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Long COVID Severe → much better

Housebound with long COVID and vomiting, now much better with low-FODMAP diet and pacing

Condition
Long COVID
At worst
Severe (mostly bedbound)
Ill before improving or writing
Not stated
Last post
Jun 2025
In their words
  • Condition: Long COVIDi have autonomic neuropathy from LC In context ↗
  • At worst: SevereBefore I accepted that I had to be housebound or have constant PEM I was vomiting daily, unable to keep down meds. In context ↗
  • Now: Much betternow i can leave the house for a couple hours several days a week, do household chores, and cook w the use of a rolling work stool In context ↗
  • Began after: COVIDi have autonomic neuropathy from LC In context ↗
Read from 8 of their posts and comments; links to the 7 this page draws on

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Summary

Between late 2024 and mid-2025 they described being severely ill and housebound, vomiting daily and unable to keep medication down, with autonomic neuropathy and constant cold and sweating. A low-FODMAP diet stopped most vomiting and eased pain; pacing, radical rest, migraine medication Ajovy and a simplified diet let them leave home for a few hours several days a week.

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What they tried

Also tried

never quite eating to satiety· Helpedlinzess· HelpedAjovy (migraine med)· Helpednicotine gum· Not said
Their words about each treatment
  • low fodmap diet · Helped a lotbefore this I was throwing up regularly, sometimes daily ... Vomiting now only occurs during PEM, and digestive pain is a minor distraction In context ↗
  • nicotine gum · Not saidI only take 1/4 of the 2mg gum at once, and don't chew it before i place it between my gums. more than that and I get lightheaded nd tachycardic In context ↗
  • never quite eating to satiety · HelpedI've found success never quite eating to satiety, my nervous system can't prepare to digest if it doesn't think im full In context ↗
  • linzess · Helpedlinzess helped me too! terrible med but its better than having to uh,, get the blockage manually removed In context ↗
  • pacing · Helpedluckily improved a lot w pacing, radical rest, migraine med Ajovy, cutting out sugar/simplifying my diet, cane chair use, and avoiding reinfection In context ↗
  • radical rest · Helpedluckily improved a lot w pacing, radical rest, migraine med Ajovy, cutting out sugar/simplifying my diet In context ↗
  • Ajovy (migraine med) · Helpedluckily improved a lot w pacing, radical rest, migraine med Ajovy In context ↗

Approaches: Diet · Pacing · Radical rest

Their path

Very severeSevereModerateMildNear normalRecovered

How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, in the order they describe; they don’t give enough times to place each step. Hover or tap a point. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
—severely ill and housebound, vomiting daily, unable to keep medication downBefore I accepted that I had to be housebound or have constant PEM I was vomiting daily, unable to keep down meds. In context ↗Severe
2024-11-17vomiting and gut pain much reduced on a low FODMAP dietVomiting now only occurs during PEM, and digestive pain is a minor distraction. In context ↗Moderate
2025-06-28able to leave the house for a couple of hours several days a weeknow i can leave the house for a couple hours several days a week, do household chores, and cook w the use of a rolling work stool. In context ↗ModeratePacing and the energy envelope

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Gut problemsVomiting now only occurs during PEM, and digestive pain is a minor distraction. In context ↗
  • POTS & dysautonomiai have autonomic neuropathy from LC In context ↗
  • Temperature regulationI'm constantly cold and sweating too much, and then overheating extremely easily and almost feeling feverish. In context ↗
  • Post-exertional malaiseWhen I go into cold environments (like under 40° F) I start shivering so badly it gives me PEM. In context ↗
  • Headaches & migrainemigraine med Ajovy In context ↗
  • Mast cell (MCAS) & allergiesi have an adhesive allergy In context ↗
  • Heart symptoms & palpitationsI get lightheaded nd tachycardic In context ↗
  • Pain & fibromyalgiahelped even w pain outside my gut In context ↗

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