Originally posted by Othello_Red:
if you have a high fever, bone and muscle aches, burning sensation in the eyes, diarrhoea, cough and runny nose, rash, or ur skin is flushed, dengue fever. nothin much to be worried about yet cuz u still can make it to a hospital in time.
if you have abdominal pain or vomitting lasting 2-4 days, nose bleeds, gum bleeds, vomit blood, black stools, red pinpricked-sized spots dues to sponatneous bruising, then ur in trouble, serious trouble. what doctors will do is get your blood sample for testing. if i'm not mistaken, in viral infections, thrombocytopenia sets in. meaning your whi8te blood cell count will be unusually low. also, in the case of dengue haemorrhagic fever, your platelet count also drops, that's why you bleed like nobody's business...best not to try your luck here.
The symptoms you mentioned are very common and typical for any viral fever, not just dengue fever. The bleeding type symptoms is more for any viral hemorrhagic fever (Nipah Virus, Leptospirosis, Yellow Fever). The only thing that is specific is to look at your platelet counts. You also of course have to watch out for the symptoms mentioned. Rashes develop after 3 days of intermittent fever (prolonged for usually 5 days). Another name for Dengue Fever is Breakbone Fever (due to the multiple joint pains, headache and backache).
You bleed because your capillaries open up and the platelets will try to plug the breakage of the capillaries, which leads to low platelet count. With this, fluid in the blood vessels escapes into the third space (extravascular space). Hence the only method of treatment is to replace with lots of fluids (IVF). That is the only mode of treatment. The progression is from Dengue Fever --> Dengue Hemorrhagic Fever --> Dengue Shock Syndrome --> Death from Hypovolemic Shock.
The blood sample test is a viral serology IgM for Dengue Virus (highly specific, results can be obtained within 5 hours). White blood count will be raised in terms of lymphocytes.
Beware of red rashes over your skin, we call this "white islands on a sea of red".
My advice is to go seek help in the government hospital. They will ward you and give you IV fluids and monitor you over a period of 3-5 days. Once your platelet levels is on a rising trend (they withdraw blood three to four times a day), they will discharge you and tell you to return to any outpatient clinic 1 week later to check your blood for the recovery antibodies, IgG. If they are present, your body is fighting the infection and you are recovering.