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Dr Naval Kumar Verma

New Delhi | Friday | 30 August 2024

We are enjoying the rainy season at the moment. But when rains are over there are mosquitoes all around and dengue fever becomes a big threat. Dengue is a viral infection transmitted by mosquitoes, primarily the Aedes aegypti species. It affects individuals of all ages, but the signs and symptoms often vary depending on the age of the patient. In  different age groups, dengue can be  recognized with the following different symptoms:

 

  1. INFANTS AND YOUNG CHILDREN :

 Among  infants and young children the symptoms may be    high fever but often it is not as easily recognized as in older children or adults. Then fine, flat rash  may appear after the fever subsides.  Infants and toddlers  suffering from dengue often become unusually irritable or fussy and with a reduced appetite they  refuse to eat. Moreover gastrointestinal symptoms as well as cough and nasal congestion are more common in young children.

 

 

 

Article at a Glance
The article discusses dengue fever, a viral infection spread by mosquitoes. It outlines symptoms specific to different age groups, including infants, older children, adults, and senior citizens. For infants, symptoms can be subtle and include high fever, irritability, refusal to eat, and rash.
Older children may experience high fever, severe headache, muscle and joint pain, rash, nausea, vomiting, fatigue, and mild bleeding. Adults exhibit similar symptoms but may also have severe fatigue. Senior citizens may have less pronounced fever but more intense weakness and gastrointestinal symptoms.
Early detection of dengue fever is crucial to prevent complications. Treatment includes homeopathic medicines like Eupatorium Perfoliatum, Bryonia, Gelsemium, Arsenicum Album, and Ipecacuanha. Post-recovery, Carica Papaya and China Officinalis can aid in restoring vitality.
Preventive measures involve eliminating mosquito breeding sites, using repellents, wearing protective clothing, installing mosquito nets, and insecticide spraying. Community involvement in public awareness campaigns and clean-up drives is also essential.
During the illness, maintaining hydration and consuming nutrient-rich foods, particularly those high in vitamin C and iron, is recommended. Avoiding oily, fried, spicy, and caffeinated foods is advised.
If dengue fever is suspected, immediate medical attention is necessary. Regular monitoring for warning signs and blood tests are crucial. Severe cases may require hospitalization and intravenous fluids.

 

How to recognise if an infant is suffering from dengue is a bit difficult.   Persistent high fever is a key sign, but it might be challenging to detect in very young infants.But behavioral changes such as  increased irritability, lethargy, or refusal to feed are red flags. The appearance of a rash after the fever subsides is also a sign.

 

     2. OLDER CHILDREN :

-  Symptoms:

  - High Fever: Sudden onset of high fever (often 39°C - 40°C).

  - Severe Headache: Especially pain behind the eyes.

  - Muscle and Joint Pain: Often referred to as "breakbone fever" due to the intensity of the pain.

  - Rash: A rash that may spread over the body, appearing as small red spots.

  - Nausea and Vomiting: Gastrointestinal upset is common.

  - Fatigue: Extreme tiredness and weakness.

  - Mild Bleeding: Such as nosebleeds or gum bleeding.

 

-  Recognition:

  -  Classic Symptoms:  High fever, severe headache, muscle, and joint pain.

  -  Rash:  Often appears on the face, limbs, and chest.

  -  Bleeding Tendencies:  Watch for minor bleeding episodes, which could indicate a more severe form of dengue (dengue hemorrhagic fever).

 

     3. ADULTS :

-  Symptoms:

  - High Fever: Sudden onset of high fever that may last for 2-7 days.

  - Severe Headache: Pain behind the eyes is particularly common.

  - Severe Muscle and Joint Pain: Characteristic intense pain in muscles and joints.

  - Rash: Red rash may appear 2-5 days after the onset of fever.

  - Nausea and Vomiting: Common gastrointestinal symptoms.

  - Fatigue: Persistent fatigue and exhaustion even after the fever subsides.

  - Mild Bleeding: Such as nosebleeds, gum bleeding, or easy bruising.

 

-  Recognition:

  -  High Fever and Pain:  Sudden high fever accompanied by severe headache, muscle, and joint pain are classic signs.

  -  Rash:  A red rash that may be itchy or painful.

  -  Bleeding:  Even mild bleeding (like bruises, and nosebleeds) could indicate progression towards more severe dengue.

 

     4. SENIOR CITIZENS :  

-  Symptoms:

  - High Fever: May be present but can sometimes be less pronounced.

  - Severe Weakness: Fatigue and weakness can be more intense and prolonged.

