clinical picture of dengue hemorrhagic fever disease onset (1-3 days fever) may resemble other illnesses such as strep throat, measles and typhoid fever. The symptoms to recognize the symptoms of dengue fever with the symptoms mentioned above.
Symptoms of dengue fever # 1. Fever
Dengue fever is a sudden and ranged from 38.50 C-400C, the child will experience a sudden increase in temperature. The school in the morning and children can still play, suddenly in the afternoon complaining of fever is very high. The fever continued in the morning and night and only fell quickly after being given a febrifuge. In older children or adults at the first symptom is often not interrupted by a sudden fever. To continue business as usual, and feel pain when the following symptoms of lethargy, eat well and more.
Symptoms of dengue fever # 2. Sad
In addition to patients with sudden high fever and dengue hemorrhagic fever complains or looks listless and weak. The whole body is weak and there is no electricity, small children can not complain, but children who are regularly active on occasion not want to play now and wants to sit or lie quietly. Agents increasingly attenuated appetite gone either to eat or drink, nausea and upset stomach and cause heartburn all food and drink consumed outside again. Nausea, vomiting and abdominal pain will increase even more if you take medication for fever, which can stimulate the stomach (see Section 3 for the treatment). In children may be accompanied by diarrhea, 3-5 times a day, interruptions, no mucus. Therefore, if a child has diarrhea with high fever should be alert against dengue fever occurs mostly in children or younger than 2 years. Dengue hemorrhagic fever is a viral disease often caused facial flushing and children as "shrimp boil" (blush) and the body when the heat stored.
Symptoms of dengue fever 3. Stomach ache
Abdominal pain is a symptom of dengue fever. These symptoms occur in older children or adults because they are thinking. Abdominal pain can be felt in the pit area and abdominal area below the ribs on the right arc. Abdominal pain below the right rib leads to dengue fever, muscle pain in the gut. The causes of abdominal pain in the arch rib is enlarged liver (hepatic) that results in the stretching of the membrane around the heart. The following symptoms may be followed by bleeding from small blood vessels in the membrane. While abdominal pain in the intestinal tract similar to the symptoms of gastric ulcers (stomach ulcers) may also cause stimulation febrifuge, especially the drug known as aspirin or asetosal. To ensure that there can be abdominal pain suppression (with a sense of importance) in the solar plexus and the right costal arch, especially in children who do not complain. It should be noted that abdominal pain may mimic appendicitis. Location of the appendix in the lower right abdominal area, near the right groin. So if there is inflammation of the appendix pressing pain in the lower right abdominal area, but the children a feeling of abdominal pain may spread to the central region and sometimes difficult to distinguish from dengue hemorrhagic fever, abdominal pain. In addition, symptoms of appendicitis is accompanied by fever, vomiting and abdominal pain. In our experience, approximately two thirds of patients with dengue hemorrhagic fever in children and older adults complain of abdominal pain, therefore, if there is high fever accompanied by abdominal pain should be alert.
Symptoms of dengue fever # 4. Signs of bleeding
At the beginning of the disease dengue hemorrhagic fever, signs of bleeding that occurs is a relatively mild bleeding. Bleeding bleeding skin is the largest ever found. Red spots on the tip of the ear like a mosquito bite. Therefore, to identify the red dots are caused by bleeding in the dengue mosquito bites, see also the clothes of protected areas (eg, chest and back) so it is almost certainly protected by the bites of mosquitos. Then try pressing the red dot is, if it means losing a mosquito bite, and conversely, if the skin is persistent bleeding, also has a mosquito bite is felt in a prominent place, while dengue fever is the same on the surface of the skin. This is due to mosquito bite rash caused by a dilation of blood vessels as a result of a reaction against the "poison" contained in the mosquito's salivary glands and skin caused by bleeding. Red spots on dengue fever is not classified as an outbreak of measles, but separately, one by one.
More frequent bleeding from the nose bleed. Children especially need to consider whether the child has frequent nosebleeds before. Bleeding, often caused by broken blood vessels in the nasal mucous membranes caused by stimulation either from inside or outside the body, such as high fever, the air is too cold, too hot and too tired due to lack rest or eat more often, and more. If a child has a nosebleed before, after the bleeding may be harmless, but a child who is not a high fever and nosebleeds nosebleed should be taken into account. Other symptoms of excessive menstrual bleeding can be found in girls or black spots of blood and bleeding gums.
Symptoms of dengue fever # 5. Other symptoms
It is possible that children with a history of seizures if fever, high fever, convulsions. I have also difikirkan other infectious diseases such as encephalitis or meningitis, especially if the child is unconscious after a seizure. Other symptoms often complain of children and adults with the disease, dengue hemorrhagic fever are headache, pain behind the eyes, pain in muscles and joints. The complaints in adults is very irritating to seek prompt treatment, and often children do not complain or not complain that they feel the income.
Symptoms of dengue fever continues
Symptoms occur later in the third and fifth day of illness, dengue hemorrhagic fever is a time of dangerous diseases. Low body temperature, so if the child recovered, because there is no fever today. Note that at this point is the behavior of children. When the fever, the child fresh and ready to play and want to eat / drink is often accompanied by mild fever, but fever, but the children are weak, such as sleeping and not eating / drinking are not talking about a stomach ache early sign of shock. State of Shock is a dangerous situation because of all the organs of the body without oxygen and can cause death within a short time.
Signs of shock must be properly identified, if we take care of children with suspected dengue, or children with high fever for 3 days or more. Children seem to be uncomfortable or severe shock when the child loses consciousness, rapid breathing, if breathing is difficult. The body was cold and damp, cold feeling of the easiest to recognize when we touch the feet and hands of patients. Lips and fingernails look represent the blood vessels at the end of the contract as compensation to pump more blood to the heart. The children are thirsty, urinating urinating less or not at all. Shock can occur when a child before the accident, taking more or less.
If the collision described above are not treated properly, then proceed to the next track is bleeding in the gastrointestinal tract. Gastrointestinal bleeding may be mild or severe, depending on how long the shock will consider at that time. The reduced levels of oxygen in the blood causing bleeding, shock produce lower levels of oxygen in the blood of more serious bleeding. In the first gastrointestinal bleeding is not visible from the outside, therefore, occurs in the stomach. Mount a bit slow abdominal bloating and painful. Here are vomiting blood and dirt / black stools. In case of bleeding sick patients, but when it happened so long ago people usually do not know. Any bleeding that can occur is bleeding in the lungs. Children are full of maikn new and uncomfortable and very pale. The death is accelerated in the presence of bleeding in the brain.
On the sixth day of illness and others, is the healing time. When the fever and normal temperature, we have identified a new bleeding, and my appetite. In general, after one has recovered from his illness, is still weak, his face swollen, his stomach is a bit tense, but a few days with the condition that the children return to normal without sequelae. As a sign of healing rashes sometimes occur at a depth of two feet and hands with white spots on them, the child complained of itching in some areas. Therefore, when you win a big red dot on the feet and hands of children is a sign that the child was cured and no longer have to be retreaded.
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