Dengue is a vector borne disease. It is also called as break bone fever and it spreads occurs through the bite of an infected aedes aegypticus mosquito. Symptoms appear 4-7 days after the bite of the mosquito. Dengue is caused by four strains of virus. Immunity to one strain makes infection by second strain more dangerous. There are four serotypes – DEN-1,2,3,4. Infection with one serotype provides immunity to that serotype for life but provides no long term immunity to other serotypes. A person can get infected four times. Dengue can be classified as mild and severe – depending on the severity of the symptoms. Mild dengue presents as undifferentiated fever. There is no hypotension or organ involvement and no evidence of capillary leakage. Mild dengue can be managed at home. But dengue fever with warning symptoms (recurrent vomiting, abdominal pain or tenderness, generalized weakness, restlessness, pleural effusion, ascites, hepatomegaly, increase in hematocrit by 20%) and severe dengue should be admitted to the hospital.
There is no specific treatment of dengue fever. Doctors will recommend you to drink plenty of fluids and avoid dehydration from vomiting and high fever. During the recovery also you should watch the signs and symptoms of dehydration. Following are the few home management tips for dengue management:
Opt for Antipyretics
Avoid ibuprofen and aspirin
Opt for oral fluids- ORS, milk, juices
Monitoring of haematocrit and platelets during critical phase (during afebrile phase)
Monitor for warning symptoms and signs
Please note that although the platelet count is the most important aspect in dengue, please consult your doctor to discuss whether admission is necessary or not. Timely detection, treatment and management is pivotal.