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When to see a doctor – Severe dengue fever is a life-threatening medical emergency. Seek immediate medical attention if you’ve recently visited an area in which dengue fever is known to occur, you have had a fever and you develop any of the warning signs.

Is stomach pain a symptom of dengue?

Discussion – AP is an acute inflammatory process of the pancreas with varying involvement of other regional tissues or remote organs. While common causes of AP are gall stones and alcohol, infective agents also cause a small proportion of cases, Pancreatitis in any infectious disease could be (a) definite pancreatitis if there is surgical or radiological evidence of pancreatitis, (b) probable pancreatitis if there is biochemical evidence in the form of more than three-fold elevated serum amylase or lipase and characteristic symptoms, or (c) possible pancreatitis if there is only asymptomatic biochemical evidence,

1. An infectious agent should be suspected as the cause of AP if the characteristic syndrome due to the infectious agent is present, which is seen in 70% of cases,
2. Criteria suggested for associating pancreatitis with an infective etiology include (a) finding the organism in pancreas or pancreatic duct, which is ‘definitive criteria’; (b) culture of the organism from the pancreatic juice or blood or serological evidence combined with characteristic clinical or epidemiological setting, which is ‘probable criteria’; and (c) culture of the organism from other body sites or serological evidence of infection, which is ‘possible criteria’,

Dengue infections are caused by four antigenically distinct dengue virus serotypes, DEN 1, 2, 3, and 4, and belong to the family Flaviviridae, Dengue virus is transmitted from human to human through bites of Aedes aegypti and Aedes albopictus mosquitoes, and infections caused by dengue virus can be asymptomatic or symptomatic.

1. Symptomatic infections could be classical DF or dengue hemorrhagic fever (DHF), which may or may not be associated with shock.
2. All ages and both sexes are susceptible to DF, and children usually have a milder course compared than adults,
3. Following an average incubation period of 5–6 days, classical symptoms of DF appear, including sudden onset of high-grade fever with chills, intense headache, muscle and joint pain, retro-orbital pain, anorexia, generalized weakness, abdominal pain, dragging pain in the inguinal region, sore throat and general depression,

Fever is typically but not inevitably followed by remission for a few hours to 2 days (biphasic curve). Skin eruptions appear in 80% of cases during remission or during the second febrile phase, which lasts for 1–2 days. Abdominal pain is a common symptom (40%) in dengue infections and is more commonly associated with DHF.

What does dengue abdominal pain feel like?

Dengue is a mosquito-borne illness that can range from mild flu-like symptoms to being fatal. The virus that causes dengue is related to those which cause West Nile infection and yellow fever. It is transmitted by the bite of an Aedes mosquito that carries the dengue virus from one person to another.

• It cannot be spread directly from person-to-person.
• Every year, almost 96 million cases of dengue out of 400 million take a turn for the worse.
• The disease can escalate very quickly, and turn into a severe and life-threatening ailment, therefore knowing the warning signs of a severe dengue infection is crucial.

Belly Pain Firstly, a severe dengue infection is characterised by belly pain, and abdominal discomfort that can be difficult to tolerate. It can, oftentimes, be accompanied by persistent vomiting and nausea. Hemorrhaging The second major sign is bleeding. iStock Every year, almost 96 million cases of dengue out of 400 million take a turn for the worse. Changed Mental State Another telling sign is changes in the mental state. The patient may appear confused, foggy, with their cognitive skills impaired. They are generally irritable, and have mood swings.

1. Breathing Issues A severe dengue case often result in breathlessness.
2. The reason for the breathing trouble can be manifold.
3. It can happen due to respiratory distress syndrome, pneumonia or metabolic acidosis and shock.
4. It also includes weak pulse, dilated pupils, and cold clammy skin.
5. Organ Damage Apart from the above signs, Dengue can also cause fluid retention, liver impairment or enlargement, and result in other organ damage.

