Dengue

Dengue is a mosquito-borne disease more common in tropical countries. Symptoms include fever, joint pain, headache, and skin rashes. It is transmitted by the female Aedes mosquito's bite.

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Why do I have a mild fever and body ache, even after 20 days of being diagnosed with jaundice?

Query: Hi doctor, I began having a low-grade fever twenty days back, and I was diagnosed with dengue. My treatment was Paracetamol 500 mg, papaya leaf extract tablets, and fluids. My main concern is that I still have a low-grade fever today with back aches, headache near temples, ringing in my ears, tire...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Firstly, it is nothing serious. It is probably a post dengue syndrome. This is nearly present in 25 % patients after dengue. This is some weakness, fatigue, and other symptoms, which usually follows a viral infection and resolves with time. Also, tests ar...  Read Full »

Are there abnormalities in my blood reports?

Query: Hello doctor,I got a blood test done this week. The investigations are as follows: Red cell distribution width is 11.4 %, platelets count is 130 thou/UI, mean platelet volume is 13.3 fL. Morphology remarks: Gaint platelets are seen, and small clumps of platelets are seen.  Read Full »


Dr. Parth R Goswami

Answer: Hello, Welcome to icliniq.com. Let me tell you that there are abnormalities like high MPV (mean platelet volume) and the presence of giant platelets. This type of picture occurs when there is platelet destruction. So, the bone marrow is stimulated more and hence a lot of premature platelets get ...  Read Full »

I am having fever along with pain in my back and neck while rotating. Why?

Query: Hello doctor, I am having fever since yesterday, so I had some Paracetamol tablets. After that, I consulted a local doctor today, who prescribed me tablet Paracetamol IP 500 mg, antacid antigas liquid, tablet Becozyme C forte and ORS pouches. Even after seven hours of taking medications, I still ha...  Read Full »


Dr. Arpit Varshney

Answer: Hi, Welcome to icliniq.com. I understand your concern. Based on your symptoms, I would keep the first possibility as dengue as it fits into this diagnosis. So I would suggest you get dengue NS1 (Dengue virus antigen detection) and dengue serology testing. Secondly, get a complete blood count to h...  Read Full »

What is the reason for mild spotting in my fiance after she got dengue?

Query: Hello doctor, My fiancee had a bleeding on the 25th of last month. It lasted for about four to five days. She then got dengue and on the 14th of this month, had mild spotting for a day and a half. The doctor said it could be the dengue causing the spotting. She has not gotten her periods yet. I ha...  Read Full »


Dr. Jimesh H. Mavani

Answer: Hello, Welcome to icliniq.com. If she had her period on the 25th of last month, then there is no chance that the bleeding on the 14th of this month was due to pregnancy. If it was due to pregnancy, then it should have come around the 25th of this month. But, if you suspect a pregnancy from be...  Read Full »

My platelets count is decreasing. And I am having fever from last 6 days with continuous headache.

Query: Hi Doctor, I am having fever since last 6 days with continuous headache. I am taking Paracetamol on regular intervals, but my fever temperature is not decreasing from 100 degree, sometimes it reaches to 103 degree as well. Because of the fever my appetite is also reducing day by day. I got it checke...  Read Full »


Dr. Rajesh Gulati

Answer: Hi, Welcome to icliniq.com.Platelet count decreases in many other infections also, not only in dengue. If your fever temperature is not getting down with Paracetamol, then it means you had taken a very low dosage and many times it is not able to lower the temperature. You can take tablet Diclomol t...  Read Full »

Tests for dengue are negative, then why is the platelet count low?

Query: Hi doctor, My father is admitted to the hospital as his platelet count is 8000/cumm. The tests for dengue and NS1 are negative. After injection of 4 units of platelet, his platelet count is 12000/cumm. Then after administering 2 and 4 more units, the platelet count was 23000/cumm and 22000/cumm re...  Read Full »


Dr. Chelladurai Pandian Hariharan

Answer: Hi, Welcome to icliniq.com. This is definitely not normal. Even though dengue antigen is negative, the low platelet count gives suspicion of dengue. The line of management is on the right way. So do not worry. Once the platelet count crosses 25000, we can stop the platelet transfusion. Only freque...  Read Full »

What is the reason for fever during the recovery phase of dengue?

Query: Hello doctor, I have a 5 year old son, who is 16.5 kg. He is suffering from dengue since one week, and his platelets count dropped to 62,000. The platelet count increased to 83,000, but the next day, he got a fever of 99.9 F. Why is he getting fever during the recovery phase of dengue? Please advice...  Read Full »


Dr. Babu Lal Meena

Answer: Hi, Welcome to icliniq.com. The cause of fever could be low-grade SIRS (systemic inflammatory response syndrome) in the recovery phase of dengue. Usually, fever lasts for 7 to 8 days, and the platelet starts to rise after day five. There are other causes as well, for example, co-infect...  Read Full »

What are the chances of getting dengue fever again, and how fatal is it?

Query: Hello doctor, I had dengue fever one month ago. What are the chances of getting dengue again? If I do get dengue again, is it fatal? Thanks.  Read Full »


Dr. Sugreev Singh

Answer: Hi, Welcome to icliniq.com. Thank you for writing, and I can understand your concern. Dengue is not fatal, and you can get it again. There is proper treatment available for dengue, and you will not get it again if you take reasonable precautions like staying away from mosquitoes. If...  Read Full »

My platelet count is low but tested negative for dengue. Did I test too early?

Query: Hi doctor, I am a 25 year old female, who weighs 24 kg and 5.3 feet tall. I have had a fever since last week. The fever was between 38 to 40o C. I also had headaches and lower back pain. Today I got tested for dengue, but that was negative. However, on my torso, neck, and face, there are these red r...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. It could be dengue or any other viral infection. The presentation of all viral fevers is almost same. And any viral infection can cause low platelets count, and dengue is known for it. During the first 4 to 5 days of fever, dengue NS1 antigen will be positive,...  Read Full »

Is there a connection between diabetes and low platelet count?

Query: Hi doctor, I have a low platelet count, but my hemoglobin level is normal. The platelet count was checked electronically. I had papaya extract medication for 12 days still the count remains the same. Please help me.  Read Full »


Dr. Parth R Goswami

Answer: Hello, Welcome to icliniq.com. Your platelet count is low. It would be best if you ruled out the underlying cause for that. You can investigate with the following investigations for further workup. 1) Dengue NS 1 and IgM (immunoglobulin M) ELISA (enzyme-linked immunosorbent assay). 2) Urea, cre...  Read Full »

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