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Understanding Dengue Fever: Comprehensive Guide to Symptoms, Treatment, and Prevention

Posted August 27th,2024 by Cura Hospitals

Dengue fever is caused by the dengue virus, which is transmitted to humans through the bite of an infected Aedes mosquito,

  • Transmission: The virus is transmitted via mosquito bites, with mosquitoes becoming infected when they feed on the blood of a person already infected with the virus.
  • Symptoms Onset: Symptoms typically appear 4 to 10 days after being bitten by an infected mosquito.
  • Geographic Distribution: Dengue is common in tropical and subtropical regions, including Southeast Asia, the Pacific Islands, the Caribbean, and parts of Africa and the Americas.

Signs and Symptoms of Dengue Fever in Adults

Recognising the symptoms of dengue fever is crucial for early diagnosis and treatment. Dengue symptoms in adults can vary, and they often begin suddenly. Here’s a detailed look at the common and severe symptoms of dengue fever:

  • Common Symptoms:

1. High Fever: Sudden onset of high fever, often reaching up to 104°F (40°C). The fever can last for 2 to 7 days.

2. Severe Headache: Intense pain behind the eyes can be debilitating and affect daily activities.

3. Joint and Muscle Pain: Often referred to as “breakbone fever” due to the severity of the pain. This pain can be intense and widespread.

4. Nausea and Vomiting: Nausea and vomiting may occur, leading to dehydration if not managed properly.

5. Skin Rash: A rash may develop a few days after the fever begins, often starting on the chest and spreading to the limbs. The rash can vary from mild to severe.

6. Fatigue: Extreme tiredness and weakness that can persist even after the fever subsides, affecting overall energy levels.

7. Mild Bleeding: Symptoms like nosebleeds, gum bleeding, or easy bruising can occur, indicating possible bleeding tendencies.

Severe Dengue Symptoms:

In some cases, dengue can progress to severe forms, which require immediate medical attention. Severe dengue symptoms include:

  • Severe Abdominal Pain: Persistent or severe abdominal pain, which can be a sign of internal bleeding.
  • Persistent Vomiting: Uncontrolled vomiting, especially if accompanied by blood, which can indicate worsening of the condition.
  • Rapid Breathing: Difficulty in breathing and chest pain, which may signal serious complications.
  • Bleeding Gums or Nose: Frequent and severe bleeding episodes from the gums or nose.
  • Fatigue and Restlessness: Extreme fatigue coupled with irritability or restlessness.
  • Blood in Urine or Stools: The presence of blood in urine or stools can indicate internal haemorrhaging.

Dengue Virus Treatment

Currently, there is no specific antiviral treatment for dengue fever. Management focuses on alleviating symptoms and preventing complications. Here are the key aspects of dengue treatment:

Hydration:

  • Importance: Maintaining adequate fluid intake is critical, as dehydration is a common complication of dengue fever.
  • Recommended Fluids: Drink oral rehydration solutions (ORS), coconut water, electrolyte-rich drinks, and clear soups to replenish lost fluids and electrolytes. Avoid Tea, coffee, and alcohol, which can lead to further dehydration.

Medications:

  • Paracetamol: Used to reduce fever and alleviate pain. It is generally safe and recommended for dengue patients.
  • Avoid NSAIDs: Aspirin, ibuprofen, and other non-steroidal anti-inflammatory drugs (NSAIDs) should be avoided as they can increase bleeding risks.

Rest:

  • Importance: Adequate rest helps the body recover and fight the infection. Resting in bed can also reduce the risk of falls and injuries due to weakness and dizziness.
  • Close Monitoring: Severe dengue cases require hospitalisation for close monitoring. Healthcare professionals will monitor vital signs and manage complications like bleeding or shock.

Nutritional Support and Home Remedies

Proper nutrition and some home remedies can support recovery and alleviate symptoms:

Staying Hydrated and Nourished:

  Fluids:

  •   Water: Essential for preventing dehydration.
  •   Coconut Water: Rich in electrolytes to replenish lost nutrients.
  •   Fruit Juices: Opt for natural, unsweetened juices for hydration and vitamins.
  •   Soup: Clear broths and soups provide hydration and are easy on the stomach.
  •   Sotonic drinks and ORS: Quickly replace lost electrolytes.
  •   Turmeric Milk: Offers anti-inflammatory benefits that can aid recovery.

Diet:

  •   Fruits and Vegetables: Include vitamin C-rich foods like oranges, grapefruit, and Indian gooseberries to boost immunity.
  •   Lean Proteins: Chicken, fish, and eggs provide necessary proteins without straining digestion.
  •   Platelet-Boosting Foods: Papaya, beetroot, spinach, pomegranate, and cod liver oil may help increase platelet count.
  •   High-Calorie Foods: Milk and rice can provide energy when appetite is reduced.

Avoid:

  •    Fried and Fast Foods: Hard to digest and can exacerbate nausea.
  •   Processed Meats: High in sodium and preservatives.
  •   Gas-Causing Foods: Beans, chickpeas, broccoli, and others can cause digestive discomfort.

Home Remedies:

  • Papaya Leaf Juice: Believed to help increase platelet count and boost immunity.
  • Giloy Juice: Known for its anti-inflammatory and immune-boosting properties.
  • Neem Leaves: May offer antibacterial and antiviral benefits.
  • Turmeric Milk: Combines the healing properties of turmeric with nourishing milk.
  • Ginger and Honey: This mix can help reduce inflammation and soothe sore throats.
  • Fenugreek Seeds: Boiling these seeds and drinking the tea may support platelet recovery.

Dengue Prevention and Control

Preventing dengue fever is crucial to reducing the risk of infection. Effective strategies include controlling mosquito populations and protecting yourself from mosquito bites:

Mosquito Control:

  • Eliminate Breeding Sites: Regularly empty and clean containers that can hold water, such as flower pots, buckets, and discarded tyres.
  • Use Mosquito Repellents: Apply repellents containing DEET, picaridin, or oil of lemon eucalyptus to exposed skin.
  • Wear Protective Clothing: Long sleeves, pants, and socks can reduce the chances of mosquito bites.
  • Install Screens: Use window and door screens to keep mosquitoes out of your home.
  • Use Mosquito Nets: Sleeping under a mosquito net can provide additional protection, especially in areas with high mosquito activity.
  • Community Efforts: Participate in local clean-up campaigns to reduce mosquito breeding sites and promote dengue prevention awareness.

Contact Local Authorities:

  • Report High Mosquito Populations: Contact local mosquito control boards or health departments if you notice a high population of mosquitoes or concerns about stagnant water.

Mosquito Control at Home:

  • Weekly Cleaning: Empty, scrub, turn over, cover, or discard items that hold water, such as vases or flowerpot saucers.
  • Use Indoor Insecticides: If mosquitoes persist after installing screens and cleaning, consider using indoor insecticides or foggers.
  • Professional Pest Control: For ongoing mosquito issues, hiring a pest control professional can be an effective solution.

Conclusion:

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