Age 65+: what should you do first if new COVID symptoms start?

What to Do First If You’re 65 or Older and Notice New COVID Symptoms

As we get older, our bodies may respond differently to infections like COVID-19. If you’re 65+ and notice any new COVID symptoms—no matter how mild they seem—taking quick, sensible steps can help you get the care you need and reduce your risk of serious complications.

1. Recognize Early Warning Signs
   Older adults can develop COVID-19 differently. Watch for:

   • Fever (may be low-grade or even absent)
   • Cough or shortness of breath
   • New fatigue, body aches or muscle pain
   • Sudden loss of taste or smell
   • Confusion, dizziness or unusual weakness
   • Gastrointestinal issues: nausea, vomiting or diarrhea

   Even subtle changes—feeling unusually tired or slightly off balance—can be an early red flag.

2. Isolate Immediately
   As soon as you notice new COVID symptoms:

   • Stay in a separate room or area away from other household members.
   • Wear a well-fitting mask if you must share common spaces.
   • Wash your hands often with soap and water for at least 20 seconds.
   • Clean high-touch surfaces (doorknobs, phones, light switches) daily.

   Isolation helps protect the people you live with—some of whom may also be at higher risk.

3. Check Your Oxygen Level and Temperature
   Seniors can develop “silent hypoxia,” where oxygen levels drop before you feel short of breath.

   • Use a fingertip pulse oximeter, if you have one, to check oxygen saturation (SpO₂).
     • Normal: 95–100%
     • Call your doctor if it’s consistently below 92%.
   • Take your temperature twice a day. Record any readings at or above 100.4°F (38°C).

   Keeping track of these numbers gives your healthcare provider valuable information.

4. Use a Free, Online symptom check
   If you’re unsure what to do next, you might consider doing a free, online symptom check and follow its guidance on testing or care.

5. Contact Your Healthcare Provider
   Reach out to your primary doctor, geriatric specialist or local clinic:

   • Describe exactly when symptoms began and how they’ve changed.
   • Share your home measurements (temperature, oxygen levels).
   • Ask if you qualify for antiviral treatments or monoclonal antibody therapy, which are most effective when started early.

   If you have underlying conditions—heart disease, diabetes, lung disease, liver problems or a weakened immune system—tell them right away.

6. Arrange for Testing
   Your healthcare provider can advise whether to get a PCR test or a rapid antigen test:

   • PCR tests are more accurate and usually done at a lab.
   • Rapid tests give results in 15–30 minutes and can be done at home.
     Regardless of type, testing confirms infection and helps guide treatment decisions.

7. Begin Supportive Care at Home
   For most mild cases, you can manage symptoms yourself with your doctor’s OK:

   • Rest and avoid overexertion.
   • Stay hydrated—water, broth, electrolyte drinks.
   • Use fever-reducers/ pain relievers (acetaminophen or ibuprofen) as directed.
   • Keep airways clear: consider using a cool-mist humidifier or saline nasal spray.

   Check in with a trusted friend, family member or neighbor daily so someone knows how you’re doing.

8. Know When to Seek Emergency Care
   Certain signs require immediate medical attention. Call 911 or have someone drive you to the nearest emergency department if you develop:

   • Severe or worsening shortness of breath (even with rest)
   • Chest pain or pressure that won’t go away
   • New confusion, inability to awaken or stay awake
   • Bluish lips or face
   • Sudden dizziness, lightheadedness or fainting

   Don’t wait—early treatment can be lifesaving.

9. Monitor for Complications
   As an older adult, you’re at higher risk of pneumonia, blood clots, kidney injury and other issues. Keep in touch with your healthcare team if you notice:

   • Increased swelling in your legs or abdomen
   • Sharp chest pain, especially when breathing in
   • Decreased urination or dark urine
   • Any new mental changes (e.g., confusion or disorientation)

10. Stay Updated on Treatments and Vaccines
    Treatments evolve quickly. Ask your provider if you’re eligible for newly authorized antivirals or antibody therapies. Also:

    • Keep your COVID-19 vaccinations and boosters up to date.
    • Ask about flu and RSV vaccines to reduce other respiratory risks.

    Staying current helps reduce severe illness and hospitalization.

11. Take Care of Your Emotional Well-Being
    Isolating and worrying about your health can be stressful.

    • Stay connected via phone or video with friends and family.
    • Practice gentle breathing exercises or guided meditation.
    • Reach out to community resources or a mental health professional if anxiety or loneliness feels overwhelming.

12. Follow-Up and Recovery
    Once symptoms improve:

    • Continue to isolate until you meet CDC or local health-department guidelines (usually at least 5 days, followed by mask use around others).
    • Gradually resume light activities; avoid heavy lifting or strenuous exercise for a week after symptoms fully resolve.
    • Schedule a follow-up visit—especially if you had moderate to severe illness—to check lung function and overall recovery.

Key Takeaways

• Early action is your best defense. Don’t wait to see if symptoms “go away” on their own.
• Isolation, symptom tracking and prompt provider contact can prevent serious outcomes.
• Use tools like oxygen monitors, thermometers and online resources to guide you.
• Have a plan now: know who to call, where to test and how to get prescriptions filled.

Remember: if any sign feels life threatening or seriously worrisome, speak to a doctor or call 911 immediately. Your health and safety come first—there’s no such thing as being too cautious when new COVID symptoms appear.