[28F] Experiencing post-COVID cognitive and speech issues

What might be happening

Based on the symptoms you've described, it's possible you could be experiencing:

• Post-Acute Sequelae of SARS-CoV-2 infection (PASC), also known as Long COVID: This condition is characterized by a range of symptoms that continue for weeks or even months after the acute phase of the COVID-19 infection has resolved. These symptoms can include cognitive impairment (often referred to as "brain fog"), speech difficulties, and unusual skin sensations. The exact cause of PASC is not yet fully understood, but it is thought to be related to the body's immune response to the virus.

• Fatigue or stress: Your symptoms seem to worsen towards the end of the day, particularly after work. This could suggest that fatigue or stress might be playing a role in your symptoms. Both can affect cognitive function and speech, and stress can sometimes cause unusual physical sensations.

• Multiple Sclerosis (MS): MS is a chronic disease that affects the central nervous system, which includes the brain and spinal cord. MS can cause a wide range of symptoms, which can vary greatly from person to person. Some of these symptoms can include difficulties with speech and cognitive function, as well as unusual skin sensations. However, it's important to note that MS is typically diagnosed through a combination of neurologic exams, medical history, and an MRI of the brain and/or spinal cord.

• Brain tumor: Although less likely, a brain tumor can cause a variety of symptoms depending on its size, location, and rate of growth. Some brain tumors can cause cognitive changes and speech difficulties. However, brain tumors often cause other symptoms as well, such as persistent headaches, seizures, personality changes, or weakness or numbness in part of the body.

What you can do

Given your symptoms, it would be best to consult a healthcare provider for a thorough evaluation. They may recommend the following:

1. Neurological examination: This can help assess your cognitive function, speech, and other aspects of your neurological health.
2. Imaging studies: Depending on the results of your neurological examination, your healthcare provider may recommend imaging studies, such as an MRI, to further investigate your symptoms.
3. Referral to a specialist: Depending on your symptoms and the results of any tests, you may be referred to a neurologist or other specialist for further evaluation and treatment.

In the meantime, you might find it helpful to:

1. Rest and manage stress: Given that your symptoms seem to worsen towards the end of the day, ensuring you get enough rest and managing stress might help alleviate your symptoms.
2. Keep a symptom diary: Tracking your symptoms, including when they occur, their severity, and any potential triggers, can provide useful information for your healthcare provider.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Sudden, severe headache
• Seizures
• Sudden weakness or numbness in part of your body
• Sudden changes in your vision
• Difficulty walking or maintaining balance
• Any other new or worsening symptoms

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for a formal diagnosis and treatment.