Dengue Shock Syndrome Dengue Hemorrhagic Fever (DHF) is the onset of a severe fever during dengue which affects blood and lymph vessels. If it is left untreated, it can cause a failure of the circulatory system which sends the body into shock, known as Dengue Shock Syndrome.

Does dengue cause gastritis?

Abstract – Twenty-six virologically and serologically confirmed Dengue patients with signs of upper gastrointestinal tract bleeding (13.1%) were studied during the 1987 outbreak in southern Taiwan. Within a 1-yr period from 1987 to 1988 in Kaohsiung Chang Gung Memorial Hospital, there were 198 patients with Dengue fever confirmed.

Viral isolation and serological studies indicated that type I Dengue was the cause. There was no evidence of sequential secondary infection among them. The 26 patients were evaluated gastroduodenoscopically. Most of the Dengue patients who developed upper gastrointestinal bleeding had gastric ulcers or duodenal ulcers; superficial and hemorrhagic gastritis are the other relevant endoscopic findings.

Thirteen patients (50%) had a past history of peptic ulcer symptoms, whereas the other 13 did not. Dengue infection is a precipitating factor in inducing peptic ulcer bleeding because of hemostatic derangements. Supportive therapy and blood transfusions alone were adequate treatment, except for one patient who required surgery due to massive bleeding of a duodenal ulcer.

How do you know if dengue is severe or not?

Dengue Clinical Presentation | CDC

Dengue can range from asymptomatic infection or mild illness to severe disease. An estimated 1 in 4 dengue virus infections are symptomatic. Symptomatic dengue virus infection most commonly presents as a mild to moderate, nonspecific, acute febrile illness. Infection with one of the four dengue viruses will induce long-lived immunity for that specific virus. Because there are four dengue viruses, people can be infected with DENV multiple times in their life. Approximately 1 in 20 patients with dengue virus disease progress to develop severe, life-threatening disease called severe dengue.

The second infection with DENV is a risk factor for severe dengue.

Early clinical findings are nonspecific but require a high index of suspicion because recognizing early signs of shock and promptly initiating intensive supportive therapy can reduce risk of death among patients with severe dengue to <0.5%. See for information regarding the World Health Organization (WHO) guidelines for classifying dengue.

In November 2009, WHO issued a new guideline that classifies symptomatic cases as dengue or severe dengue. Dengue is defined by a combination of ≥2 clinical findings in a febrile person who traveled to or lives in a dengue-endemic area. Clinical findings include nausea, vomiting, rash, aches and pains, a positive tourniquet test, leukopenia, and the following warning signs: abdominal pain or tenderness, persistent vomiting, clinical fluid accumulation, mucosal bleeding, lethargy, restlessness, and liver enlargement.

• The presence of a warning sign may predict severe dengue in a patient.
• Severe dengue is defined by dengue with any of the following symptoms: severe plasma leakage leading to shock or fluid accumulation with respiratory distress; severe bleeding; or severe organ impairment such as elevated transaminases ≥1,000 IU/L, impaired consciousness, or heart impairment.

From 1975 through 2009, symptomatic dengue virus infections were classified according to the WHO guidelines as dengue fever, dengue hemorrhagic fever (DHF), and dengue shock syndrome (the most severe form of DHF). The case definition was changed to the 2009 clinical classification after reports that the case definition of DHF was both too difficult to apply in resource-limited settings and too specific, as it failed to identify a substantial proportion of severe dengue cases, including cases of hepatic failure and encephalitis.

The 2009 clinical classification has been criticized for being overly inclusive, as it allows several different ways to qualify for severe dengue, and nonspecific warning signs are used as diagnostic criteria for dengue. Lastly, the new guidelines have been criticized because they do not define the clinical criteria for establishing severe dengue (with the exception of providing laboratory cutoff values for transaminase levels), thereby leaving severity determination up to individual clinical judgment.

