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Overview

Dengue Treatment - Procedure, Cost And Side Effects

What is the treatment?

Dengue fever is caused by a virus that is transmitted from a mosquito bite. The fever can be caused by any one of the five serotypes of the virus, so it is possible for a person to be affected with this disease multiple times. It can affect anybody but has a tendency to be severe in people with a weak immune system.

A person may contract dengue virus when he/she is bitten by a striped Aedes aegypti mosquito that has previously bitten an infected person. The virus is mosquito-borne, and not contagious, meaning that it does not spread from person to person. The symptoms of the disease can come into notice after a week after you have been bitten by the infected mosquito. Body rashes, high fever, intense headache, a feeling of nausea or vomiting are some of the indications that you may be suffering from dengue fever.

If a patient has severe symptoms, a doctor generally will order a complete blood test to confirm the disease before proceeding with the treatment.

In certain cases, a patient may be diagnosed with dengue hemorrhagic fever after the initial fever. This severe form of fever can bring in many complications like severe bleeding, dehydration, organ damage and at times be life threatening.

How is the treatment done?

Dengue, being a virus, comes with no specific antibiotics or treatment. However, your doctor may advise you the following ways to take care of yourself if you are diagnosed with dengue fever:

  • Painkillers and medicines for reducing the fever
  • It is better to avoid medicines with aspirin, as it can sometimes worsen the bleeding
  • Drinking lots of fluids to avoid dehydration
  • Your vital signs will be closely monitored between the 2nd and the 7th day of your fever. The dengue virus promotes suppressing your bone marrow. The suppression causes a deficiency in your blood cells as the bone marrow is the place where your blood cells are manufactured. This leads to low platelet count. Therefore, monitoring your platelet count is of vital importance.
  • A patient will require a platelet transfusion if the count drops below 20,000
  • In the case of a severe dengue fever, you may need to be admitted to the hospital. You may need intravenous (IV) fluid or electrolyte replacement.
  • If you are diagnosed with dengue hemorrhagic fever, your doctor will monitor you for the first few days as you can experience dengue shock syndrome
  • Complete bed rest is recommended to the patient

Who is eligible for the treatment? (When is the treatment done?)

A person may require undergoing a dengue test for confirmation and start treatment for dengue if he/she has the following symptoms:

  • Symptoms of a headache, chills or an intense pain in the back of your eyes
  • Loss of appetite
  • Ache in the lower back
  • Rise in body temperature, as high as 104 degrees, with low blood pressure. The body temperature can suddenly drop down to normal with abundant sweating.
  • Rashes in the body, swelling of the palms and the soles

Who is not eligible for the treatment?

There are no such conditions where a person should not be provided with dengue treatment if he/she is diagnosed with the virus. Dengue should be treated at once as it can lead to severe health complications if neglected.

Are there any side effects?

There are no side effects of dengue treatment as such. The fever itself makes the person very weak. Joint and muscular pain are the common side effects of the fever. If the patient has to be admitted to the hospital due to the severity of his/her condition, the treatment can make the patient feel weak or nauseated. He/ She may require bed rest for a few days before resuming daily activities.

What are the post-treatment guidelines?

The post treatment guidelines after a dengue treatment include:

  • Using mosquito repellents, even if you are indoors
  • Ensure that you drink ample amount of fluids
  • Eat foods that are light, non-spicy and can be easily digested. You must avoid oily food.
  • Rest is the most important requirement for a person recuperating from dengue fever
  • Keep a track of your platelet count
  • In case you face any major issues, consult the doctor at once

How long does it take to recover?

Most people suffering from dengue can recover within two weeks after being diagnosed and treated. In some cases, people may take a few more days to resume their normal activities. Some adults may continue feeling tired or depressed for several weeks after recovering from the illness.

What is the price of the treatment in India?

The treatment of dengue fever would cost from Rs. 22,000 to Rs. 75,000, depending upon the severity of your condition.

Are the results of the treatment permanent?

