TREATMENT OF DENGUE FEVER:
Look for these symptoms and decide:
• Restlessness or lethargy
• Cold extremities
• Bleeding in any form
• Oliguria or reluctance to drink fluids
• Rapid and weak pulse
• Haematocrit of 40, or rising haematocrit
• Platelet count of less than 100,000/mm3
• Acute abdominal pain
Most of the times such patients MUST be hospitalized and further treatment is done there.
If the patient REFUSES TO GO TO HOSPITAL, Do these:
1 Encourage the patient to drink fluids
2 Observe for coldness / blueness of extremities
3 Administer Paracetamol(Panodol, Calpol) for fever 10-15mg/kg/dose 4-6 hourly (limit to 5 doses in 24 hours)
4 Cold sponging as necessary, espescially if the fever is above 102 F
5 Avoid aspirin and non-steroidal anti-inflammatory drugs (Bruffen, Feldene, Naproxyn, Synflex, Dicloran etc.)
HOW DO WE KNOW THAT THE PATIENT IS NOW OK AND DOES NOT NEED ANY MORE HOSPITAL STAY:
If these six (6) conditions are fulfilled, the patient should be discharged from the hospital:
1. Absence of fever for 24 hours without the use of antipyretics, and a return of appetite
2. Visible improvement in clinical picture
3. Stable haematocrit (laboratory finding on blood test)
4. Three days after recovery from shock
5. Platelet count greater than 50,000/mm3 and rising
6. No respiratory distress
PLEASE FOLLOW the instructions on media/ press about how to prevent Dengue fever and stay away from mosquito. Remember this mosquito bites early in the morning and in the evenings, so avoid being outside at these times. Also this mosquito breeds in fresh water. So be careful of any such collection (leaking pipes, the drainage of air-conditioner and fridge, old/new tires, store room stuff which is not cleaned / dried daily, flower and other pots, water tanks (over head or at the ground level), kitchen and bathroom fittings where fresh water can pool and if allowed to stand for sometime will be a breeding ground for the Dengue mosquito. USE mosquito repellant when going out. AVOID going out to the public places during the time the infection is rampant. THIS INFECTION IS NOT TRANSMITTED THROUGH ANOTHER HUMAN BEING so there is no need to keep the patient in solitary rooms/ areas but as the mosquito can bite any of us after biting a patient with fever, it is advisable to avoid contact with large number of people.
If you or anyone around you have fever for more than 2 days with vomiting, headache, pain in the eyes and abdominal pain, DO NOT WASTE TIME but go to the nearest doctor/ hospital.
All dengue patients must be carefully observed for
complications for at least 2 days after recovery from fever. This is
because life threatening complications often occur during this phase.
Patients and households should be informed that severe
abdominal pain, passage of black stools, bleeding into the skin or
from the nose or gums, sweating, and cold skin are danger signs.
If any of these signs is noticed, the patient should be taken to the
In case of emergency you can contact Dr. Afaq also:
Tel: (+92) 0333 4307227.
PS: If you are outside Pakistan and plan to visit (particularly Lahore), this is NOT one of the best times to come back. If it is important pleases make sure you take all precautions to keep the mosquitoes away from you. That included using mosquito repellents and avoiding going out doors. Also instead of PARACETAMOL we can use TYLENOL / ACETAMINOPHEN. Last but not the least have faith in God. He will protect you.
WHERE CAN I GET TREATMENT FOR DENGUE FEVER AND GET MY TESTS DONE:
These hospitals in Lahore are catering for the needs of patients with Dengue Fever infection. They are mostly offering their services free of charges. Even the laboratory tests are charged at minimal rates. There are a number of private clinics/ hospitals which also take care of such patients but charge large amounts of money as their fees / lab charges.
1. Mayo hospital, Lahore.
2. Sir Ganga Ram Hospital, Queens road.
3. Sheikh Zayed hospital.
4. Ittefaq hospital.
5. Services hospital, Shadman, Jail road.
6. Jinnah hospital, near Canal bank.
7. Mian Munshi hospital. Band road.