Dengue begins abruptly after a typical incubation period of 5–7 days, and the course follows 3 phases: febrile, critical, and convalescent.

When should you go to the hospital for dengue?

Dengue fever in adults: Signs to be hospitalized This is an automatically translated article. Dengue fever in adults is caused by the Dengue virus, the Aedes mosquito is the main vector of the disease. Most people with dengue fever can be treated as outpatients, but if there are signs of fatigue, lethargy, lethargy, abdominal pain or increased pain in the liver.

Does stomach swell during dengue?

Symptoms of dengue, which appear in 3 phases: –

Acute Fever Stage: At this phase, no specific symptoms are present. Children get a high fever (for about 5-6 days) with aching, nausea, and vomiting. During rainy season, if a child has a high fever for over several days, parents should consider the possibility that they have contracted dengue and seek immediate medical attention. Parents should not attempt to treat their child on their own. Avoid using aspirin and ibuprofen, which may irritate the stomach lining, cause stomach bleeding, and thinning of the blood, resulting in dengue shock syndrome, Critical Stage (3 critical days of possible shock syndrome): After several days with a fever, the child will be weak with body aches, abdominal pain, abdominal bloating, and a loss of appetite, along with redness in the face, palms, and soles. At this stage, the child’s pulse and blood pressure should be monitored regularly. Their water intake and urine output should be checked several times a day. Some children may have abdominal bloating, restlessness, cold hands and feet, and a decreased temperature, which can mislead parents into believing that their child is heading towards recovery. However, they may go into shock within a few hours. Recovery Phase: The body temperature drops, without the child going into shock syndrome. The child will have a higher number of platelets, have a stable pulse rate, have stable blood pressure, and pass more water. During the recovery, blood flow increases to all tissues in the body, and the organs begin to function normally. It takes about 48-72 hours for the patients to get back to normal. At this phase, the child will regain their appetite and energy, with less abdominal pain and bloating. There will also be redness and itchy rashes on their palms and soles (without skin peeling).

In terms of diagnosis, the doctor will first evaluate the symptoms and perform a complete blood count (CBC) with hematocrit (Hct) in order to determine the number of red blood cells, white blood cells, and platelets. The doctor will then perform liver function tests (AST and ALT) to evaluate the severity of the disease.

An elevated red blood cell count and low platelet count (below one hundred thousand per cubic millimeter) along with a fast pulse, low blood pressure, restlessness, fatigue, and low urine output indicates that the patient may be at risk of going into shock (within a few hours). The patient will then be transferred to an ICU (Intensive Care Unit) for close monitoring.

The patient will also be given fluids, intravenously, and their lost electrolytes will be replaced – which is essential for preventing hypovolemic shock. The critical stage may last for 48-72 hours. Some female adolescents with dengue infection have excessive menstrual bleeding; therefore, it is important to let the doctor know if the patient’s period is due or has already started.

If required, the doctor may use hormones to delay the menstrual cycle until after the critical stage. Children with a bleeding disorder or blood cancer should be closely monitored, as the critical stage can be lethal for them. There is no specific treatment for dengue hemorrhagic fever, The only current method of preventing dengue virus transmission is to effectively combat the mosquitoes – but this is no easy task.

Parents may eliminate mosquitoes around their residence by getting rid of stagnant water containers where the mosquitoes breed, using appropriate netting to avoid mosquito bites, and using insect spray. Whether such precautions have been taken or not, if a child’s high fever persists for several days during the dengue season, the parents should take their child to the hospital for early medical attention, in order to minimize the chances of shock syndrome and risk of death,

Does dengue cause gastroenteritis?

