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Not just a respiratory infection, covid can cause symptoms throughout the body. Gastrointestinal symptoms are common in both acute and long covid, with gut issues often persisting long after initial infection. Katharine Lang investigates Lack of appetite, nausea, vomiting, diarrhoea, and abdominal pain. These may not be the symptoms people expect with covid, but around 50% of people experience them after SARS-CoV-2 infection, and in some people they’re the only symptoms.1 Gastrointestinal (GI) symptoms may be the first sign of infection or may develop later and persist as part of long covid. Sheena Cruickshank, immunologist at the University of Manchester, tells The BMJ why doctors didn’t initially recognise GI symptoms as part of covid-19. “The frequency of gastric symptoms anorexia, pain, diarrhoea, vomiting, rectal bleeding has varied considerably from 12-61% in publications,” she says, explaining that this variance may be due to GI symptoms not being reported as linked to

City ofUnited kingdomHong kongDaniel altmannKatharine langStephen griffinSheena cruickshankUniversity of leedsUniversity of manchesterImperial college london