Once the diagnosis is done and timely treatment provided, a person can be cured completely of the illness. This does not necessarily mean that the person cannot be diagnosed with dengue once again. There are five serotypes of the virus, so there is no guarantee that you cannot have dengue fever again if you were already diagnosed once.

What are the alternatives to the treatment?

At present, there is no specific alternative for treating dengue fever. You will be recommended painkillers for your pain and fever. You can drink lots of water to prevent dehydration or go for an intravenous therapy to keep the body hydrated.

Safety: High Effectiveness: High Timeliness: Medium Relative Risk: Low Side Effects: Low Recovery Time: Medium Price Range: Rs. 22,000 - Rs. 75,000

Popular Health Tips

Ayurvedic treatment For Dengue Fever

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Ayurvedic treatment For Dengue Fever
Ayurvedic treatment For Dengue Fever 

~ Ayurvedic Name: Dandak Jwara

~ Other Names: Dandy fever,Three-day fever, Breakbone fever.

~What's is a Dengue Fever?

1-Dengue fever is a disease caused by one of a number of viruses.
2-These viruses are spread by the bite of mosquitoes and are transmitted to the human body.
3-The disease is very common in tropical and subtropical areas of the world (including some islands in the Caribbean, Mexico, most countries of South and Central America, the Pacific, Asia and parts of tropical Africa). In these locations, the dengue fever arbovirus is endemic, meaning that the dengue fever virus naturally and consistently lives in that location and the virus are not carried by mosquitoes.

~Who gets Dengue Fever?

Dengue fever can occur to people of all ages. Children usually have a milder disease than adults.

~What's are the causes of Dengue Fever ?

When a mosquito carrying dengue fever virus bites a healthy human, the virus travels in the blood stream and then starts multiplying itself in the whole body. Dengue fever is not contagious, which means one person cannot pass it directly to another.

Dengue fever is also a type of arbovirus, which is short for arthropod-borne virus. The main virus causing dengue fever is carried by a mosquito named "Aedes aegypti" which transmits the virus to humans through its bite. An organism that carries a disease, without actually developing the disease itself, is called a vector. Aedes aegypti works as a vector for transmitting the disease.

An another cause for dengue fever is a virus name flaviviruses. More than 100 million cases of dengue fever occur every year in a whole world. A little bit percent of these develop into dengue hemorrhagic fever. It is possible for a traveler who has returned to the United States to pass the infection to someone who has not traveled. Risk factors for dengue hemorrhagic fever include having antibodies to dengue virus from prior infection and being younger than 12, female, or Caucasian.

~What's are the symptoms of Dengue Fever?

The symptoms of dengue fever are generally seen in around three days after transition of virus to humans through mosquitoes bite and after that patient starts feeling very weak. Dengue fever, however, is not a fatal disease.

Dengue fever may vary on an individual basis for each patient. One should always remember before looking for treatment that over-medication in dengue fever is likely to lead to further complications and some times it may also turn slight serious. A mild attack of the fever may pass off without having to administer any medicine.

~Some of the main symptoms of dengue fever are listed below:

Dengue fever usually starts suddenly with a rapidly climbing high fever, that's why the temperature in dengue fever is called a 'saddleback' type temperature.
severe headaches.
Retro-orbital pain behind the eye.
nausea & vomiting.
loss of appetite.
rashes develop on the feet or legs 3 to 4 days after the beginning of the fever.
Swelling and pain in muscles and joints.
The joint pain in the body has given dengue fever the name that is "breakbone fever".The common symptoms of dengue fever may go in around 10 days, but complete recovery from dengue fever can take more than a month.

~Herbal Treatments for Dengue Fever

There is no specific treatment for the treatment of classical dengue fever, and like most people you will also recover completely within 2 weeks. For severe dengue symptoms, including shock and coma, early and aggressive emergency treatment with fluid and electrolyte replacement can be lifesaving.