Gastrointestinal Manifestations in Adult Patients Presenting with Dengue Infection, A Local Study from Tertiary Care Hospital Background: Dengue infection is prevalent all over the world, particularly in tropical zone. Gastrointestinal symptoms in patients with dengue fever are not so uncommon as it was considered previously. Hence this study was conducted during dengue fever outbreak to observe gastrointestinal manifestations in patients admitted with dengue infection. Materials and Methods: This prospective study was conducted at Benazir Bhutto Hospital Rawalpindi during last epidemic of dengue fever from August to November 2019. One hundred patients, aged 13-72 years were included in the study. Information regarding gastrointestinal symptoms and atypical GI manifestations were collected. Test of significance was applied to document correlation between severity of dengue infection and atypical gastrointestinal findings. A p value of Results: Among 100 patients, 58 were male and 42 were female. GI manifestations were present in all patients. The most frequent finding was nausea in 89%, followed by abdominal pain in 59% and vomiting in 55% of patients. The atypical GI manifestations like acalculus cholecystitis in 22%, ascities in 44%, hepatomegaly in 14%, GI bleed in 9%, acute pancreatitis in 2% and severe acute liver injury in 5% patients were noted. GI manifestations like abdominal pain, ascites, hepatomegaly, severe acute liver injury, acalculous cholecystitis, and acute pancreatitis were correlated with severity of dengue infection. Conclusion: Gastrointestinal manifestations are common in patients with dengue infection. Patients of acute febrile syndrome with abdominal pain and atypical GI findings in endemic areas should be considered for dengue infection. Keywords: Dengue Infection; Gastrointestinal Manifestations; Acute Pancreatitis Abbreviations: DF: Dengue Fever; DHF: Dengue Haemorrhagic Fever; DSS: Dengue Shock Syndrome Dengue infection is a common disease of tropical and subtropical regions caused by mosquitoes. It is characterized by fever, headache, arthralgia, joint and muscle pain. Occasionally, patients develop abdominal and gastrointestinal symptoms, but little information exists regarding presence of these manifestations. May be asymptomatic or produce Dengue Fever (DF) and Dengue Haemorrhagic Fever or Dengue Shock Syndrome (DHF/DSS). Antigenically related four but distinct viruses, DEN 1, DEN 2, DEN 3, and DEN 4, are considered as aetiological agents of DF1.More than 2.5 billion people reside in areas that may be at risk for dengue infection, It is estimated that each year 50-100 million cases of dengue fever occur out of which the potentially fatal Dengue Haemorrhagic Fever (DHF) constitutes up to half a million cases, The DENV has been endemic for many years in Pakistan because of the temperate climate of the country. Many outbreaks of Dengue infection have been reported since 2006 every year with multiple serotypes, Such outbreaks are primarily because of the vast agriculture land, rich fauna, water reservoirs for power generation, open irrigation channels and floods because of heavy rainfall provides very suitable sites for the breeding of the mosquitoes. Dengue infection can present with, high grade fever accompanied by any of the following: chilliness, severe muscle ache (one synonym of dengue is “break-bone fever”),retro-orbital pain, photophobia, backache, joint ache and nausea, vomiting, abdominal pain. High fever may be sustained over 5-6 days. Other signs and symptoms include a generalized maculopapular rash, lymph node enlargement, hepatosplenomegaly, a positive tourniquet test, petechiae, and other hemorrhagic manifestations, such as epistaxis and gastrointestinal bleeding. In few cases, common cold and flu like symptoms initially occurred. Convalescence mostly occurs spontaneously and abruptly, but sometimes it may takes several weeks, and accompanied by pronounced asthenia and depression. In DHF, the overall vascular system is damaged, vascular instability, decreased vascular integrity and platelet dysfunction leading to bleeding from many different sites, Although liver is not the main target organ of this infection, but there are cases where histopathological findings, Centro tubular necrosis, fatty alterations, Kupffer cells hyperplasia, acidophilic bodies and monocytic infiltrates of the portal tract, have been detected in patients of Dengue Hemorrhagic Fever (DHF) and Dengue