Saturday, 5 April 2014

043. Dengue Fever: Do Not Give Aspirin Or Ibuprofen To The Patient.

Dengue Fever: Do Not Give Aspirin Or Ibuprofen To The Patient.

By Health India.Com
Dr. Reshma Nayak
October 4, 2013


The cases of dengue are at an all-time high this year, especially in New Delhi. While people are scrambling to find out more about dengue symptoms and its treatment, they don’t know something very important. Since dengue presents as a fever with body ache in the beginning, most people mistake it as a case of viral fever. They end up self-medicating themselves with either Aspririn or Ibuprofen. Now, this can be very dangerous and cause severe bleeding. Why?

The infecting organism in dengue affects the platelets which are responsible for clotting (stopping bleeding), increasing the tendency of the person to bleed. Aspirin and Ibuprofen also have similar action. Both of them together could cause the person to bleed excessively, pushing the patient into what is called the ‘Dengue Shock Syndrome’. And once in this stage, medical treatment is needed in an emergency basis and hospitalization becomes necessary.

So what is dengue?

It is a tropical disease, usually transmitted by mosquitoes and the common symptoms include fever, headache, muscle and joint pains and skin rash. There is no vaccine for dengue and the only way to reduce infections is to improve hygiene levels so as to prevent mosquito-bites and prevent mosquitoes from breeding. It’s particularly difficult to create a vaccine because it’s caused by different viruses and there are no animal models available for testing. The disease kills over five thousand Indians every year and is a seasonal threat, particularly during the monsoon seasons.

So what are the symptoms of dengue?

Characterized by severe flu-like symptoms, dengue affects infants, children and adults alike and could be fatal. The clinical manifestations of dengue vary with the age of the patient. A person suffering from high fever in the range of 40°C/ 104°F, accompanied by any two of the following symptoms could be suffering from dengue:

Severe headache
Pain behind the eyes
Nausea, Vomiting
Swollen glands
Muscle and joint pains
Rash

Symptoms usually last for 2-7 days. Dengue could progress to severe dengue, a potentially fatal complication, causing leaking of plasma, fluid accumulation, respiratory distress, severe bleeding and organ impairment.

The warning signs to look out for occur 3-7 days after the first symptoms along with a decrease in temperature are severe abdominal pain, persistent vomiting, and rapid breathing, bleeding gums, blood in vomit, fatigue, and restlessness.

Link: http://health.india.com/diseases-conditions/dengue-fever-do-not-give-aspirin-or-ibuprofen-to-the-patient/

Reproduced here by courtesy of Health India. Com

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