  - Severe Headache: Pain behind the eyes may be reported.

  - Muscle and Joint Pain: Intense pain similar to that seen in younger adults.

  - Rash: May appear but can be less noticeable in aged skin.

  - Gastrointestinal Symptoms: Nausea, vomiting, and abdominal pain are common.

  - Complications: Elderly individuals are at higher risk for severe dengue, including dengue hemorrhagic fever or dengue shock syndrome, which may present with bleeding, plasma leakage, and organ impairment.

 

-  Recognition:

  -  Subtle Fever:  Fever may not be as high but persistent and accompanied by significant fatigue.

  -  Pain and Discomfort:  Look for severe muscle and joint pain along with headaches.

  -  Increased Risk of Complications:  Monitor closely for any signs of bleeding or shock, especially in those with underlying health conditions.

 

     General Warning Signs of Severe Dengue (Across All Ages):

- Severe abdominal pain.

- Persistent vomiting.

- Rapid breathing.

- Bleeding gums or nose.

- Fatigue, restlessness, or irritability.

- Blood in vomit or stools (black, tarry stools).

- Signs of shock (cold, clammy skin, rapid pulse).

 

     In the end we can say that recognition of dengue fever is primarily based on the combination of high fever, severe headache, muscle and joint pain, and the appearance of a rash. However, the presentation can vary depending on the age group, with infants and the elderly potentially presenting more subtly. Early detection and appropriate medical care are crucial to prevent complications, especially in severe cases.

 

   The  following should be done for dengue prevention and treatment :

 

     1.  Homeopathic Medicines :

   -  Prophylactic Remedies: The following specific homoeopathic remedies as a preventive measure against dengue fever are recommended . These common remedies include:

     -  Eupatorium Perfoliatum 200:  This is often suggested as a preventive remedy. Taking a dose of Eupatorium Perfoliatum 200 once a week during dengue outbreaks may help bolster immunity against the virus.

     -   Bryonia 30 and Gelsemium 30 These remedies can be alternated daily for a week as a preventive measure, especially in areas with high dengue prevalence.

 

     2.  Homeopathic Treatment During Dengue:

   -  Eupatorium Perfoliatum:  This remedy is highly effective in managing symptoms like high fever, severe body aches, and bone pain, which are characteristic of dengue fever. It can be taken in 30C potency, three times a day, during the acute phase.

   -  Gelsemium:  For patients experiencing extreme fatigue, dizziness, and heaviness of the eyelids along with fever, Gelsemium 30 can be taken every 4 hours.

   -  Arsenicum Album:  If the patient has gastrointestinal symptoms like diarrhoea or vomiting, along with weakness, Arsenicum Album 30 can be given every 3-4 hours.

   -  Ipecacuanha:  For cases with persistent nausea and vomiting, Ipecacuanha 30 can be administered every 3 hours.

   -  Phosphorus:  This remedy is recommended if there is a significant drop in platelet count. Phosphorus 30 can be taken twice daily to support the body's recovery.

 

     3.  Homeopathic Support for Recovery:

   -  Carica Papaya (Papaya Leaf Extract): Dr Naval suggests that papaya leaf extract, available in homoeopathic form, may aid in improving platelet count and recovery. It can be taken in mother tincture form (10 drops in water, twice daily) or as advised by a homoeopathic practitioner.

   -  China Officinalis:  For recovery from weakness and exhaustion post-dengue, China 30 can be taken once daily for a week to restore vitality.

 

     4.  General Guidelines:

   -  Consultation with a Homeopathic Practitioner:  It is essential to consult a qualified homoeopathic doctor for personalized treatment plans, especially if symptoms worsen or complications arise.

   -  Combination with Conventional Medicine:  Homeopathic treatment can be used in conjunction with conventional medical care, under the supervision of healthcare professionals.

 

By integrating  these homoeopathic remedies  with conventional preventive measures and diet management, a holistic approach to dengue prevention and treatment can be achieved. This combined strategy can reduce the severity of symptoms and support faster recovery.

The following guidelines should be acted upon  for preventing  dengue :

 

     1.  Mosquito Control Measures:

   -  Eliminate Breeding Sites:  Regularly check and remove standing water from containers, flower pots, buckets, tyres, and other places where mosquitoes can breed.

   -  Use Mosquito Repellents:  Apply DEET-based or natural repellents on exposed skin and clothing.

   -  Wear Protective Clothing:  Use long-sleeved shirts, long pants, socks, and shoes to reduce skin exposure.

   -  Install Mosquito Nets and Screens:  Use nets over beds and screens on windows and doors to keep mosquitoes out, especially during peak mosquito activity times (dawn and dusk).

