Dengue is caused from the bite of the  Aedes Aegypti  mosquito. This mosquito has been known to breed and survive in tropical and subtropical regions. A waterborne disease, it causes extreme discomfort and pain, even death is a possibility. Statistics suggest that each year, the number of people afflicted with dengue is around 390 million. Out of this huge number, 96 million tend to develop severe illnesses wherein hospitalization becomes mandatory. 


Causes
It is primarily caused due to the bite of the  Aedes aegypti  mosquito.
A mosquito becomes infected with dengue if it bites an already infected person. The disease can be transmitted to any healthy person that this infected mosquito bites next.
Living near a stagnant water body or an open drain makes you the most vulnerable to this disease. Letting water accumulate in open containers or spaces over a period of time makes it the perfect breeding ground for all types of mosquitoes. 


Symptoms
On being infected, the symptoms generally last for around 10 days. Some of the common symptoms are:
Excruciating pain behind the eyes
Severe headache
Sudden high fever with chills
Vomiting
Fatigue
Skin rash which generally appears two to five days after you get infected
Nose bleeding, easy bruising and bleeding gums
Severe muscle and joint pain


It should be noted that these symptoms can be easily mistaken for high fever or any other viral infection. Therefore, getting tested as soon as these symptoms start appearing is very important.


If the dengue is left untreated or not treated on time, it can result in dengue haemorrhagic fever. This condition causes nose bleeding (due to damage to the blood vessels), high fever and failure of the circulatory system as well as the enlargement of liver.


Ways to prevent dengue include
Avoid storing water in containers
Wear clothes that cover your whole body, if possible
Maintain hygiene and clean your immediate surrounding frequently
Use mosquito repellent
Use a mosquito net around your bed 


In worst case scenarios, death is a possibility as a result of dengue haemorrhagic fever or dengue shock. Many countries consider dengue to be an epidemic. You need to be on complete bed rest while drinking adequate amounts of fluids if you need to recuperate from dengue.


Treatment
There is no specific antiviral medication that is available for the treatment of dengue. In general, Acetaminophen (paracetamol) is usually recommended for treating fever and pain associated with dengue. Medications such as Aspirin, other salicylates, and nonsteroidal anti-inflammatory drugs (NSAIDs) must be avoided.

Dengue - Can You Prevent Yourself from it?

The mosquito may seem a very small creature, but can be deadly as they spread quite a few severe infections, with chikungunya being one of them. The disease got its name from an African language, which means to walk bent over.

Chikungunya is a viral disease that is carried by specific varieties of infected mosquitoes (Aedes aegypti and Aedes albopictus). It was originally confused for dengue, which is another mosquito-transmitted infection, but then called out as a separate disease. Both diseases start off with non-diagnostic symptoms including fever, rashes, fatigue, anaemia and headache. Dengue could be distinguished by the lowered platelet count, while the persistent joint pains and eye pain could be the distinguishing factor for the chikungunya.

The mosquito is the vector, which picks up the virus from one infected person and spreads it to another person. The virus does not spread directly from one person to the other. Once it reaches the blood stream, it multiplies in the body, and over a period of 1 to 12 days, the symptoms begin to appear.

Symptoms: The symptoms of chikungunya are listed below, which reflect the effects on the body.
The symptoms are generally nondiagnostic and generic including fever, rashes, joint pain, muscle aches, eye pain, fatigue, tiredness, lethargy, headaches, nausea, and vomiting. The eye pain which occurs behind the eyes and the joint pains are the indicative symptoms, which point to chikungunya. In fact, the joint pains make the patient assume a stooped posture, and that is where the name chikungunya was originally derived from.

Most of the above symptoms subside over a period of 10 to 15 days but the joint pain continues. In fact, in many, it can continue to exist for months and even years and eventually develop into rheumatoid arthritis.
Though chikungunya is not a fatal disease by itself, it can produce long-term symptoms which can be severely disabling and affect the quality of life.

Anybody who is bitten by the infected mosquito can develop the disease, but there are some groups of people at a higher risk. These include newborns, the elderly people, and people with chronic conditions like diabetes, hypertension, and chronic heart disease.