Shock Syndrome (DSS). The viral disease is self-limited but hepatic insufficiency can occur in some patients, Gastrointestinal different presentations of dengue are acute hepatitis, acute severe liver injury, fulminant hepatic failure, acalculous cholecystitis, acute pancreatitis, acute parotitis and febrile diarrhoea. In Dengue endemic area, any patient presenting with fever and acute abdomen should be evaluated for dengue fever and dengue‐related acute acalculous cholecystitis, acute pancreatitis, Possible mechanisms proposed are direct invasion of the virus into pancreatic cells, damage secondary to shock (hemorrhagic or vasodilatory) and thrombocytopenia, edema of the ampulla of Vater and rarely autoimmune response generated to dengue virus antigen, The aim of our study is to evaluate the spectrum of gastrointestinal manifestations in patients presenting with dengue infection depending upon the severity of infection. The study was conducted at Benazir Bhutto Hospital during last epidemic of Dengue infection in Rawalpindi. It was prospective study conducted from August 2019 to November 2019.100 patients were enrolled with consecutive sample. Patients age > 13 years Patients with NS1, IgM positive or IgG fourfold rise • Patients with established decompensated chronic liver disease. • Patients with diagnosis of acute pancreatitis or cholangitis. • Patients with cholelithiasis or cholecystectomy. • Patients having duration of fever more than 14 days. Patients admitted were diagnosed dengue infection on the basis of NS1 antigen and IgM antibody or a fourfold rise in titres of IgG. Patients were classified in simple Dengue Fever, Dengue hemorrhagic fever and Dengue shock syndrome based upon the WHO classification. Information were collected and detailed history was taken using pre-formed proforma and relevant investigations for Gastrointestinal manifestations were sent and recorded, Data was entered and analysed using SPSS v22. Frequencies and percentages were calculated for gender, age groups, disease nature (simple DF, DHF and DSS), dengue serology, gastrointestinal symptoms, and atypical GI manifestations. Patients were divided into 3 age groups: 13-35 years, 35-60 years and >60 years. The values of serum ALT, AST and Bilirubin levels were documented. Test of significance was applied for ALT, AST and bilirubin levels and atypical GI manifestations like acalculous cholecystitis, acute pancreatitis, GI bleed, Fulminant hepatitis/severe acute liver injury to find out if they have any relationship with the severity of dengue infection(as shown by spectrum). A P value of Total 100 patients were included in the study. The age distribution was between 13-72 years and 58 % were males and 42% female patients. Among these, 35% patients have dengue fever, 54% with dengue hemorrhagic fever and 11% had dengue shock syndrome. GI manifestations were present in all patients. Among them, nausea was in 89%, vomiting in 55%, abdominal pain in 59%, GI bleed in 9%, ascites in 44%, hepatomegaly in 14%, diarrhea in 18%, acalculous cholecystitis in 22% cute severe liver injury in 5% and acute pancreatitis in 2%. Either ALT, AST or bilirubin levels were raised in all patients. GI manifestations like abdominal pain, ascites, hepatomegaly, acute severe liver injury, acalculous cholecystitis, and acute pancreatitis were correlated with severity of dengue infection. There was a significant relationship between ALT and AST elevation and severity of dengue infection (p value 0.002 and 0.002 respectively, however, there was no significant relationship between bilirubin rise and severity of disease (Figures 1 & 2). Figure 1: Patients classified according to disease spectrum. Figure 2: Percentage of Atypical gastrointestinal manifestations in patients. Dengue fever usually presents as an acute febrile illness with musculoskeletal pain, and petechial rash. Atypical manifestations also known as expanded dengue syndrome is not uncommon. It may present as acute abdomen leading to diagnostic dilemma. In our study, all patients have various GI manifestations which included typical manifestations such as nausea, abdominal pain, vomiting, hepatomegaly, diarrhea and atypical gastrointestinal manifestations like acute pancreatitis, acalculous cholecystitis, ascites, acute severe liver injury and gastrointestinal bleed. In previous study, common GI manifestations noted were Nausea (43.3%), vomiting (40.2%), pain abdomen (41.3%), dyspepsia (32%) and loose stools (12%) but in our study GI symptoms were found in a greater number of patients. Acalculous cholecysitis was confirmed on ultrasound (Gallbladder wall thickness>5mm and inflammation without gallstones) along with clinically tender upper abdomen and sonologically and clinically positive murphy’s, with pericholecysytic fluid and no ascites was found in 22 % of the patients in our study. In a previous study significant correlation of acalculous cholecystitis with severity of dengue fever was seen, Acute pancreatitis was found in 2% of the patients with dengue shock syndrome in our study. Pancreatitis was confirmed by specifically raised serum amylase and lipase in the absence of other known causes of pancreatitis. Characteristic abdominal pain of acute pancreatitis was not observed in our patients. Abdominal pain in patients with dengue fever secondary to acute pancreatitis was found, In a study conducted in Karachi, pattern of liver damage and relation of AST /ALT elevation with severity of dengue and its complications was observed, Acute severe liver injury was found in 5 % of the patients in our study. The cause of liver injury in DI remains unclear. Liver cells may be damaged through one or more of the following mechanisms: (i) Direct cytopathic effect of the virus (ii) Killing of virus-infected cells by the host immune response (iii) A non-specific effect of shock and hypotension, In recent years, dengue-specific CD4+ and CD8+ T-cells have been shown to play a part in the pathogenesis of severe forms of DI occurrence of more severe liver injury in patients with complicated dengue may thus suggest a role for host immune responses in the causation of liver injury as well, Ascites was found in 44% of the patients in our study, these patients had clinically DHF III / IV classification of disease severity. Patients having ascites due to other causes such as chronic liver disease were excluded from the study. Sonographic findings included pleural effusion in 21 patients (53%), thickening of the gallbladder wall in 17 (43%), and mild ascites in 6 (15%), Hepatomegaly was present in 14 % of the patients with dengue fever confirmed upon ultrasound with a liver span of between 14-18 cm in our patients all the patients had deranged liver function test and a clinically severe dengue syndrome. GI bleed was found in 9% of the patient, endoscopy was done to evaluate the cause of the GI bleed, patients having variceal bleed were excluded. Among our patients the prominent endoscopic findings were gastric erosions and ulceration. Patients were managed conservatively with high dose PPI and blood products as required. None of the patients received aspirin, nonsteroidal anti-inflammatory drugs or steroids before or during hospital stay. Upper GI bleed manifestoed as haemetemesis in 2% of the patients and malena in the remaining 7%. In a study conducted, hemorrhagic(and/or erosive gastritis) was the most common finding in patients (67.0%), followed by gastric ulcer (57.7%),duodenal ulcer (26.8%), and esophageal ulcer (3.1%). There was no significant difference in histories of peptic ulcer disease between the ulcer and non-ulcer groups. Of the 73 patients with peptic ulcer, 42 (57.5%) had endoscopic findings that met the criteria of recent hemorrhage, Of these GI manifestations atypical presentations like hepatomegaly, fulminant hepatitis, acute pancreatitis, ascites acalculous cholecystitis and abdominal pain correlated with the severity of dengue fever. In another study conducted abdominal pain and tenderness, gastrointestinal bleed, jaundice and hepatomegaly were all predictors for need of intensive care. Signs of plasma leakage such as ascites and pleural effusion, as expected, were also predictors of serious disease that needed intensive care. Symptoms of nausea and vomiting, though very common, were not associated with serious disease, our study revealed high frequency of gastrointestinal symptoms in patients with dengue fever. These GI manifestations were significantly more frequent in patients who were admitted in hospital, this indicates a strong correlation of gastrointestinal symptoms with the severity of dengue infection and their presence should be considered by decision making health authorities for better patients management. The differential diagnosis of an acute febrile syndrome with abdominal pain or atypical gastrointestinal symptoms in patients living in endemic areas should include dengue infection. No funding source.