Some treatment options that may enhance the curing of classical dengue fever are listed:

1) Mix 360 mg of Shunthi Churna with 125 mg of Hinguleshwar and now take this mixture at least 4 times daily, you may take with tea or hot water. If case the temperature of the patient rises beyond 104°F (40°C), then you may apply cold pad, on the forehead till the temperature subsides.

2) Another ayurvedic medicine used for treatment of dengue fever is tulsi (holy basil). Medicinal properties of tulsi are very useful in ayurvedic therapy. The leaves of tulsi are used to produce soothing effect on the nervous system. Tulsi leaves strengthen the stomach and induce copious perspiration.

3) Amrutharistam,Amruthottaram kashayam,sudarsanam gulika,Pachanamrutham kashayam can be given for treatment.

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Dengue Fever

BHMS
Homeopath, Surat
Dengue Fever
Dengue Fever

हर साल दुनिया में लगभग 10 करोड़ लोग डेंगू / Dengue Fever के शिकार होते है। भारत में भी हर साल कई लोगो की Dengue Fever के कारण मृत्यु हो जाती है। हमें रोज समाचार पत्रों में या News channel पर Dengue Fever का आतंक देखने को मिलता है। समय की जरुरत है की इस बीमारी के बारे में लोगो में अधिक से अधिक जागरूकता फैलाई जाए। इस लेख द्वारा मेरी कोशिश है की, आपको Dengue Fever सम्बन्धी अधिक से अधिक जानकारी प्राप्त हो।

Dengue Fever के बारे में संक्षिप्त जानकारी निचे दी गयी है :
Dengue Fever क्या है ?

Dengue Fever यह एक viral बीमारी है जो की Dengue virus के 4 प्रकारों में से किसी एक प्रकार के Dengue virus से होता है। जब कोई रोगी Dengue Fever से ठीक हो जाता है, तब उस मरीज को उस एक प्रकार के Dengue virus से लम्बे समय के लिए प्रतिरोध / immunity मिल जाती है परन्तु अन्य 3 प्रकार के Dengue virus से Dengue Fever दोबारा हो सकता है। दूसरी बार होने वाला Dengue Fever काफी गंभीर हो सकता है जिसे Dengue Hemorrhagic Fever कहते है।

Dengue Fever कैसे होता है ?

Dengue Fever हवा, पानी, साथ खाने से या छूने से नहीं फैलता है। Dengue Fever संक्रमित स्त्री / मादा जाती के Aedes aegypti नामक मच्छर के काटने से होता है। अगर किसी व्यक्ति को Dengue Fever है और उस व्यक्ति को यह मच्छर काट कर उसका खून पिता है तो उस मच्छर में Dengue virus युक्त खून चला जाता है। जब यह संक्रमित मच्छर किसी स्वस्थ व्यक्ति को काट लेता है तो Dengue virus उस स्वस्थ व्यक्ति में चला जाता है।

Aedes aegypti मच्छर की कुछ खास विशेषताए निचे दी गयी है :

यह दिन में ज्यादा सक्रिय होते है.
इन मच्छर के शरीर पर चीते जैसी धारिया होती है.
ज्यादा ऊपर तक नहीं उड़ पाते है.
ठन्डे और छाव वाले जगहों पर रहना ज्यादा पसंद करते है.
पर्दों के पीछे या अँधेरे वाली जगह पर रहते है.
घर के अन्दर रखे हुए शांत पानी में प्रजनन / breeding करते है.
अपने प्रजनन क्षेत्र के 200 meter की दुरी के अन्दर ही उड़ते है.
गटर या रस्ते पर जमा खराब पानी में कम प्रजनन करते है.
पानी सुख जाने के बाद भी इनके अंडे 12 महीनो तक जीवित रह सकते है.
Dengue Fever के लक्षण क्या है ?

