Most people who get COVID-19 have mild or moderate symptoms like coughing, a fever, and shortness of breath. But some who catch the new coronavirus get severe pneumonia in both lungs.
The pneumonia that COVID-19 causes tends to take hold in both lungs. Air sacs in the lungs fill with fluid, limiting their ability to take in oxygen and causing shortness of breath, cough and other symptoms.
Lung damage in the course of this disease often leads to acute hypoxic respiratory failure and may eventually lead to acute respiratory distress syndrome (ARDS). Respiratory failure as a result of COVID-19 can develop very quickly and a small percent of those infected will die because of it.
We know that COVID is not just a respiratory illness. It causes a hyperinflammatory state which can cause clots to form anywhere in the body. The disease also affects blood vessels. These clots can affect any organ in the body, but when it affects the brain, it causes a stroke.
About 15% of COVID-19 cases are severe. That means they may need to be treated with oxygen in a hospital. About 5% of people have critical infections and need a ventilator..
The new coronavirus causes severe inflammation in your lungs. It damages the cells and tissue that line the air sacs in your lungs. These sacs are where the oxygen you breathe is processed and delivered to your blood. The damage causes tissue to break off and clog your lungs.
Most people who survive ARDS go on to recover their normal or close to normal lung function within six months to a year. Others may not do as well, particularly if their illness was caused by severe lung damage or their treatment entailed long-term use of a ventilator.
“Acute” respiratory illness is an infection of the upper or lower respiratory tract that may interfere with normal breathing, such as COVID-19. “Acute” means of recent onset (for example, for a few days), and is used to distinguish from chronic respiratory illnesses like asthma and chronic obstructive pulmonary disease (COPD).
COVID-19 can cause lasting damage to multiple organs, including the lungs, heart, kidneys, liver and brain. SARS CoV-2 first affects the lungs through the nasal passages. When the lungs are severely affected, it can affect the heart.
If both of you are healthy and feeling well, are practicing social distancing and have had no known exposure to anyone with COVID-19, touching, hugging, kissing, and sex are more likely to be safe.
Although COVID-19 has been detected in semen and feces, currently we do not think that the virus is spread through the sexual act. But, given that the virus is spread through respiratory droplets—which are much more likely to be shared when in close contact with another person—many sexual acts will be considered high risk. So, as the New York City Department of Health details in its safer sex and COVID-19 fact sheet, minimizing risks by exploring other avenues of meaningful interaction is suggested and recommended.
You can be infected with the coronavirus and not have a cough. If you do have one, it may be mild and infrequent, or you may cough heavily at times. Remember that it is possible to have COVID-19 with minimal symptoms or even no symptoms at all.