Dr. K P Vasudeva Rao
8 min readJan 29, 2024

Have You Got Brain Fog? 3 Tips on How to Manage It

Photo by Stefano Pollio on Unsplash

What is brain fog?

Have you ever heard someone mentioning or saying, “I think I have brain fog.”? If yes and you do not know what it is, this article is for you!

Brain fog is a term used to describe a state of mental cloudiness or confusion. It is characterized by

  • difficulties in thinking clearly,
  • remembering information, and
  • maintaining focus.

People experiencing brain fog often describe feeling mentally sluggish, as if their thoughts are moving through a dense fog. This can be frustrating and impact daily functioning, making it difficult to concentrate at work or school, complete tasks, and even engage in social interactions.

While brain fog is not a medical condition in itself, it is often a symptom of an underlying issue.

It can be caused by a variety of factors, including

  • physical health conditions,
  • medications,
  • hormonal changes, and
  • psychological factors.

Understanding the root cause of brain fog is crucial in developing appropriate strategies to regain mental clarity.

Again, understanding brain fog is also essential in finding ways to regain mental sharpness and enhance cognitive function.

In this article, we will explore the unseen world of brain fog, exploring its causes, symptoms, and potential solutions.

Recently I got patients who had earlier suffered from Covid-19 during the pandemic and now complaining about sudden break in their thinking process, especially at work, as if they have got a mental block. Could it be Brain Fog?

Well, we will see what triggers this ‘mental block’. We’ll also take a closer look at the various factors that contribute to this cognitive decline, including the direct impact of the virus on the brain, the psychological effects of living through a pandemic, and the long-lasting consequences of stress and anxiety.

What are the probable causes of brain fog?

Brain fog can have numerous causes, making it a complex condition to pinpoint. Research shows that the causes are multifaceted it and it could be due to various reasons cited below-

  • Physical health conditions such as chronic fatigue syndrome, fibromyalgia, and autoimmune disorders are known to contribute to brain fog. These conditions often involve inflammation and immune system dysregulation, which can affect brain function.
  • Certain medications, such as sedatives, antidepressants, and antihistamines, may also cause cognitive impairment and contribute to brain fog.
  • Hormonal changes, such as those experienced during menopause or pregnancy, can disrupt neurotransmitter balance and lead to cognitive difficulties, sometimes causing brain fog.
  • Psychological factors, including stress, anxiety, and depression, are significant contributors to brain fog. The stress of living through the pandemic was thought to be a precursor to having brain fog.

The chronic activation of the body’s stress response system can lead to changes in brain structure and function, affecting memory, attention, and cognitive processing.

The link between Covid-19 and brain fog

In these challenging times, the effects of the Covid-19 pandemic are far-reaching and have extended beyond physical health.

One invisible and often overlooked consequence is the cognitive impact, coined by experts as “brain fog.” This mental cloudiness can leave individuals struggling with memory, focus, and overall mental clarity.

Covid-19 pandemic left behind many unwanted sequelae after it affected someone. Many of my patients have been reporting respiratory issues such as bronchial asthma when they have never suffered from this condition before.

Some have reported a temporary spike in blood glucose levels, so much so as to label them as diabetic. This could possibly be due to the heavy dose of steroids and antivirals administered to the patients while in hospital. However, blood sugar normalised over passing time.

One of the lesser-known effects of Covid-19 is its impact on cognitive function. Many individuals who have contracted the virus report experiencing brain fog as a lingering symptom.

Researchers have found evidence of direct viral invasion in the brain, leading to inflammation and neurological dysfunction. The exact mechanisms are still being studied, but it is believed that the virus can enter the brain through the olfactory system [nose and olfactory nerves supplying it] and spread to different regions, including those responsible for cognitive processes.

Additionally, the psychological toll of living through a pandemic can exacerbate brain fog. The constant stress, fear, and uncertainty can take a toll on mental health and contribute to cognitive difficulties.

I had an elderly patient who had diabetes as a co-morbid condition, who developed psychosis during his Covid-19 hospitalisation stint during the pandemic. He was having panic and manic attacks, much to the discomfort of his relatives and the hospital staff attending him. He, however, recovered fully but does not remember anything about his behaviour during his hospital stay.

The combination of both the direct impact of the virus on the brain and the psychological effect and stress of the pandemic creates a perfect storm for brain fog.

Remember, whether you’re recovering from Covid-19 or simply experiencing its lingering effects, it’s important to know that you’re not alone in this battle.

Symptoms of brain fog

The symptoms of brain fog can vary from person to person, but some common experiences include:

1. Difficulty concentrating: Individuals with brain fog often struggle to maintain focus and may find it challenging to complete tasks that require sustained attention.

2. Memory problems: Brain fog can affect both short-term and long-term memory, making it difficult to remember recent events or recall information.

3. Mental fatigue: People with brain fog often feel mentally exhausted, even after minimal mental effort. This fatigue can make it challenging to engage in mentally demanding activities.

I have a young patient, a software engineer working in a large engineering firm, who has repeated episodes of mental blocks post Covid infection to date- he is one such case taking time to get over his mental fog adding even more stress to his life!