संक्रमित मच्छर के काटने के 3 से 14 दिनों बाद Dengue Fever के लक्षण दिखने शुरू होते है। Dengue Fever के लक्षण निचे दिए गए है :
तेज ठंडी लगकर बुखार आना
सरदर्द
आँखों में दर्द
बदनदर्द / जोड़ो में दर्द
भूक कम लगना
जी मचलाना, उलटी
दस्त लगना
चमड़ी के निचे लाल चट्टे आना
Dengue Hemorrhagic Fever की गंभीर स्तिथि में आँख, नाक में से खून भी निकल सकता है
Dengue Fever का इलाज क्या है ?

Dengue Fever का रोकथाम / Prevention ही इसका सबसे अच्छा और बेहतर ईलाज है.
Dengue Fever की कोई विशेष दवा या vaccine नहीं है.
एक viral रोग होने के कारण इसकी दवा निर्माण करना बेहद कठिन कार्य है.
Dengue Fever के इलाज / चिकित्सा में लाक्षणिक चिकित्सा / symptomatic treatment की जाती है.
Dengue Fever की कोई दवा नहीं है पर इस रोग से शरीर पर होने वाले side-effects से बचने के लिए रोगी को डॉक्टर की सलाह अनुसार आराम करना चाहिए और समय पर दवा लेना चाहिए।
रोगी को पर्याप्त मात्रा में आहार और पानी लेना चाहिए। बुखार के लिए डॉक्टर की सलाह अनुसार paracetamol लेना चाहिए।
बुखार या सरदर्द के लिए Aspirin / Brufen का उपयोग न करे.
डॉक्टर की सलाह अनुसार नियमित Platelet count की जाँच करना चाहिए।
हमारी रोगप्रतिकार शक्ति Dengue Fever से लड़ने में सक्षम होती है, इसलिए हमें हमेशा योग्य संतुलित आहार और व्यायाम द्वारा रोग प्रतिकार शक्ति को बढाने की कोशिश करनी चाहिए।
Dengue Fever के बचाव के उपाय क्या है ?

जैसे की मैंने पहले भी लिखा है, Dengue Fever का रोकथाम / Prevention ही इसका सबसे बेहतर ईलाज है।
Dengue Fever के बचाव के उपाय निचे दिए गए है :
घर के अन्दर और आस-पास पानी जमा न होने दे। कोई भी बर्तन में खुले में पानी न जमने दे.
बर्तन को खाली कर रखे या उसे उलटा कर कर रख दे.
अगर आप किसी बर्तन, ड्रम या बाल्टी में पानी जमा कर रखते है तो उसे ढक कर रखे.
अगर किसी चीज में हमेशा पानी जमा कर रखते है तो पहले उसे साबुन और पानी से अच्छे से धो लेना चाहिए, जिससे मच्छर के अंडे को हटाया जा सके.
घर में कीटनाशक का छिडकाव करे.
कूलर का काम न होने पर उसमे जमा पानी निकालकर सुखा कर दे। जरुरत होने पर कूलर का पानी रोज नियमित बदलते रहे.
किसी भी खुली जगह में जैसे की गड्डो में, गमले में या कचरे में पानी जमा न होने दे। अगर पानी जमा है तो उसमे मिटटी डाल दे.
खिड़की और दरवाजे में जाली लगाकर रखे। शाम होने से पहले दरवाजे बंद कर दे.
ऐसे कपडे पहने जो पुरे शरीर को ढक सके.
रात को सोते वक्त मच्छरदानी लगाकर सोए.
अन्य मच्छर विरोधी उपकरणों का इस्तेमाल करे जैसे की electric mosquito bat, repellent cream, sprays etc.
अगर बच्चे खुले में खेलने जाते है तो उने शरीर पर mosquito repellent cream लगाए और पुर शरीर ढके ऐसे कपडे पहनाए।
अपने आस-पास के लोगो को भी मच्छर को फैलने से रोकने के लिए प्रोत्साहित करे.
अपने आस-पास में अगर कोई Dengue Fever या Malaria के मरीज का पता चलता है तो इसकी जानकारी स्वास्थय विभाग एवं नगर निगम को दे, जिससे तुरंत मच्छर विरोधी उपाय योजना की जा सके.
Dengue Fever के ज्यादातर मरीजो की मृत्यु platelet या खून के अभाव में होती है। मेरी आप सभी से request है की जरुरत के समय रक्तदान / Blood Donation करने से बिलकुल न घबराए और साल में कम से कम दो बार Blood Donation जरुर करे.
कई लोग Dengue Fever में Platelet Count बढाने के लिए पपीते के पत्ते का रस पिने के सलाह देते है। पपीते के पत्ते का रस पिने के बाद कई मरीजो में platelet count में सुधार होते हुए देखा गया है। इसका कोई ठोस पुरावा नहीं है और न कोई research हुआ है.
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Dengue Vaxia

