Warning signs of severe dengue fever in young children – VnExpress

Sleeping a lot, urinating less, crying, stomach pain, vomiting, nosebleeds, bloody urine… are signs of severe dengue fever, need to take the child to the hospital immediately.

Dengue fever can easily cause complications if it is subjective

In the last 6 months of this year, the number of Dengue fever cases visiting and being hospitalized at the Pediatrics Department of Tam Anh General Hospital increased significantly, at one point 90% of the inpatients in the department were dengue cases.

Master, Doctor Le Phan Kim Thoa, Head of Pediatrics Department of Tam Anh General Hospital in Ho Chi Minh City, said: There are many cases where parents are afraid of hospitals and see children with mild symptoms, so they should self-treat at home. . When a child falls into a state of high fever that does not go down, has complications, and collapses, it is necessary to resuscitate against shock and give active respiratory support before being taken to the emergency room. For these cases, the treatment process is very difficult.

Without early diagnosis and prompt treatment, children with dengue fever can die.

According to Dr. Kim Thoa, not all children with dengue fever need to be hospitalized. Therefore, parents need to know the signs when their children have dengue fever, visit them regularly for appropriate indications. To diagnose dengue fever, a child with a high fever that is difficult to lower should be examined and blood tests performed. Depending on the patient’s condition and blood test results (whether the blood is highly concentrated, whether the platelets are low or not), the doctor will decide whether the child can be treated and monitored at home or needs to be monitored at the hospital. institute.

“There are some parents, because their child has a high fever and is eating poorly, so they want the child to receive intravenous fluids. Giving fluids to a child with dengue fever without indications and outside the hospital environment is very dangerous. If you have dengue fever, the indications for intravenous fluids will be considered based on your symptoms, duration of illness as well as blood test results. not favorable,” noted doctor Kim Thoa.

Danger warning signs

When monitoring children with dengue at home, parents should pay attention to the following warning signs: The child has no fever but is restless, lethargy, cold hands and feet, sweating (usually on the 4th and 5th day). of disease). Children with signs of sleeping a lot, not playing, crying constantly or older children showing signs of abdominal pain or vomiting need immediate re-examination. For children who refuse to drink water and are at risk of dehydration or thickening of blood, they need to be hospitalized for a doctor to see if additional fluids are needed. Children with bleeding gums, nosebleeds, bloody stools, bloody urine or some girls of menstrual age have more menstrual blood than usual, they should pay attention to take them to the hospital.

In addition to the above warning signs, parents need to monitor the child’s temperature. In case the child has a sudden drop in fever but is not feeling well, the condition may be severe. “We are not subjective when we see a child’s fever and think that he is fine because hemorrhagic shock cases often occur when the child has a fever,” said Dr. Kim Thoa.

Parents need to regularly monitor the child’s temperature to understand the progress of the illness and promptly reduce the child’s fever. To reduce fever, parents can combine fever reducer with paracetamol group, cool off and drink lots of water. “Children need to take fever-reducing medicine at the right dose according to the doctor’s instructions. Parents do not arbitrarily increase the dose of fever-reducing when seeing that the child’s high fever does not go down, if abused, it may affect liver function. Absolutely do not arbitrarily Use fever-reducing drugs containing Aspirin and Ibuprofen,” emphasized Dr.

On the other hand, Doctor Kim Thoa noted, during the child’s illness, children should eat soft, liquid, easy-to-digest foods (porridge, powder, milk…), divided into several meals (6-8 meals/day) ). Limit feeding your baby red or black foods so that you can monitor gastrointestinal bleeding in case your baby vomits or has bloody stools. Children need to drink a lot of water such as electrolyte solution, coconut water, orange juice, lemon juice…

Children with fever for more than 2 days should be taken to a medical facility to diagnose dengue fever.

Children with fever for more than 2 days should be taken to a medical facility to diagnose dengue fever.

“Because there is currently no specific treatment for dengue fever and no preventive vaccine, the most effective prevention measure is to kill mosquitoes and limit the mosquito’s living environment. Clean up where you live, work, and avoid ponds. Stagnant water is a place for mosquitoes to lay eggs, leading to the generation of larvae and mosquitoes,” recommended Dr.

To prevent illness for children, parents need to avoid letting children get bitten by mosquitoes by: sleeping under a mosquito net, not letting children play in dark places, wearing long-sleeved clothes. When a child shows signs of illness, it is necessary to immediately go to a pediatric medical facility so that the doctor can diagnose, promptly treat and guide parents on how to properly care for the baby.

Mr. Thi


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