He is still undergoing treatment for his ailment diagnosed as Long Covid with weekly sessions of NAD+ and a treatment called Hyperbaric Oxygen Therapy [HBOT].

4. Slow thinking: Thoughts may feel sluggish and processing information may take longer than usual.

5. Lack of clarity: Brain fog can create a sense of mental haziness, making it difficult to think clearly or make decisions.

It’s important to note that these symptoms can also be present in other conditions, so it’s essential to consult with a healthcare professional for an accurate diagnosis.

Impact of brain fog on daily life of patients

The impact of brain fog on daily life can be significant. Individuals may find it challenging to perform well at work or school, leading to decreased productivity and performance.

Simple tasks that were once effortless may now require extra effort and time, leading to frustration and decreased confidence.

Brain fog can also affect relationships and social interactions. Difficulty concentrating and remembering details can make it challenging to engage in conversations or follow along with discussions. This can lead to feelings of isolation and withdrawal from social activities.

Furthermore, the mental fatigue and lack of clarity caused by brain fog can impact overall well-being. Individuals may feel overwhelmed, anxious, or depressed due to their cognitive difficulties. This can create a vicious cycle where stress and negative emotions further contribute to brain fog.

Strategies to regain mental clarity

While brain fog can be challenging to overcome, there are strategies that can help regain mental clarity and improve cognitive function. By addressing the underlying causes and incorporating healthy lifestyle practices, individuals can take proactive steps towards reclaiming their cognitive abilities. Here are some practical tips to consider:

Diet and nutrition for brain health

A healthy diet plays a crucial role in brain function. Incorporating nutrient-dense foods can support cognitive health and reduce brain fog.

Focus on consuming a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats.

Avoid processed foods, sugary snacks, excessive caffeine intake, and alcohol, as they can contribute to inflammation and worsen cognitive symptoms.

Certain nutrients have been linked to improved cognitive function. Omega-3 fatty acids, found in fatty fish, walnuts, and flaxseeds, have anti-inflammatory properties and support brain health.

B vitamins, found in leafy greens, whole grains, and legumes, are essential for energy production and neurotransmitter synthesis.

Antioxidants, found in colorful fruits and vegetables, help protect the brain from oxidative stress.

Exercise and brain fog

Regular physical exercise has been shown to have numerous benefits for brain health, including reducing brain fog.

Exercise increases blood flow to the brain, promotes the release of feel-good neurotransmitters, and supports the growth of new brain cells. Aim for at least 150 minutes of moderate-intensity aerobic exercise per week, along with strength training exercises.

Engaging in activities that challenge the brain, such as puzzles, reading, or learning new skills, can also help improve cognitive function. These neurobic activities stimulate the brain and promote neuroplasticity, the brain’s ability to reorganize and form new connections.

Sleep and brain fog

Adequate sleep is essential for optimal cognitive function. Lack of sleep can contribute to brain fog and worsen cognitive symptoms. Aim for 7–9 hours of quality sleep each night.

Establish a consistent sleep routine, create a sleep-friendly environment, and prioritize relaxation before bed. Avoid electronic devices and stimulating activities close to bedtime, as they can interfere with sleep quality.

Implementing stress management techniques, such as mindfulness meditation, deep breathing exercises, or engaging in hobbies, can also help reduce brain fog.

Chronic stress and anxiety contribute to cognitive difficulties, so finding healthy ways to manage stress is vital.

Here’s an interesting article written by Dr Mehmet Yildiz about a person who had brain fog and how he overcame it.

Disclaimer: This article is for informative purposes only and should not be considered as medical advice. Anyone suffering from brain fog should consult their healthcare provider for advice on treatment and management.

Conclusion

Brain fog is an often-overlooked consequence of the Covid-19 pandemic, impacting individuals’ cognitive function and overall mental clarity. Understanding its causes and symptoms is essential in finding ways to regain mental sharpness and enhance cognitive function.

By addressing the root causes of brain fog, such as the direct impact of the virus on the brain, the psychological effects of living through a pandemic, and the long-lasting consequences of stress and anxiety, individuals can take proactive steps towards reclaiming their cognitive abilities.

Incorporating healthy lifestyle practices, including a nutrient-rich diet, regular exercise, adequate sleep, and stress management techniques, can support brain health and reduce brain fog.

It’s important to remember that each person’s experience with brain fog may be unique, so consulting with a healthcare professional is recommended for an accurate diagnosis and personalized treatment plan.

By understanding this invisible effect of Covid-19 and taking proactive steps to address it, individuals can start reclaiming their cognitive abilities and live a fuller, more productive life.

Final Words

My sincere thanks to Dr Mehmet Yildiz and Aiden (Illumination Gaming) for publishing my article on ear diseases a few days back.

I would also like to thank all readers on Medium who have opted to follow me.

Dr. K P Vasudeva Rao
Dr. K P Vasudeva Rao

Written by Dr. K P Vasudeva Rao

I am Dr. K. P. Vasudeva Rao. I am a General Medical Practitioner living in India. I write blogs on my website:-https://raodoctor.com/ on health related issues.

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