body aches, and/or other physical discomfort we advise taking paracetamol (max 1000mg per dosage, 3000mg per day).

We do not recommend you start experimenting with other drugs (so don’t Google too much) unless in consultation with your doctor.

When should you consult your doctor?

• If you are over 75 years of age or if you have a medical condition that poses a higher risk to develop severe symptoms. The doctor might consider prescribing prophylactic medication and/or admit you into a hospital for temporary observation.

• If you have mild symptoms which are not well responding to paracetamol. The doctor may prescribe alternative pain killers, cough suppressants, and/or other medicines to treat these symptoms.

• If your symptoms are getting more severe (e.g. breathing problems) or are lasting more than 5 days or if fever comes back. In such cases we also recommend you check your oxygen saturation level (oxygen meters are widely available). If the saturation level is below 95% you should call the doctor.

• If you are concerned about your condition and this is causing mental stress.

We wish you a smooth and fast recovery! The Be Well Team. Tel: 02 111 6644 (Banyan Clinic) Tel: 02 111 6622 (Black Mountain Clinic)