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May 12: Children suffering from non-respiratory disease symptoms like diarrhea and fever, or those with a history of exposure to the novel coronavirus, should be suspected of having COVID-19, a new study says.

According to the research, published in the journal Frontiers in Pediatrics, gastrointestinal symptoms first suffered by some children hints at potential infection with SARS-CoV-2 through the digestive tract.

"This case series is the first report to describe the clinical features of COVID-19 with non-respiratory symptoms as the first manifestation in children," the scientists from Tongji Hospital in China wrote in the study.

They explained that the gastrointestinal symptoms could be arising since the type of receptors in lung cells targeted by the virus can also be found in the intestines.

Most children are only mildly affected by COVID-19, and the few severe cases often have underlying health issues, the researchers said.

"It is easy to miss its diagnosis in the early stage, when a child has non-respiratory symptoms, or suffers from another illness," said study co-author Wenbin Li, who works at the Department of Pediatrics, Tongji Hospital.

"Based on our experience of dealing with COVID-19, in regions where this virus is epidemic, children suffering from digestive tract symptoms, especially with fever and/or a history of exposure to this disease, should be suspected of being infected with this virus," Li said.

In the study, the scientists described the clinical features of children admitted to hospital with non-respiratory symptoms, who were subsequently diagnosed with pneumonia and COVID-19.

"These children were seeking medical advice in the emergency department for unrelated problems, for example, one had a kidney stone, another a head trauma," Li said.

The study noted that all the children had pneumonia, which was confirmed by chest X-ray scan before or soon after admission.

These children were then confirmed to have COVID-19.

While their COVID-19 symptoms were initially mild or relatively hidden before their hospital admission, four out of the five cases had digestive tract symptoms as the first manifestation of this disease, the researchers said.

Li hopes that doctors will use the findings to quickly diagnose and isolate patients with similar symptoms, which may aid early treatment and reduce transmission.

According to the researchers, the children's gastrointestinal symptoms, which have also been recorded in adult patients, could be an additional route of infection.

"The gastrointestinal symptoms experienced by these children may be related to the distribution of receptors and the transmission pathway associated with COVID-19 infection in humans," Li explained.

Since the virus infects people via the ACE2 receptor, which can be found in certain cells in the lungs as well as the intestines, COVID-19 might infect patients not only through the respiratory tract in the form of air droplets, but also through the digestive tract by contact or fecal-oral transmission, the study noted.

While COVID-19 tests can occasionally produce false positive readings, Li said all the five children assessed in the study were infected with the disease.

However, he cautioned that more research is needed to confirm their findings.

"We report five cases of COVID-19 in children showing non-respiratory symptoms as the first manifestation after admission to hospital. The incidence and clinical features of similar cases needs further study in more patients," he said.

Bengaluru, Apr 10: A Karnataka BJP MP's daughter who recovered from COVID-19 has said she did yoga and ''pranayama'' while in hospital quarantine and these were key to defeating the pandemic.

"I was there in the hospital for 14 days. I used to do Yoga and Pranayama. It helps a lot. Everyone should start doing it now," said Ashwini GS, daughter of Davangere MP GM Siddeshwara.

In a video message that went viral on Thursday, she said coronavirus was "not something to be feared and yoga, pranayama and a strong mental state are the key to defeat the pandemic."

Ms Ashwini tested positive for COVID-19 after she had returned from Guyana last month. She was admitted to the SS Hospital in Davangere where she was quarantined for 14 days.

"Throughout my stay in the hospital I did not have any symptom of coronavirus. I neither sneezed, nor coughed or had a running nose. There was no fever either," Ms Ashwini said.

However, she kept herself physically and mentally fit.

"Maintain social distancing, be aware of dos and don'ts and stay safe," the MP's daughter said.

The AYUSH Ministry's protocol has outlined measures to build a strong immune system and it included consuming warm water, practising yogasana, pranayama and meditation for 30 minutes every day.

Mangaluru, Feb 13: After pro-Kannada outfits called for a state-wide bandh today, the police are on high-alert to avoid any untoward incidents.

The dawn to dusk bandh was called demanding implementation of Sarojini Mahishi report which recommended certain percentage of jobs to Kannadigas in private & public sector companies.

There is no official holiday declared for schools and colleges. Besides, all government institutions and private establishments are open.

But, in some parts of Karnataka, autorickshaws and taxis, including Ola and Uber stayed off the roads.

Even though the bandh is unlikely to hit normal life in coastal Karnataka, stones were pelted on a Tirupati-Mangaluru bus in Farangipet.