MBBS,CCA,DCA,AASECT,FPA,AAD,F.H.R.SM.I.M.S
General Physician, Gorakhpur
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

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Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

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15 people found this helpful

Dengue Fever - Causes, Treatment, and Management

MD - Internal Medicine, MBBS
Internal Medicine Specialist, Mumbai
Dengue Fever - Causes, Treatment, and Management

Dengue fever is a painful infection transmitted by the bite of one of the 4 closely related viruses that are carried by a type of mosquitoes known as Aedes mosquitoes. The infection is not directly from one person to another.

Symptoms: After the mosquito bite, symptoms set in about 4 to 6 days and can last up to 10 days (as noted below). Most are general symptoms which can be seen with any viral infection and therefore most dengue cases can go undetected.

  1. Sudden high temperature
  2. Pain behind the eyes
  3. Severe headache
  4. Swollen lymph nodes
  5. Severe bone and muscle pains (this can lead to suspicion of dengue)
  6. Fatigue
  7. Nausea and vomiting
  8. Skin rash that appears 3 to 5 days after the onset of fever
  9. There could be in some cases gum bleeding, easy bruising, or nose bleeding

The dengue triad of symptoms is fever, headache and the skin rash. This could lead to suspicion and blood tests that can lead to diagnosis.

The acute phase lasts for about 2 weeks in most cases and there is no antibiotic (it is a viral infection) cure for it. The treatment is therefore symptomatic, aimed at reducing fever and pains.

If left untreated, especially in children, a severe case called as Dengue Hemorrhagic Fever (DHF) can occur, which affects children under 10 years of age and can cause failure of the circulatory system. This can also occur when a person is developing dengue for the second time. This is a serious form and can even lead to death; therefore the symptoms should be taken seriously and attended to immediately.

Diagnosis: Confirmation of dengue is through a blood test, where the virus is tested for.

Treatment: Being a viral infection, antibiotics are not effective against dengue. Pain killers with acetaminophen are preferred. Aspirin is avoided, as it can worsen bleeding. Complete bed rest, hydration and good nutrition are essential parts of the treatment. Being under medical supervision also helps watch out for complications. There is a vaccine under development that could become available in the next couple of years.

Prevention:

  1. Always use mosquito repellents, even indoors
  2. While being outdoors, use clothes that cover the arms and legs fully
  3. Use a mosquito net if your area is highly infested with mosquitoes
  4. Ensure the windows and doors are closed during the evening
  5. If you are suspicious of having dengue, reach out to the doctor
  6. Reduce chances for mosquitoes breeding by keeping the house clean
  7. If there are family members with dengue, protect yourself and them from mosquitoes

Preventing dengue is the best way to manage it; however, if once infected, the person develops immunity to it. Reduced immunity can put the person at risk of developing the condition again.

6032 people found this helpful

HOMOEOPATHIC MANAGEMENT OF DENGUE FEVER

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
HOMOEOPATHIC MANAGEMENT OF DENGUE FEVER
Introduction:

Mostly, this disease spreads because of the biting of dengue mosquito. Dengue mosquitoes take birth in dirty water and dirty areas. The patient feels great weakness when he gets rid of dengue.

