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

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

According to Ayurveda,  Jwara  or fever refers to the irregularities of body temperature. In majority of the cases, there is reduced heat in the GIT (gastrointestinal tract) and an increased temperature in the external body. Fever might be a symptom of a disease or can be a disease in itself. According to Ayurveda, fever happens because of an imbalance in the following doshas:
1. Vata
2. Aghantuja
3. Pitta
4. Kapha
5. Vata-Kapha
6. Vata-Pitta
7. Vata-Pitta-Kapha
8. Pitta-Kapha

Fever Management Rules
Light food or fasting is advised at the early stage of fever. This helps in drawing away heat from the external parts nd shifts it to the center. You should drink warm water in all fevers, except Pitta fever. Doing so balances the stomach heat. Warm liquid foods that include sago or barley should be consumed. Vegetable soup help as well, but astringent foods should be avoided at the early stages of the fever. During the early fever stages, antipyretic medications are to be avoided. These medicines reduce the stomach s temperature and by doing so, render the Ayurvedic treatment redundant as the GIT s heat is lowered.

General fever treatment therapies

Sudarshana Choorna should be taken twice daily and about 2 grams should suffice. This  Choorna  can be taken along with any of the above mentioned treatments.
Vasaka leaf is another simple remedy for treating fever. It should be mixed with  Shukti Bhasma  (10%) and should be taken twice daily in 2 gram doses.
Ginger tea is another remedy that always turns out to be comforting and is of great value. Consume a concoction made by adding half a teaspoon of fennel seeds, cinnamon, ginger powder and a little clove to a hot cup of water helps. The herbs should be soaked for about 10 minutes. They should be filtered afterwards before drinking the tea. It should be kept in mind that both ginger and aspirin dilute the blood. Thus, ginger tea should be avoided for two hours after consuming aspirin.
Fasting for about a day is advised for fever without any other symptom as the body gets rid of toxins. A strict diet regimen should be followed after consulting a doctor. Steamed vegetables without spices are recommended.

Suffering from Fever? Try these Ayurvedic Remedies

The rains almost always bring about a plethora of diseases with fevers of different kinds. Dengue, typhoid and chikungunya can be regarded as the top three tropical fevers and diagnosing them sometimes become quite tricky as all of them have similar symptoms and the laboratory tests are not always precise. The best you can do is be aware of the early symptoms and signs as successful treatment is heavily dependent on the detection of early symptoms of the fever you are suffering from.

Dengue

Causes: Dengue is considered as a serious viral ailment and is transmitted by the Aedes aegypti mosquito. This fever occurs in two varieties, uncomplicated fever and the more serious haemorrhagic fever. The latter is the second leading form of the viral disease, leading to bleeding and shock and in the most severe instances. It can also be fatal, especially for children.
Symptoms: The symptoms may vary as per the age and physical condition of the patient. If you are affected with a sudden onset of very high fever along with headaches, rashes and pain behind the eyes, with loss of appetite and vomiting tendencies, then you must consult a doctor. It can also cause weak pulses, difficulty in breathing, restlessness and bleeding from the nose or gums along with blotchiness under the skin.

Typhoid
Causes: Typhoid is a bacterial ailment and mainly occurs due to unhygienic toilet habits, impure drinking water, and it can be transmitted to others through flies, food, faeces, touch and fornication.
Symptoms: The most common symptoms of typhoid fever include high fever, rashes all over the skin, cough, headache and loss of appetite. You may also experience coated tongue, malaise and diarrhoea or constipation. In case you are experiencing any of these signs, then you must seek medical help.

Chikungunya
Causes: Chikungunya fever is a viral ailment that is transmitted to human beings by infected mosquito bites. It is the leading cause of human epidemics in some parts of the African and Asian continents and it has now recently moved to some parts of Europe.
Symptoms: The chikungunya virus infection leads to symptoms that may be debilitating for some people. Fever, rash, fatigue and headaches along with muscle and joint pains are some of the most common symptoms of chikungunya. Some patients have reported excruciating joint pain and arthritis that can last for a week or even months together.

If you are faced with any of these symptoms for over three to four days, then you should not ignore them and seek medical assistance without any delay.

3 Tropical Fevers - How to Differentiate Between Them?

Acute viral fever is a type of fever that includes various viral infections, primarily characterized by an increase in the body temperature. This disorder is very common among children and the elderly as they tend to have a weak immune system. Some common characteristics of this condition are skin rashes, body ache and headache.

Causes
The virus that causes this disorder is transmitted from one person to the other. The usual modes of transmission include direct contact, sneezing, coughing and even talking; anything that makes you exposed to physical contact with the body fluids of the infected person. Once the virus enters your body, it can take around 20-48 hours to get activated.

Symptoms
The symptoms of this disorder include a rise in body temperature, vomiting, weakness, loss of taste, swelling of the face. You may feel very lethargic, weak and nauseated. Apart from these symptoms, it may also cause pain in the joints and the stomach. In severe cases, this disease can lead to complications such as arthritis, pneumonia and diarrhea.

Treatment
Antibiotics, analgesics and antipyretics are prescribed when you have viral fever. Apart from the medications, you need to increase fluid intake and take complete bed rest. The body needs to heal; hence being extremely active will be counterproductive to the healing process. Heavy antiviral treatments are prescribed only in severe cases. Apart from medications, there are certain dietary changes that you may have to make to boost the healing process. Avoid spicy and fat laden foods as the digestive system is weak and consumption of such foods may lead to stomach disorders such as diarrhea and acidity. Try keeping your diet restricted to warm soups and fruit juices. Another factor you should be aware of is dehydration, as the body tends to lose fluids during this period. Drink a lot of water and fruit juices to keep your fluid intake at optimal levels.

You can also follow some preventive measure to avoid this disorder:
1. Wash your hands with antibiotic soaps
2. Stay away from crowded places
3. Avoid touching your face with unwashed hands

Acute Viral Fever - Know its Causes and Symptoms

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

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