Q. I have dengue from three days. When should I go to the hospital?

Answered by
Dr. Muhammad M. Hanif Md.
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 17, 2018

Hi doctor,

I have dengue from the last three days. The platelets have dropped from 197 to 129 today. I have the following questions: My fever fluctuates between 101 to 104 despite having Paracetamol. Is that normal? Also, when should I get admitted to the hospital? When does the body start producing or rising its platelets? I feel the very reason we do fluids therapy is for the body to do it on its own. Correct me if I am wrong. Any help will be much appreciated.



Welcome to icliniq.com.

  • Fever can prevail from three to seven days and after that, there is no fever and that no-fever period is more important and can be critical. You need to keep a follow-up with your treating physician until it is all over and you recover fully. The fluctuating fever is part of dengue and is the natural course of the disease. Do not worry about that and keep taking medications as prescribed.
  • Do not take any medications on your own. Even a simple looking Aspirin or Ibuprofen (Brufen) can have very serious side effects if taken in dengue. Take Paracetamol at the exact time your physician told you to take. If you ever feel a change in stool color, abdominal pain or cramps, change of urine color, etc. talk to your doctor immediately. This can be due to a dangerous bleeding inside the body. After a patient recovers fully, and dengue is no more, still, we have to be careful for at least two days for any bleeding symptoms.
  • If you can, I would recommend you go to a hospital right away to get a thorough evaluation and if needed they may admit you too and there are a lot of different criteria for admitting a dengue patient to the hospital. If you fall in any of those criteria they would discuss the admission protocol being practiced at the location.
  • Keep yourself hydrated as there is a lot of significance in dengue. This is a disease that can cause dehydration very easily. So you need to keep the system working at an optimal level. This is called hemostasis, and fluid and electrolyte balance.
  • The platelet counts start going up on its own when body's defense kicks in fully and defeats the disease. And different people get this happen at different times.

Hope this helps. Please feel free to ask more if you need further assistance.

For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician

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