Symptoms:

The patient of dengue suffers from intense pain in the body and fever occurs with slight chill. Headache starts soon. Sometimes, he suffers from vomiting, trembling in the body and hot body. Temperature rises even to 102 or 106 degree. Other symptoms are as swelling all over the body, appearance of watery pimples on the body, flushed face, anorexia, obstinate constipation and sometimes symptoms of jaundice. Duration of the illness is 3-4 weeks. The symptoms of this disease disappear when the patient recovers. Sometimes, the patient suffers from excessive laziness and blood comes from mucus membranes.

Cause:

Biting of dengue mosquito is the main cause of this disease.

Treatment with different homoeopathic medicines:

1. Baptisia: baptisia 3 x should be taken for the treatment of this disease.

2. Gels: gels 3 x to mother tincture should be used for the treatment of dengue.

3 eupat perf: eupat perf 1x should be taken if the patient of dengue has been suffering from the pain in the bones.

4. Carbo veg: if the patient suffers from such symptoms as excessive laziness, excessive hot forehead but the whole body illness should take carbo veg 3.

5. Cimicifuga: cimicifuga 3 x should be used if the patient suffers from pain in the bones
.
6. Arse: the medicine arse 3x should be taken if the use of cimicifuga does not provide relief.

7. Acid phos: the patient should take acid phos 3 if he feels excessive laziness.

8. Belladonna: if the symptoms are as appearance of red colored pimples on the body and headache because of which the patient feels a lot of trouble, he should take belladonna 6 for the treatment.

9. Aconite: if the patient suffers from high fever in the preliminary stage of this disease and the temperature reaches to 104-105 degree, he should take belladonna 1x to get relief.

10. Bryonia: if the patient of dengue suffers from such symptoms as perspiration, headache which mostly affects to the backside, constipation and pain all over the body, the use of bryonia 3-6 provides a lot of relief.

11. Lachesis: if blood comes from the mucus membranes along with this disease, the patient should take lachesis 6 to get relief.

12. Crotolus: if blood comes with the mucus membranes, the patient should take crotolus 3 to get rid of this problem.

13. Gelsimium: if the temperature is low, gelsimium 1x should be taken to get relief by the patient of dengue.

14. Rhus tox: if the patient suffers from such symptoms as sensation of excessive chillness, fever along with boils and pimples, convulsion in the hands and feet and rheumatism, he should take rhus tox 3 to get relief.

15. Arsenic: the patient suffers from diarrhea along with dengue, he should take arsenic 6. The disease disappears after taking this medicine.
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Popular Questions & Answers

What kind of tablets can we take in dengue? What are the things that we should be taken care of. Things I should do and do not do.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
No specific treatment for dengue fever exists. Your doctor may recommend that you drink plenty of fluids to avoid dehydration from vomiting and a high fever.

What are the symptoms of dengue? How to get rid of dengue? Please suggest something sir?

MD - Homeopathy, BHMS
Homeopath, Vadodara
Fever with chills, bodyache, headache, cold coryza, skin rashes... etc. To get rid of dengue you need to consult and take proper treatment.. it is a dangerous disease and you should not wait or try to take self Medicine..

What are symptoms of dengue? There is sickness in my body please tell me the reason!

BHMS
Homeopath, Hooghly
Normally dengue fever symptoms are very much similar to any kind of viral fever. High rise of temp, bodyache,pain in head, pain in upper abdomen, bone pain, anorexia.there may be a typical reddish rash. Diagnosis only made after blood test.

What are the main symptoms of dengue? And how to keep away ourself from the disease?

MD - Homeopathy, BHMS
Homeopath, Vadodara
The symptoms are high grade fever Bodyache headache Chills Cold cough coryza etc... weakness To be safe you have to avoid mosquito bites... as much as possible... And also take homoeopathic preventive medicine...