However, once infected, the person develops immunity and future infections do not happen unless their immunity is severely compromised.

Treatment: There is no specific treatment, and symptom relief is provided through rest, hydration, pain killers for joint and muscle, antipyretics for fever, and avoiding aspirin.
While there is no vaccine for chikungunya, preventing exposure to mosquito bites when you are travelling and preventing mosquito breeding and reducing exposure to mosquitoes by using repellents and nets are advisable.

Chikungunya  - How It Affects Your Body?

Best Way To Treat Fever In Children

Let us imagine a scenario: It is 4 in the morning. You are fast asleep and suddenly you hear the discomforting cries of your child. You sense that something is wrong and you immediately rush to the other room. As soon as you touch him, you realize that the child's body is burning up like a furnace? You immediately rush to get your thermometer and the figures on it do not make for a good reading - 102 degrees F. Panic dulls your response rate. Your first reaction is to call the doctor. It might be the right thing to do in some rare cases, but in most cases experts advise differently.

Stay Calm

The most important thing is for you to stay calm and relax and realize that it is still well within your hand to take care of the child. First things first, fever is not your enemy. Rather, it is body's way of telling you that your immune system is fighting alien elements in your body. Children of the age group 0 to 3 almost always face high temperatures at some point in their nascent lives.

The Need of the Hour

How you should go about it depends on your child's age and thermometer's readings. If your child is a newborn or is less than 3 months old and reading is above 100.4 degrees, then you must call the doctor at once.

Between 3 to 6 months, temperature threshold is 101 degrees F, while 103 degrees F is usually the limit for children older than 6 months. But, if the child is showing alarming symptoms such as body ache, fatigue, and diarrhoea, along with the high temperature of 101 degrees F or 102 degrees F, then you should consider calling the doctor on a priority basis.

Take the Hints - Be Wary of the Symptoms

Keeping an eye out on the symptoms is extremely important. If your child has a running nose and low-grade fever (99-100 degrees F), then he might be suffering from a bout of common cold. Vomiting and diarrhoea usually indicate stomach virus. For children with weak immune system or at higher risk than others, it is advisable to consult a doctor.

A 24 hours rest is generally advised in flu, till the patient is fever free without taking any antibiotics. Ailments like an earache, sore throat or discomfort in peeing should be brought to the notice of doctor as it might indicate soar throat, UTI or ear infection, all of which require antibiotic treatments. Certain signs warrant an immediate medical attention. Discomfort in breathing along with constant crying, difficulty in walking, unusual rashes and purple looking spots demand that he be taken to the E.R. right away.

The most important thing is to complete the treatment course diligently and let the fever run its course as it may actually aid the body in building immunity against the fever causing germs and fight them. One must remember that being calm and relaxed at taxing times go a long way in helping you take right decisions and treating fever in children is all about patience and right decisions.

Best Way To Treat Fever In Children

High fever is common in kids and a common worry for parents as well. If you are a parent, you need to know when the fever is serious, and when you should worry about it. Fever is a defence mechanism of the body. Body temperature rises if any foreign body (or antigen) attacks your body. As a defence, body temperature rises making it an unfavourable condition for the antigen. Fever means 100.4 degree Fahrenheit. Normally for kids, thermometer is placed under the armpit to record the temperature. You need to add an extra degree for accuracy. Paediatricians recommend treatment for fever if it's more than 101 degree F.

When to Call a Doctor

If the kid is less than 4 months old and has a fever of 100.4 degree F with other mentioned symptoms as highlighted, one must see the doctor as an emergency situation.
If a kid has 104 degree F fever, rush to the doctor. Such a high fever in children could lead to seizers.

You must call a doctor if the kid has a fever along with the following symptoms:

    Looks very dizzy
    Has a deteriorated immune system or even any other medical condition
    Has a seizure
    Has symptoms such as rashes, painful throat, annoyance, rigid neck or ear pain

Medication Side Effects:

At times, if you treat your children with some medication that does not suit them, it may lead to high fever. In case fever in a kid aged less than 2 years lasts for more than one day, it's time to see a doctor. And lastly, remember that normal body temperature is 98.6 degree F.

