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Published on: May 22, 2020
1 minute read
By: Dr Rajan Choudhary

Corona Virus In Young Patients And Kids

Kids seem to be relatively unaffected by COVID, but this does not mean they are invulnerable. As with adults, some children have pre-existing cardiac, respiratory, or metabolic conditions, and are therefore more vulnerable to the effects of COVID. Interestingly, children appear to have one more symptom when infected with coronavirus – COVID Toes.

I personally came across this phenomenon recently, with a young patient asymptomatic for COVID who presented with unusual symptoms of dark bruises on his toes. This had been present for just a few days. He did not have any pain, itching, swelling, no recent trauma, or injury to the feet. Circulation to his feet was normal, with no other rashes or skin changes, no other abnormal features in the history to note. It was certainly an odd presentation and certainly could have been an example of COVID toes.

This new phenomenon was noticed in April and has not gained as much notoriety because it is fairly rare compared to the major COVID symptoms, such as fever, cough, and lethargy. Doctors have described lesions on the feet of young people, usually purple-colored, around the tips of the toes. They have been compared to chilblains, painful swellings on feet, and toes that appear in the cold. Similarly to chilblains they do not cause any permanent damage and usually regress in days to weeks.

It's not clear why they occur or the mechanism behind the discoloration, because the presentation is rare and in healthy patients. We know COVID can cause systemic inflammation and can increase the risk of clot formation. It may be that localized inflammation is occurring in the toes, causing the vessels to clamp down and reduce blood flow to the area. This is similar to the mechanism for chilblains forming in the foot. Micro-clotting could also be partially responsible for this phenomenon.

COVID Toes is not the only skin symptoms related to COVID. In a paper published in the British Journal of Dermatology, researchers described five common skin presentations in 375 COVID patients. These were:

Asymmetrical chilblain like lesions in the hands and feet, found in younger patients lasting up to 2 weeks.
Small itchy blisters in the trunk and limbs, found in middle-aged patients before they present with symptoms, lasting about 10 days
Pink or white areas of raised skin, itchy, usually on the body
Raised bumps called macropapules, lasting about a week, seen in more severe infections.
Mottled, blotchy red-blue skin (known as livedo) seen in patients with severe illness.

So if you are currently suffering from COVID or have recently recovered from an infection, and suddenly notice odd colored toes, you too may have a case of COVID toes.

Dr Rajan Choudhary, UK, Chief Product Officer, Second Medic Inc

www.secondmedic.com

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Hearing Loss Solutions for Elderly in India: Restoring Sound & Confidence

Introduction

Hearing loss is one of the most common health challenges faced by elderly people in India. According to estimates, nearly 1 in 3 Indians above the age of 60 experiences some degree of hearing difficulty. For many seniors, this leads to isolation, depression, communication barriers, and even increased risk of dementia. The good news? Modern science and technology offer multiple hearing loss solutions for elderly in India—from advanced hearing aids to cochlear implants and lifestyle support.

This blog explains the causes, solutions, diagnostic tests, and care tips for elderly hearing loss in India.

Why Hearing Loss Happens with Age

The medical term for age-related hearing loss is presbycusis. It happens gradually and affects both ears. Major reasons include:

Degeneration of inner ear cells with aging.
Long-term exposure to noise (machines, loud music, traffic).
Health conditions like diabetes, hypertension, thyroid disorders.
Side effects of medicines (ototoxic drugs).
Ear infections or wax buildup left untreated.

Symptoms of Hearing Loss in Seniors

Asking others to repeat frequently.
Turning up TV or phone volume unusually high.
Trouble following conversations in noisy places.
Difficulty hearing high-pitched sounds (like children’s voices).
Ringing in the ears (tinnitus).
Withdrawal from social interactions.

Best Hearing Loss Solutions in India

1. Hearing Aids

Modern hearing aids are smaller, digital, and rechargeable. They can be customized for mild to severe hearing loss. Some are nearly invisible, while others connect via Bluetooth to phones and TVs.

2. Cochlear Implants

For severe or profound hearing loss, cochlear implants bypass damaged inner ear structures and directly stimulate hearing nerves. India has many hospitals offering affordable implant surgeries compared to Western countries.

3. Assistive Listening Devices

Simple tools like TV amplifiers, alerting systems with lights/vibrations, and mobile apps improve communication at home.

4. Speech & Hearing Rehabilitation

Speech therapy and auditory training help seniors adapt to devices and regain confidence.

5. Lifestyle & Preventive Care

Regular ear check-ups.
Managing diabetes and hypertension.
Avoiding loud noise exposure.
Balanced diet with vitamins (especially B12, folate, zinc).

Diagnostic Tests for Hearing Loss

Audiologists and ENT specialists recommend:

Pure Tone Audiometry (PTA) – Standard hearing test.
Speech Audiometry – Measures speech clarity.
Tympanometry – Middle ear function.
Otoacoustic Emissions (OAE) – Inner ear function.
BERA Test – For neural pathway issues.

At SecondMedic and Thyrocare centers, seniors can also book complete health check-ups with ENT & vitamin profiles to check if underlying conditions are contributing.

Cost of Hearing Solutions in India

Basic Hearing Aids: ?15,000 – ?40,000
Digital & Rechargeable Hearing Aids: ?50,000 – ?1,50,000
Premium Invisible Aids / Bluetooth-enabled: ?2 – ?3 lakhs
Cochlear Implant Surgery: ?6 – ?12 lakhs (may vary by hospital)

Government schemes, NGOs, and CSR initiatives sometimes subsidize devices for senior citizens.

Role of Family Support

Hearing loss is not just a medical condition—it’s a social challenge. Families can help by:

Speaking clearly, slowly, and facing the senior.
Reducing background noise during conversations.
Encouraging regular check-ups and device use.
Providing emotional support to prevent isolation.

Conclusion & CTA

Hearing loss does not have to mean silence. With the right solutions—modern hearing aids, cochlear implants, rehabilitation therapies, and preventive care—elderly Indians can enjoy active, engaged lives.

If you or your loved one is experiencing hearing problems, book a complete hearing assessment with SecondMedic today. Early diagnosis and the right solution can restore not just sound, but also confidence and connection.

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