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AREA
Dengue
is an acute fever caused by a virus. It occurs in two forms:
(a)
Dengue Fever
(b)
Dengue Haemorrhagic Fever
Dengue
fever is marked by the onset of sudden high fever, severe headache and pain
behind the eyes, muscles and joints.
Dengue
Haemorrhagic fever (DHF) is a more severe form, in which bleeding
and sometimes shock occurs – leading to death. It is most serious in children.
Symptoms of bleeding usually occur after 3-5 days of fever. The
high fever continues for five to six days (103 – 105 OF or 39- 40 OC). It comes
down on the third or the fourth day but rises again. The patient feels much discomfort
and is very weak after the illness.
RECOGNITION
OF DENGUE FEVER
- Sudden onset of high fever
- Severe headache (mostly in the forehead)
- Pain behind the eyes which worsens with eye movement
- Body aches and joint pains
- Nausea or vomiting
RECOGNITION
OF DENGUE HAEMORRHAGIC FEVER AND SHOCK
Symptoms
similar to dengue fever plus, any one of the following:
- Severe and continuous pain in abdomen
- Bleeding from the nose, mouth and gums or skin bruising
- Frequent vomiting with or without blood
- Black stools, like coal tar
- Excessive thirst (dry mouth)
- Pale, cold skin
- Restlessness
TREATMENT
There
is no specific medicine for the treatment of the disease. However proper
and early treatment can relieve the symptoms and prevent complications and
death. Aspirin and Brufen should be avoided in dengue fever, as it is known to
increase the bleeding tendency and also it increases the stomach pain.
Paracetamol can be given on medical advice. If one or more signs of Dengue
Haemorrhagic fever are seen, take the patient to the hospital immediately. Give
fluids to drink while transferring the patient to the hospital.
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