Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

162 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for high fever when diagnosed with dengue

Answered by
Dr.
Dr. R.A. Singh

Emergency Medicine Specialist

Practicing since :2000

Answered : 2183 Questions

default
Posted on Thu, 19 Apr 2018 in Medicines and Side Effects
Question: Hello Doctor

It all started on last Monday when my brother went down with high fever along with vomitings after two days on Wednesday he tested positive for dengue with platelet count of 95000, he got admitted to hospital. Iv fluids were given along with paracetamol doses. On 5th day platelets got down to 40000 level. On 6th day there was a fall in temperature. Temperature becomes normal and on next three days there is bit rise and fall of platelet counts. Today after 3 days after recovery from fever he has count of 47000. However since yesterday, his urine is brown in color and urine test reports show blood in urine ( reports attached). Bp is 60/110 today and doctors are saying that we can't find out the reason of bleeding however they said things will become normal in few days as platelet rises. Are we on right path. Please advice as we are worried. Why all these symptoms after temperature becomes normal
doctor
Answered by Dr. R.A. Singh 6 hours later
Brief Answer:
Bleeding is due to decrease in platelets.

Detailed Answer:
Hi,
Thanks for writing your query.
After reading your post, I would suggest that you should get the platelets monitored daily till it increases significantly and comes in normal range.
Bleeding in urine is due to fall in platelets. Also get his Complete Blood Count (CBC) done to monitor his Haemoglobin levels and to rule out any secondary infection.
Give him Vitamin C supplement and Methylcobalamine daily for relief. Also give Electral fluids. He should take proper rest and eat a healthy balanced diet.
Monitor his blood pressure and heart rate.
Further medical management can be planned according to the clinical evaluation done by your doctor and according to the reports of the above mentioned investigations.
I hope this is helpful to you. If you have any further query, I will be happy to help.
Regards. Thanks.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,  
Lab Tests ,  
Medical Topics ,  

Recent questions on  Dengue

doctor1 MD

Hi, my mother s stool, test reported presence of vegetable cells & starch and mucous . She is 70 + , diabetic , takes Amaryl M2 once daily and is having defecation for long duration , rumbling sound in stomach , sour mouth after lunch , she had dengue around one and half years before, what does the symptom indicate ? Last two days she is taking ganaton total , pancreoflat two tablets thrice daily befor meals , bactiv twice daily , zincovit after breakfast , tribs -d twice daily after meals , ecosprin at bedtime , mirnite 7.5 at bedtime , adamax capules for R.A and osteoporosis after dinner . She has glacouma and taking medicines (eyedrops) . She has type 2 diabetes and is suffering from indigestion . Please help

doctor1 MD

Hi, I am a 48-year-old woman who contracted Dengue Fever in February 2011.I still have not fully recovered, and now seem to have an interrupted heartbeat, which makes aerobic exercise frightening. Could the dengue fever and heart issues be related? If so, what course of action do you recomend?

doctor1 MD

II had severe hemoragic Dengue fever in late march 2010 and since then if I am tired or stressed I get heart palpitations, I have lost weight and stopped all tea coffe and cool drinks no alcohol and they have eased off, but again today after a week off no problems they reoccured for about an hour. I have been to my dr, and had ecgs and appeared npormal but I have to wait 4 months for a stress test at the hospital, I am taking Apple cider Vinegar and Manuka honey as a drink 4 times a day and this has helped immensly I will do anything to stop these happening

doctor1 MD

had severe urinary infection with high fever on 14th Feb and on CT Scan found stones in tube had laser operation and stones removed but till date fever persists. What could be the reason for the fever and chills. All test taken No Dengue,Typhoid,Malaria. CBC shows infection

doctor1 MD

Hi, my 15 months old daughter was down with fever for the last 3 days.. doc said it was viral fever and was on crocin srops.. her temperature did not rise after 10 pm yesterday and she is not on crocin drops since last night. But yesterday she...

doctor1 MD

Hello Doc Can you help me understanding the cbc report. My mother is suffering from diareah and actue weekness from past 2 days we got the cbc test done today . Please if u could advice if there is any possibilty of XXXXXXX kind of virus and if...

doctor1 MD

My brother was diagnosed with severe dengue in Philippines and has been in hospital for 10 days. He's had another blood transfusion recently (platelet and hemoglobin counts were low) and his fever keeps coming back (not too high), he cannot...