What are the symptoms of dengue? How can I cure it soon because I have my exams coming.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
Symptoms of Dengue Fever Sudden, high fever. Severe headaches. Pain behind the eyes. Severe joint and muscle pain. Fatigue. Nausea. Vomiting. Skin rash, which appears two to five days after the onset of fever. There is no specific medicine to treat dengue infection. If you think you may have dengue fever, you should use pain relievers with acetaminophen and avoid medicines with aspirin, which could worsen bleeding. You should also rest, drink plenty of fluids.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Dengue Fever
Symptoms and Treatment for Dengue Fever
Play video
Dengue Fever
My name is Dr Tarun Jhamb and I m an MD Medince. I am practising for last fifteen years. I am connected to Lybrate. I m also practising at Columbia Asia Hospital and we will discuss the health topic one of which is Dengue Fever. We know for the next three months, there is a possibility of Dengue Fever in the rainy season. Dengue is a mosquito borne viral fever and it just spreads from the bite of the mosquito and spreads person to person. Most of the times it is self-treatable and it s a preventable disease but there are a few cases which have gone into complications which are known as Dengue Shock Syndrome or Dengue haemorrhaging Fever.

Common symptoms of the Dengue Fever is the high-grade fever, 104- 105 temperature with body ache, joint pain, muscle pain, rashes all over the body, and severe weakness. A person becomes very dilapidated within one or two days and feels very uncomfortable and he becomes sick. It is a treatable disease. Lots of liquids and electrolytes are required.

What are the dos and don ts for this disease?

Do is, we have to take care of not getting stagnant water in coolers or in and around the home. We should take care of using the mosquito repellent, material or the jellies. We can use the net to avoid the mosquito bite. We should intake a lot of water and electrolyte supplements. We should take bed rest for few days. We need to see the doctor as soon as we see the symptoms of dengue fever.

Things we don t have to do, do not use disprin or the voveran tablet during the fever because these are the blood thinners. Do not avoid or delay the treatment. As we see the symptoms like bleeding from anywhere on the sight and black stool, continuous vomiting and severe weakness and continuous fever which leads to fainting.

These are the serious symptoms which should be immediately taken care of and we should seek the help of the doctor. It is a preventable disease. We should take care of the blood testing where we find the dengue test at initial four to five days, likely to be positive and antibody test after four to five days, is likely to be positive. Platelets are falling after four to five days and remain for the next three to four days and then it automatically starts. Some people require hospitalization as well as the platelet transfusion. The upper limit of the platelet is up to ten to fifteen thousand where we can prevent or avoid the platelet transfusion. But if it is going down lower or there is any sign of bleeding up to forty thousand then we have to give the platelet transfusion request.

If you need any of my help, I am available at Lybrate. My home clinic is Naman Medicare at Gurgaon, Sector IV.

Thank you
Play video
Dengue Fever
Symptoms and prevention of Dengue fever
Play video
Causes and Treatments of Hypertension
Here are some causes and treatments of hypertension

Hello this is Dr. Chhavi Bansal and I am practicing Homeopathy at Homeosure-Home of Homeopathy and Wellness, Pritampura. Today I ll be discussing about Hypertension which is the most common emerging lifestyle disorder these days. Hypertension is defines as elevation of blood pressure. Blood pressure is the pressure of flowing blood on the inner walls of the blood vessels and it depends on various factors like the pumping force of the heart, the resistance of the blood vessels and the amount of blood flowing through the vessels. As I have previously told that it is a lifestyle disorder, its development has been attributed to various lifestyle changes like poor diet, lack of exercise, lack of sleep, poor sleeping habits, work stress, mental stress.


It is often termed as the silent killer because in many of the cases its symptoms do not manifest in the beginning of the cases and usually manifests itself with complications. Also many people do not give importance to hypertension until and unless they develop complications. Hypertension can be of two types: primary or essential and secondary hypertension depending on the causes of hypertension. And in majority of the cases, almost 90-95% cases there is no underline cause to hypertension and this is termed as Primary or Essential Hypertension.

Secondary Hypertension is the one where there is some kind of underlining medical condition which needs to be treated there. Now coming to the risk factors of hypertension, these factors can be modifiable and non-modifiable. The non-modifiable factor includes: Age like it is more common in later ages, Race because it is more common in African Americans and Genetic, because hypertension has been found running in families. The Modifiable risk factors are obesity, smoking, much intake of alcohol, caffeine, fatty food, higer level of cholesterol, high sodium diet, low potassium diet, prolonged stress or prolonged use of OCPs.