1. Malavige GN, Fernando S, Fernando DJ, Seneviratne SL (2004) Dengue viral infections. Postgrad Med J 80(948): 588-601.

: Gastrointestinal Manifestations in Adult Patients Presenting with Dengue Infection, A Local Study from Tertiary Care Hospital

Is banana bad for dengue?

08 /8 ​Banana – Bananas come under the category of easily digestible fruits. In order to recover fast from dengue’s consequences, the patients are advised to consume food that is easy to digest and has sufficient amounts of nutrients and maintain a balanced diet.

1. In addition to being one of the best foods that help with digestion, they are rich in Potassium, vitamin B6, and vitamin C which acts as a booster in recovering from the disease.
2. While the primary need is to get the necessary medical care, the aforementioned superfoods being a rich source of vital vitamins and minerals are highly recommended as they act as a booster for a quick recovery.

(Image: istock) With IANS inputs For scrumptious recipes, videos and exciting food news, subscribe to our free Daily and Weekly Newsletters, readmore

What is stage 3 dengue?

1. The stages of dengue fever – Dengue hemorrhagic fever has very diverse clinical manifestations, ranging from mild to severe, if not detected and treated early, can lead to death due to hemorrhage. The disease progresses through 3 stages including: febrile phase, critical phase and recovery phase.

1. Fever phase: Usually in the first 3 days of the illness with the following symptoms: The patient has a sudden high fever of 39-40 degrees Celsius.
2. Fatigue, headache, eye pain, joint pain, body aches.
3. There may be inflammation of the upper respiratory tract.
4. Loss of appetite, feeling nauseous and vomiting.

Congestive skin, may manifest as petechiae under the skin. The critical phase (also called the hemorrhagic phase): Usually on the 3rd-7th day of the disease. Manifestations of fever may decrease or remain feverish, signs of bleeding from mild to severe, there are various bleeding manifestations (due to thrombocytopenia in the blood), a stage where many complications occur.

The mildest is the phenomenon of subcutaneous hemorrhage: The patient sees hemorrhages under the skin, often accompanied by a feeling of skin itching. Nosebleeds, bleeding gums, women may bleed not related to the menstrual cycle or menorrhagia, Gastrointestinal bleeding with manifestations: Black stools, bloody stools or vomiting fresh blood or blood clots.

More severe bleeding can be a sign of a brain hemorrhage, a life-threatening intra-abdominal bleeding. Due to the phenomenon of hemoconcentration, if not enough fluid is rehydrated, the patient may experience hypotension, which is more severe than shock due to a decrease in circulating volume. Dấu hiệu của bệnh sốt xuất huyết

Does stomach swell during dengue?

Symptoms of dengue, which appear in 3 phases: –

Acute Fever Stage: At this phase, no specific symptoms are present. Children get a high fever (for about 5-6 days) with aching, nausea, and vomiting. During rainy season, if a child has a high fever for over several days, parents should consider the possibility that they have contracted dengue and seek immediate medical attention. Parents should not attempt to treat their child on their own. Avoid using aspirin and ibuprofen, which may irritate the stomach lining, cause stomach bleeding, and thinning of the blood, resulting in dengue shock syndrome, Critical Stage (3 critical days of possible shock syndrome): After several days with a fever, the child will be weak with body aches, abdominal pain, abdominal bloating, and a loss of appetite, along with redness in the face, palms, and soles. At this stage, the child’s pulse and blood pressure should be monitored regularly. Their water intake and urine output should be checked several times a day. Some children may have abdominal bloating, restlessness, cold hands and feet, and a decreased temperature, which can mislead parents into believing that their child is heading towards recovery. However, they may go into shock within a few hours. Recovery Phase: The body temperature drops, without the child going into shock syndrome. The child will have a higher number of platelets, have a stable pulse rate, have stable blood pressure, and pass more water. During the recovery, blood flow increases to all tissues in the body, and the organs begin to function normally. It takes about 48-72 hours for the patients to get back to normal. At this phase, the child will regain their appetite and energy, with less abdominal pain and bloating. There will also be redness and itchy rashes on their palms and soles (without skin peeling).

