Dengue is a mosquito borne disease but found out only after substantial lapse of time from the time of infection of the person concerned.
Symptoms of dengue
The symptoms of dengue are listed below:
- High fever with temperature up to 106 degrees Fahrenheit
- Severe headache
- Vomiting (mild to severe)
- Severe pain in the joints and muscles
- Fatty liver
- Lowering of platelet count in the blood
- Skin rashes appearing after a few days of fever
- Slight or severe nausea
- Mild bleeding from the nose or gums
- Slight bruising of the skin
- Febrile convulsions (fit or seizure due to fever occurring in children between 6 months to five years of age)
- Pain behind the eyes
- Ascites (milky lymph)
- Slow heart rate
Dengue hemorrhagic fever (DHF)
Females, children below 12 years of age, people who have antibodies due to earlier infection and people who have weakened immune system are prone to severe form of dengue known as dengue hemorrhagic fever.
In such cases of dengue, the symptoms observed are:
- Bleeding from nose or gums
- Damage of the lymphatic system
- Fatty or enlargement of liver
- Failure of the circulatory system
Unattended DHF may lead to Dengue shock syndrome which is potentially dangerous causing excessive bleeding and even death.
Dengue is a global problem affecting millions of people every year across the world. It is a serious disease that may require blood transfusion in acute cases.
Diagnosis of dengue
Dengue is diagnosed by blood test to check viral or antibodies or presence of infection.
Antiviral drug to cure dengue quickly and completely is yet to be formulated though the disease is treated with multiple remedial measures. There are attempts to prevent and control and to cure the disease by deployment of various measures starting from controlling the growth of mosquitos.
Since development of appropriate remedy in curing Dengue is ongoing, some oral care treatments are suggested.
How does dengue affect the liver?
When a person is affected by dengue, the first casualty is the liver. The fever affects the functioning of the liver making digestion of normal food difficult, rather impossible. Moreover, dehydration also sets in to aggravate energy loss and fatigue. If these initial symptoms are not addressed immediately to cure dengue and left unattended more serious problem of reduction in platelet count occurs which can be cured only by hospitalization.
Reduction in platelet count due to dengue
A very serious symptom of dengue is profuse bleeding due to lowering of the platelet count. Reduction of platelet count starts well before the onset of the fever. As the fever itself is detected after considerable lapse of time, it is observed in many cases that the infection of bone marrow also has set in and reduced the plate count.
Why does dengue affect the bone marrow?
The stage of dengue fever at which the bone marrow is infected, circulation of blood in the blood vessels decreases. Consequently the blood pressure lowers leading to insufficient blood supply to vital organs. Due to infection, dysfunction of the bone marrow occurs and reduction of platelet count speeds up. Platelet count level is required to be maintained at the desired level as it is necessary for effective blood clotting and to avoid bleeding. Since bleeding is a major complication developed during dengue, it is very urgent to stop bleeding by increasing the platelet count.
As the functioning of the liver becomes delicate and supply of energy to the body is urgently required, giving healthy liquids as diet is the only oral remedy available and appropriate.
Since dengue is caused only due to mosquitoes, it is essential to keep the mosquito breeding areas such as flower pots, pet dishes, birdbaths, cans or other empty vessels where rain or other water can be collected and remain still are fully emptied.
Mosquito repellents can be used both indoors and outdoors.
If the sleeping area is not air conditioned, mosquito nets can also be used to protect from mosquitoes.
Use dresses and socks that fully cover the body, including hands and legs.
Before seeing a doctor over-the counter pain relievers may be used to reduce fever and pain but greater care must be taken in selecting the drugs as some of them can cause excessive bleeding and must be avoided.