Now what is the harm from Hypertension? Prolonged hypertension can create a lot many complications: it can damage your eyes it can damage your kidneys, it can damage your heart and lead you to lot of diseases which can create loss of vision, kidney, heart diseases and stroke.


Now coming to the prevention or treatment of hypertension, as been previously told that there are various risk factors which make you prone to develop hypertension. So prevention is the best treatment of hypertension, if the risk factors are controlled then it will definitely control your hypertension or at least delay it. So the best prevention would be to have a healthy lifestyle which includes cutting down your alcohol and caffeine intake, quit smoking and maintaining your weight, adding physical activities to your routine daily, decreasing your sodium intake and increasing your potassium intake.
Homeopathy has wonderful results in delaying Hypertension and controlling Hypertension.

If you have any further queries regarding hypertension feel free to consult me through Lybrate.
Play video
HIV Treatment
Here are side effects and follow-ups of HIV treatment

Hi, this is Dr, Ajay. In the previous video, I talked to you about diagnosis of HIV and the various tests that are done. I also spoke briefly about HIV. In this video, I would be talking more about HIV treatment, its side effects and the follow up of the patient.

So once the patient is diagnosed with HIV, we subject the patient for further screening of CD4 viral load. The latest guidelines of DHHS and WHO state that you do nt have t wait for the CD4 count to drop. That means, if the patient is HIV+ , you can straight away start HIV treatment without waiting for the CD4 counts. So, after the patient is prepared for the treatment, the counseling is done where we have to assess the patient whether he is ready to start the treatment. You have to do preparedness counseling. We usually start the 3 Drug Regimen which is very popularly known as Combined Antiretroviral Treatment. Once we start the treatment we also monitor the patient for the side effects of the treatment because not all ART medicines are free of side effects. We choose the regimen which has the least side effect.

So for examples, if the patient is on Ziloudine, we monitor the patient for any signs of anemia, weakness, fatigue or nausea. Some patients develop loss of fat which we call lypotrophy and lypodystrophy. Then there are other side effects like Skinofovea causes renal kidney dysfunction, retardation of kidney function. Like this, we monitor the patient. Some people taking Adesanovith can develop yellowish discoloration of eyes. So, we tailor make the medicine to suit the patient. When we start the patient on antiretroviral treatment, on every follow up we insist the patient to take the medicines regularly because adherence is the most important step in the success of antiretroviral medicine. The tests that we do in the follow up are again the baseline function like the liver function, kidney function and we also assess the CD4 viral load at the end of 6 months.

So, by doing these tests, we will know whether the patient is responding to treatment or not. We will also know whether the patient is developing any side-effects to the treatment or not. By this monitoring at every step, we also counsel the patient for adherence. Taking ART treatment also helps in preventing the HIV transmission. For example, if a patient in a couple in HIV positive that is only husband is positive and wife is negative or vice versa, what we call discarded couple, in them if one of the patients is taking antiretroviral treatment, by decreasing the viral load to undetectable levels, we can also prevent the transmission of HIV from one partner to the other but we also recommend the patient to use condom.

There is an option of taking HIV medicine for preventing HIV, what we call as pre-exposure profile axis and post-exposure of profile axis. Here, if a patient accidentally has a needle exposure through an HIV positive patient or if the patient has any sexual exposure, then immediately after the exposure he can take medicines within 72 hours. By taking these medicines for 28 days, he can prevent HIV transmission. This is what we call as post-exposure profile axis. Then there is another entity called pre-exposure profile axis wherein if the patient is getting involved in high-risk activity like for instance, most of the sexual workers unknowingly meet many partners. So to avoid getting HIV infection, they can take preventive treatment which is again taken for 28 days to prevent HIV transmission.

You can always consult me through lybrate or directly in my clinic at Hyderabad, Narayanguda. Thank you.
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