Long COVID Mechanism Calculator

Questions

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Questions remaining: 43

1. When you stand upright or remain upright, how much do your symptoms worsen?
2. How much do heat, hot weather, hot showers, or warm environments worsen your symptoms?
3. How much do cold temperatures or cold environments worsen your symptoms?
4. How much do your symptoms worsen during or after physical activity?
5. How much do your symptoms worsen during or after concentration, reading, screen time, problem-solving, or sustained thinking?
6. How much do your symptoms worsen after eating a meal in general?
7. How much do your symptoms worsen after carbohydrates, sugary foods, desserts, or high-carbohydrate meals?
8. How much do your symptoms worsen after fermentable foods such as onions, garlic, beans, certain fruits, wheat, or other high-FODMAP foods?
9. How much do emotional stress, excitement, conflict, anticipation, or overstimulation worsen your symptoms?
10. How much does alcohol worsen your symptoms?
11. How much do your symptoms worsen after poor sleep or reduced sleep?
12. How much do your symptoms worsen at night or when lying down?
13. How much do your symptoms worsen when you are dehydrated, have not had enough fluids or salt, or have been sweating?
14. How much do your symptoms flare after a minor illness, cold, virus, or infection?
15. If physical exertion worsens you, when does it usually begin?
16. If mental exertion worsens you, when does it usually begin?
17. If meals worsen you, when do symptoms usually begin?
18. If carbohydrates or sugar worsen you, when do symptoms usually begin?
19. If fermentable foods worsen you, when do symptoms usually begin?
20. If standing upright worsens you, how quickly does it happen?
21. If heat worsens you, how quickly does it happen?
22. If emotional stress worsens you, how quickly does it happen?
23. Are your symptoms worse in the morning, soon after waking or first getting upright?
24. Are your symptoms better in the morning and worse later in the day?
25. Are your symptoms distinctly worse in the evening or at night?
26. Do you often wake up feeling significantly worse the morning after a trigger such as exertion, alcohol, poor sleep, or illness?
27. Do your standing-related symptoms improve noticeably when sitting or lying down?
28. Do you get flushing, itching, hives, or sudden heat reactions with food, heat, alcohol, or stress?
29. Do bloating, gas, abdominal pressure, or bowel changes track strongly with meals or fermentable foods?
30. After physical or mental exertion, do you get a delayed “crash” with exhaustion, flu-like feeling, body pain, or cognitive shutdown?
31. Do you feel a surge of adrenaline, internal shakiness, racing heart, or inability to calm down with stress or at night?
32. Are you unusually intolerant of cold compared with others around you?
33. Do heat, upright posture, or dehydration cause heavy legs, faintness, or reduced ability to stay on your feet?
34. Are you unusually intolerant of cold in general compared with other people around you?
35. Do you tend to feel slowed down, sluggish, or unusually low-energy, especially in the morning?
36. Do you have constipation, dry skin, hair thinning, or a sense of slowed metabolism that seems to cluster with fatigue and cold intolerance?
37. Do you have flushing, heat intolerance, hot flashes, or nighttime overheating that seems out of proportion to the environment?
38. Are your symptoms noticeably worse at certain times of the menstrual cycle, around perimenopause or menopause, or during periods of hormonal fluctuation?
39. Do you have sleep disruption, nighttime waking, palpitations, anxiety, or temperature swings that seem hormonally linked rather than purely stress-linked?
40. Do you have low drive, low motivation, reduced stamina, or poor physical recovery that feels different from PEM alone?
41. Have you noticed reduced muscle strength, reduced exercise capacity, or impaired recovery that seems persistent even on days without a classic delayed crash?
42. Do you feel unusually low in the morning, with poor drive, poor initiative, or low “get-up-and-go,” especially if this is accompanied by reduced libido or reduced sense of physical resilience?
43. How does body position affect your symptoms overall?

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