High Fever: When It Should Raise Alarm for Parents

Fever is not a disease! It's a known fact that normal human body temperature is 98.6 F (37 C). If temperature goes beyond that, then it's called fever. But one must not worry every time if there is a rise in the temperature. 

Why?
The reason is that immune system is designed to raise temperature as a defence mechanism, if there is any attack by a foreign body (such as bacteria). So body temperature may fluctuate between 97 and 100.4. But there is no need to worry.

When to Consider Checking?
Routine check up is unnecessary. You may consider to check when:
- You feel the warmth while you touch
- You feel very tired, dizzy and lose appetite
- You feel nauseated, see rashes on the body, experience loose motion, sore throat, muscle pain, headache, etc.

Is it Time to Worry?
Normally, fever is not dangerous. However, if you see the following conditions, then it's time to worry and call a doctor. 
- If the body temperature is more than 103 degree F 
-,If fever lasts for more than five days
- If you feel difficulty in breathing
- If there is severe vomiting or diarrhoea
- If you feel stiffness in the neck and have headache
- If you feel excessively sleepy and lethargic
- If you see redness in skin, rashes or blood in stool.

If the condition worsens, it is time to rush to a hospital. There could be following:

- Meningitis is life threatening and highly transmissible in case of bacterial infection. A combination of a fever, extreme headache and stiffness in the neck is an indication that you must rush to the emergency department of a hospital near you.

- Difficulty in breathing or chest pain along with fever should prompt you to call for emergency medical assistance.

- If someone has fever along with blood in stool, urine or mucus, it's one of the reasons to seek for emergency medical help.

- If one has fever and is quite disturbed or puzzled unnecessarily, then the person should be taken to the emergency department.

- A person with low immune responses (such as one who is suffering from cancer or AIDS) needs doctor's help in case of fever development.

- Hyperthermia: it's a condition of very high fever, i.e., more than 104 degree F. The person seems to be confused and may not respond to verbal stimuli or commands. It's time for medical emergency.

What should You Do?
For mild fever, even home remedies can help. Aspirin shouldn't be the first choice and an absolute no for individuals less than 18 years. Other drugs that people usually tend to consume are ibuprofen or acetaminophen. One should also drink plenty of water. In case of a heat stroke, body needs to be cooled.
Other severe causes such as viral infection should lead you to a doctor.

Fever - When To Check, When To Worry, What To Do

Chikungunya is a viral disease transmitted to people by the bite of an infectious mosquito known as Aedes Aegypti. The chikungunya infection is most prevalent in Africa, Southeast Asia, the Indian subcontinent and Indian Ocean islands, where various incidents of these disease and certain outbreaks have occurred over the years.

Humans and different animals are the regular hosts for the chikungunya virus, which can turn out to be very painful if it is not treated on time with proper medical care and intervention. The virus is spread to people by the bite of a female mosquito called Aedes aegypti or Aedes Albopictus. These are the same tropical and sub-tropical mosquitoes that spread the dengue virus. They breed in or close to human habitations and want to feed on people during the daytime in shady zones. These are likely to bite you at during the early hours of the evening or at night. The hatching time frame (time from disease to sickness) can be anywhere between two to 12 days.

Symptoms: Chikungunya infection is characterised by the following symptoms:

1. High or blazing fever
2. Extreme joint pain for the most part in the arms and legs
3. Headache
4. Pain in the muscle
5. Pain in the back
6. Body ache
7. Rash (in about 50% of the infected people)

A vast majority begins to feel better following 7 to 10 days but a few people will go through longer term joint pain.

Treatment:

1. There is no particular medicine to prevent chikungunya. There is no antibiotic that can help in doing away with it - it usually abates on its own. Chikungunya treated on the basis of a patient's symptoms. However, there are some precautions and alternate medications that can be used as a cure.

2. Bed rest, liquids, and medication to soothe side effects of fever and hurting. Asprin should be avoided.

3. Personal protection and a hygienic environment is important to prevent the growth of the illness.

Since this virus does not have a vaccine or any particular medicine, one should try to stay away from mosquitos as much as possible. Covering yourself up while travelling, especially in the evening is the best approach to prevent it.

Preventive Tips and Treatment for Chikungunya

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