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Long COVID Moderate → no benefit

Long COVID with pain, nausea and fatigue, now unable to work; many treatments no relief

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill for
Not stated
Last post
Feb 2025
In their words
  • Condition: Long COVIDPossible long Covid, chronic nausea, fatigue and abdominal pain (6-7+ years) In context ↗
  • At worst: ModerateI haven’t been able to commit to working during the last couple years In context ↗
  • Now: No benefitmy symptoms have been fluctuating, but consistently present In context ↗
  • Began after: glandular fever or EBVabdominal pain and nausea that persisted after what I thought was a stomach bug. The findings from that were that I had glandular fever (EPV/mono) In context ↗
Read from 1 of their posts and comments; links to the one this page draws on

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Summary

A 23-year-old man in Australia had chronic abdominal pain, nausea and fatigue since age 16, after a stomach bug and glandular fever, and also reports insomnia. Symptoms cleared between 18 and 20, then returned after gastroenteritis in 2021 and worsened after COVID in April 2022. Many medications, supplements and diets brought no relief, and he was hospitalised for 10 days in mid-2023 at his lowest weight. He now studies online, unable to work.

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What they tried

Their words about each treatment
  • mirtazapine · Not saidmirtazapine (15mg) In context ↗
  • phenergan · Not saidphenergan (150mg) In context ↗
  • escitalopram · Not saidescitalopram (10mg) In context ↗
  • pantoprazole · Not saidpantoprazole (40mg) In context ↗
  • antibiotics · Not saidcurrently taking antibiotics for a suspected UTI In context ↗
  • naturopathic supplements · Not saidmultiple naturopathic supplements In context ↗
  • ondansetron · Not saidondansetron (8mg) when needed In context ↗
  • paracetamol · Not saidparacetamol/ibruprofen when needed In context ↗
  • amitriptyline · Not saidamitriptyline + fluoxetine In context ↗
  • sertraline · Not saidamitriptyline, sertraline, fluoxetine In context ↗
  • low dose naltrexone · Not saidlow dose naltrexone In context ↗
  • medicinal cannabis · Not saidmedicinal cannabis In context ↗
  • diets · No changediets, medication and lifestyle changes In context ↗
  • Botox injection in throat for R-CPD · No changeBotox injection in throat for R-CPD (2024) In context ↗
  • Spinal epidural for pain block · No changeSpinal epidural for pain block (2024) In context ↗
  • Abdominal anterior nerve blocks · No changeAbdominal anterior nerve blocks (2024) In context ↗

Their path

Very severeSevereModerateMildNear normalRecovered2 y3 y4 y5 y6 y7 y

How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, with time counted from when the illness began. Hover or tap a point. The chart starts 2 years after onset: the story doesn’t say how ill they were before that. 3 steps say too little to place on the scale and are only in the table. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they were
age 16daily abdominal pain and nausea began after a stomach bug; glandular fever foundabdominal pain and nausea that persisted after what I thought was a stomach bug. The findings from that were that I had glandular fever (EPV/mono) In context ↗Not stated
age 18symptoms settled and he had about two years with no symptomswith a small window of no symptoms from ages 18 to 20 In context ↗Recovered
mid-2021symptoms returned and persisted after gastroenteritisI got really unwell again after having gastroenteritis midway through 2021 (20 years old) In context ↗Not stated
April 2022worse flare-ups of symptoms plus chest agitation after Covid-19I wasn’t really sick from the virus itself, but in weeks/months following, I was having worse flare ups of the same symptoms, as well as chest agitation In context ↗Not stated
mid-202310-day hospital stay for observations at his lowest weight, struggling to eat10 days in mid 2023 when I was struggling to eat/at lowest weight In context ↗Moderate
2025-02-14symptoms fluctuating but consistently present; studying online, unable to workFrom that point on, my symptoms have been fluctuating, but consistently present, ... I haven’t been able to commit to working during the last couple years In context ↗Moderate

Symptoms mentioned

Their words about their symptoms
  • Gut problemschronic abdominal pain (no cause found, considered ‘functional’) and concurrent nausea In context ↗
  • Sleep problemschronic fatigue, insomnia In context ↗
  • Anxiety & low moodphysical anxiety and possible mild depression/mental anxiety In context ↗
  • Heart symptoms & palpitationschest agitation (which was checked and cleared by a cardiologist) In context ↗

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