In terms of diagnosis, the doctor will first evaluate the symptoms and perform a complete blood count (CBC) with hematocrit (Hct) in order to determine the number of red blood cells, white blood cells, and platelets. The doctor will then perform liver function tests (AST and ALT) to evaluate the severity of the disease.

• An elevated red blood cell count and low platelet count (below one hundred thousand per cubic millimeter) along with a fast pulse, low blood pressure, restlessness, fatigue, and low urine output indicates that the patient may be at risk of going into shock (within a few hours).
• The patient will then be transferred to an ICU (Intensive Care Unit) for close monitoring.

The patient will also be given fluids, intravenously, and their lost electrolytes will be replaced – which is essential for preventing hypovolemic shock. The critical stage may last for 48-72 hours. Some female adolescents with dengue infection have excessive menstrual bleeding; therefore, it is important to let the doctor know if the patient’s period is due or has already started.

If required, the doctor may use hormones to delay the menstrual cycle until after the critical stage. Children with a bleeding disorder or blood cancer should be closely monitored, as the critical stage can be lethal for them. There is no specific treatment for dengue hemorrhagic fever, The only current method of preventing dengue virus transmission is to effectively combat the mosquitoes – but this is no easy task.

Parents may eliminate mosquitoes around their residence by getting rid of stagnant water containers where the mosquitoes breed, using appropriate netting to avoid mosquito bites, and using insect spray. Whether such precautions have been taken or not, if a child’s high fever persists for several days during the dengue season, the parents should take their child to the hospital for early medical attention, in order to minimize the chances of shock syndrome and risk of death,

Can dengue cause fluid in stomach?

Key Points – Infection with the dengue virus, transmitted by mosquito, ranges from asymptomatic or undifferentiated febrile illness to fatal haemorrhagic fever, and affects up to 100 million people a year worldwide.

Dengue haemorrhagic fever is characterised by: a sudden onset of high fever; haemorrhages in the skin, gastrointestinal tract, and mucosa; and low platelet counts. Plasma leakage results in fluid in the abdomen and lungs. It typically occurs in children under 15 years. Severe dengue haemorrhagic fever is called dengue shock syndrome. Dengue haemorrhagic fever and dengue shock syndrome are major causes of hospital admission and mortality in children. Up to 5% of people with dengue haemorrhagic fever die of the infection, depending on availability of appropriate supportive care.

Intravenous fluids are the standard treatment to expand plasma volume and are likely to be beneficial, but studies to demonstrate their effectiveness would be unethical.

Crystalloids seem as effective as colloids in children with moderately severe dengue shock syndrome, although we don’t know whether they are beneficial in severe dengue shock syndrome. There is consensus that blood component transfusion (fresh frozen plasma, packed red blood cells, or platelets) should be added to intravenous fluids in children with coagulopathy or bleeding. The optimal time for beginning transfusion is unclear.

We don’t know whether adding carbazochrome sodium sulfonate (AC-17), corticosteroids, intravenous immunoglobulin, or recombinant activated factor VII to standard intravenous fluids reduces the risks of shock, pleural effusion, or mortality. We also don’t know whether adding recombinant activated factor VII to blood component transfusion reduces the risk of bleeding episodes, shock, or mortality.

What are the 7 warning signs of dengue fever reddit?

Q: What are some warning signs my dengue infection may become severe? Can you get dehydrated from dengue? – A: The warning signs of severe dengue include bleeding in the gums or nose, blood in urine or stools, heavy menstrual bleeding, severe abdominal pain, persistent vomiting to the point that the patient cannot keep fluids down, lethargy or change in alertness, and breathlessness.