*Individuals having gastroenterology problems are not at any additional risk of super added infection

 *Covid is known to cause anxiety symptoms; but it is covid itself and not anxiety which causes gastroenterological symptoms

*limit intake of paracetamol

*A normal individual can take upto 2 gms ( 4 tablets of 500mg tablets) per day without any problems whereas those having liver problems and severe renal problems need caution

*Excessive use of paracetamol can damage the liver and can cause severe gastrointestinal upset in elderly patients, those who indulge in alcohol abuse, people with borderline kidney function and liver disease and fasting aggravates paracetamol poisoning.

*steroids can cause a lot of side effects and advised that steroids should never be taken of your own. 

In the Gastro-Intestinal system, "steroids are known to cause gastric and duodenal ulcers especially if taken along with pain killers.  

*Covid vaccination and extra precautions are recommended for those patients who have gastroenterological conditions requiring immunosuppressive treatment for ulcerative colitis, Crohn's disease, autoimmune hepatitis etc.

*Vaccination is the only shield and weapon against Covid-19 infection and appealed to people to get vaccinated without any fear.

Dr Nisar Ahmad Shah, 
Professor of Medicine, Gastroenterology, Government Medical College Srinagar