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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Secondary Dengue. Low Grade Fever After Medication. Precaution To Be Taken, Duration For Cure?

Dr. I am Rajesh from chennai , India .My son master Daniel Abraham aged 8 years have diagnosed with secondary dengue .Remarks given were Positive for IgG and Weakly positive for IgM Antibodies . Platelet count :1.75 Lakhs/cumm.History of 5 days fever.He had diaroea , vomiting , stomach ache since 2 days .He was advised to take tablet taxim twice 1-0-1 , Metrogyl syrup 5ml 1-0-1 ,oflaxin 5ml 1-0-1.Now he is having low grade temprature on continous taking tablet of paracetamol 325mg 1-0-1 .Please advise what are the precaution to be taken and drugs for his secondary dengue.How long will it take to cure and what are the medicines that will be recommended.Is there any cure please advise.
Mon, 5 Nov 2012
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Pediatrician, Critical Care ,  's  Response
Hello

One thing I would like to know will be when the blood test for Dengue was done?

Dengue is a viral infection and as with many viral infections, there is no specific treatment available for it. Body has to fight the infection and get rid of it.

Points to keep in mind:
1. Ensure enough fluid intake atleast 1500 ml for child of his age
2. For fever - He can take 500 mg Paracetamol 3-4 times/day. If fever doesn't settle with this, further antifever medicines like Mefanamic acid can be tried
3. During Dengue, some patients develop swelling of face/tummy/legs etc and may have low Blood pressure. In this situation, he needs to be seen by a Pediatrician and will need to be hospitalized for closer monitoring and treatment
4. He has stomachache, could be related to gastritis. So avoid spicy foods. Your doctor can prescribe antacid treatment to help relieve gastritis.

5. Antibiotics are generally avoided unless the doctor strongly feels that there is associated bacterial infection.

I hope I've been able to answer most of your questions.

Regards
Dr Tejas Shah
Pediatric Intensivist (Critical care Specialist)
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Diagnosed With Secondary Dengue. Low Grade Fever After Medication. Precaution To Be Taken, Duration For Cure?

Hello One thing I would like to know will be when the blood test for Dengue was done? Dengue is a viral infection and as with many viral infections, there is no specific treatment available for it. Body has to fight the infection and get rid of it. Points to keep in mind: 1. Ensure enough fluid intake atleast 1500 ml for child of his age 2. For fever - He can take 500 mg Paracetamol 3-4 times/day. If fever doesn t settle with this, further antifever medicines like Mefanamic acid can be tried 3. During Dengue, some patients develop swelling of face/tummy/legs etc and may have low Blood pressure. In this situation, he needs to be seen by a Pediatrician and will need to be hospitalized for closer monitoring and treatment 4. He has stomachache, could be related to gastritis. So avoid spicy foods. Your doctor can prescribe antacid treatment to help relieve gastritis. 5. Antibiotics are generally avoided unless the doctor strongly feels that there is associated bacterial infection. I hope I ve been able to answer most of your questions. Regards Dr Tejas Shah Pediatric Intensivist (Critical care Specialist)