As India witnesses, a sharp second wave of COVID-19 pandemic after a brief lull, health experts on 7th April warned that the virus and its variants may hit people really bad as it is now more lethal with several new symptoms not observed before.

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According to the experts, joint pain, body ache, abdominal pain and ulceration in the stomach are among the new symptoms. They also found the absence of cough and fever, and yet people being tested COVID positive. "The patients in the second wave of coronavirus in India are having unusual symptoms such as loss of appetite or anorexia, nausea, vomiting, abdominal pain and diarrhoea", stated Saumitra Rawat, Head of Department of Surgical Gastroenterology and Liver Transplant, Sir Ganga Ram Hospital, New Delhi. "The patients are even developing runny noses and cold. Other symptoms are increasingly seen also include joint pain and myalgia (muscle pain)", he added.

In the second wave, patients are also facing other issues as the novel coronavirus is now bypassing the mouth and saliva and directly reaching the lungs, affecting the organs badly, according to experts. "Even patients who are recovering from COVID are experiencing massive gastrointestinal bleeding. This is due to clotting in the vessels, which is leading to ulceration and necrosis and GI bleeding", stated Anil Arora, Chairman, Institute of Gastroenterology, Hepatology and Pancreatobiliary Sciences, at the Sir Ganga Ram Hospital.

On 7th April, the Health Ministry warned that the next four weeks will be "very critical". Some reports claimed that the viral load, the amount of virus in an infected person's blood, can be blamed for the second wave of COVID. However, Manoj Sharma, Senior Consultant, Internal Medicine, Fortis Hospital Vasant Kunj, New Delhi, said this is not the case. "When we are talking about viral load, we are talking about a person and not the entire community. When the viral load is higher, we may potentially infect more individuals at a faster rate but primarily the rate of infection which is prevalent in the community these days is because of the irresponsible behaviour of people rather than the viral load", he said.

"The irresponsible behaviour of people like not wearing masks, not maintaining social distancing, not following health hygiene are the main reasons to blame behind this second wave of the COVID -19 pandemic," he added. Reports suggest that India is now the fourth most affected country in the world in terms of active cases.