What
to do with new symptoms of dengue
Dengue has been present in Bangladesh since 2000. Many
people have a record of being infected for the second or third time or more. I
have seen many of my acquaintances fall into this condition.
And that is why it has changed in various ways and
appeared with new symptoms in many cases.
Experts say - it is important to be aware of this
without panicking.
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Differences in symptoms of dengue --
1. Usually,
dengue fever lasts for five to six days. But new symptoms have been seen to
suddenly turn into a critical phase after a relatively short period of fever.
2. Instead
of rash or body pain, new symptoms such as cough, diarrhea, vomiting have been
seen.
3. Rapidly
increasing SGPT and creatinine, and lipase has been seen to increase in some
people.
4. Multi-organ
failure or damage to various organs (such as kidney failure, liver problems,
myocarditis), complications such as fluid accumulation in the chest and abdomen
have been seen.
5. There
have been cases where many people have dengue but their blood remains dengue
antigen negative.
Don't
panic, be aware --
Doctor says - If you have dengue, don't panic and get
enough rest. Take paracetamol to reduce fever. Drink plenty of water, coconut
water, saline solution, fruit juice, etc.
Do not take any antibiotics or painkillers on your
own. Remember, you have to be more careful during the recovery period of the
fever. Because, complications start to appear at this time.
So, don't think that you have recovered as soon as the
fever subsides. Keep measuring your blood pressure regularly at home.
Dizziness, dark eyes, feeling weak are signs of low blood pressure.
Remember, a pulse pressure below 20 means that dengue
is turning towards shock syndrome. If the platelets drop below one lakh or the
hematocrit changes, seek medical advice, and if they drop below 50 thousand,
get admitted to the hospital.
But there is no such thing as giving platelets if you
are admitted to the hospital. In this type of dengue, plasma leakage occurs (plasma
comes out of the veins). Therefore, saline should be used with caution. This is
why you need to be admitted to the hospital.
Apart from this, if you experience symptoms such as a
lot of vomiting, bleeding anywhere in the body, feeling weak due to low blood
pressure, severe stomach pain, excessive restlessness and unusual behavior,
cold hands and feet, etc., take the patient to the hospital.
Dengue
fever awareness issues -
Experts say - Dengue fever begins two to seven days
after being bitten by a mosquito carrying the dengue virus. Fever, headache,
eye pain, malaise, nausea, bone and muscle pain, weakness, etc. are the primary
symptoms of dengue.
After this fever lasts for five to seven days,
complications (critical phase) begin. During this time or later, any patient
may start having difficulty breathing, and fluid may accumulate under the lung
membrane. Various types of respiratory complications may occur. Even in typical
dengue/classical dengue, fever may be accompanied by a cold and cough.
One complication of dengue fever is plasma leakage or
plasma leaking out of the pharynx. A small amount of fluid may accumulate in
various parts of the body, such as the lungs and the membrane (pleural
effusion) or in the abdomen.
But if there is too much plasma leakage, the blood
pressure drops and the patient goes into shock. Blood supply to various organs
may decrease and multi-organ failure may occur. Lungs, kidneys, heart, etc. are
no exception. In case of heart failure or kidney failure, the patient may face
complications such as fluid accumulation in the chest, shortness of breath,
decreased oxygen supply, etc. Therefore, in dengue shock syndrome, breathing
problems and increased breathing rate are not impossible.
Visible signs of shock syndrome – which you should be
alert for –
1. Rapid breathing
2. Inward indentation of the child’s rib cage
3. Hearing breathing sounds,
4. Swelling of the abdomen or face,
5. Swollen jugular vein near the throat,
6. Coughing.
Caution
If there is fluid accumulation in the chest or
shortness of breath, you should immediately check with a chest X-ray, ECG, etc.
to confirm. The correct amount of saline should be calculated and given, and a
thorough record of fluid intake and urine output in 24 hours should be kept.
Since these are not possible without close monitoring,
the patient should be treated in the ICU or HDU.
Apart from this, if platelets decrease due to dengue
fever or for any other reason, do not be restless about using excessive saline,
blood, platelets, fresh frozen plasma, etc. You should trust your doctor for what
to do when.
There is no substitute for caution and patience to lead
a healthy life.