   -  Insecticide Spraying:  If feasible, spray insecticides in areas with high mosquito populations, focusing on indoor spaces and places where mosquitoes rest.

 

     2.  Community Involvement:

   -  Public Awareness Campaigns:  Educate communities about the importance of eliminating mosquito breeding sites and protective measures.

   -  Community Clean-up Drives:  Organize regular clean-up campaigns to remove potential breeding sites from neighbourhoods.

   -  Government and Health Department Coordination:  Ensure collaboration with local health authorities to monitor and control mosquito populations.

 

     3.  Personal Protection:

   -  Avoid Peak Mosquito Activity:  Stay indoors during early morning and late afternoon when Aedes mosquitoes are most active.

   -  Use Air Conditioning:  If possible, use air conditioning, as it reduces mosquito activity.

 

   The following  diet guidelines should be followed by those who are suffering from dengue fever :

 

     1.  Hydration:

   -  Increase Fluid Intake:  Drink plenty of fluids, such as water, coconut water, oral rehydration solutions (ORS), herbal teas, and fresh fruit juices, to prevent dehydration caused by fever and vomiting.

   -  Electrolyte Balance:  Include drinks that help maintain electrolyte balance, such as ORS, to prevent dehydration and electrolyte imbalance.

 

     2.  Nutrient-Rich Foods:

   -  High-Calorie, Easily Digestible Foods:  Include light, soft foods like porridge, khichdi, boiled vegetables, soups, and stews that are easy on the stomach.

   -  Protein-Rich Foods:  Incorporate lean proteins like boiled eggs, tofu, cottage cheese, or legumes to aid in recovery.

   -  Vitamin C:  Consume citrus fruits like oranges, lemons, and grapefruits to boost immunity and aid in the absorption of iron.

   - Iron-rich foods:  Include foods like spinach, pomegranates, and red meat (in moderation) to prevent anaemia, which can occur in dengue patients.

   -  Papaya Leaf Extract:  Some studies suggest that papaya leaf juice may help increase platelet count, though it should be taken with caution and under medical supervision.

 

     3.  Foods to Avoid:

   -  Oily and Fried Foods:  Avoid foods that are heavy, greasy, or fried, as they can be difficult to digest and may aggravate nausea.

   -  Spicy Foods:  Limit spicy foods that can irritate the stomach lining.

   -  Caffeinated and Sugary Drinks:  Avoid drinks like coffee, soda, and energy drinks, which can dehydrate the body and worsen symptoms.

 

   The following steps should be taken by the person suffering from dengue fever and those who are attending on him :

 

     1.  Medical Care:

   -  Seek Immediate Medical Attention:  If dengue fever is suspected, consult a healthcare provider promptly.

   -  Regular Monitoring:  Monitor for warning signs such as severe abdominal pain, persistent vomiting, rapid breathing, bleeding gums, or fatigue, which may indicate severe dengue (dengue haemorrhagic fever).

   -  Blood Tests:  Regularly check platelet count, haematocrits levels, and liver function tests as advised by the doctor.

 

     2.  Symptomatic Treatment:

   - Take homoeopathic medicines like Eupatorium perf 200, Gelsemium 200 or Bryonia 200 as per guidelines of Homeopathic physicians to reduce fever and relieve pain. Avoid aspirin or NSAIDs like ibuprofen as they can increase the risk of bleeding.

   -  Rest:  Ensure complete rest to support the body's immune response and recovery.

   -  Avoid Overexertion:  Limit physical activity to prevent fatigue and further weakening of the immune system.

 

     3.  Monitoring for Complications:

   -  Platelet Count Monitoring:  Regularly monitor platelet levels as a drop in platelet count can lead to complications.

   -  Hydration Monitoring:  Ensure the patient is adequately hydrated, monitoring urine output and other signs of dehydration.

 

     4.  Hospitalization Criteria:

   -  Severe Symptoms:  If symptoms worsen or severe dengue is suspected, hospitalization may be necessary for close monitoring and supportive care.

   -  Intravenous Fluids:  In severe cases, intravenous fluids may be required to maintain hydration and electrolyte balance.

 

In the end we can say that preventing dengue fever primarily involves controlling mosquito populations and taking personal protective measures. If infected, managing the condition through proper medical care, a supportive diet, and close monitoring is essential to ensure recovery and prevent complications.

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Author introduction : Dr Naval Kumar Verma, MD (Hom),  Ph.D, and Doctor of Science is  an eminent scholar of Homeopathy.

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