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What are the signs of dengue fever in children?

Dengue fever is an acute infectious disease and can form an outbreak caused by the dengue virus. The disease is usually spread by mosquito bites, the infected person is easily infected with the virus and then transmits the disease to the healthy person through the bite. This disease circulates all year round and often breaks out in the rainy season, especially in the months of July, August, September, and October. Currently, there is no specific treatment for the disease and no vaccine to prevent it.

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Dengue fever is an acute infectious disease. (Illustration)

Signal Dengue fever in children

How to detect dengue at home in children often begins with fever symptoms with the following features: sudden fever, continuous fever and high fever. Dengue fever in children Children, infants or adults are all presented with the following 5 common symptoms:

– Children feel restless, excited, lethargic.

– The vomiting gradually increased.

– Suddenly, the child complains of abdominal pain.

– The number of times the child urinates less.

– There are signs of bleeding such as nosebleeds, bleeding gums, stomach bleeding, bloody stools…

When there is 1 of these signs of dengue fever in children children above, parents need to take the child to the hospital immediately. At the hospital, in addition to the above signs, the doctor also evaluated 3 other signs including: effusion, hepatomegaly, edema, decreased platelets… to accurately assess the child’s condition.

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Red dot is one of the signs of dengue fever. (Illustration)

As soon as the child has the above 5 signs and is taken to the hospital, the child will be treated according to the protocol of the Ministry of Health. Accordingly, under 6 hours, it is necessary to give fluids or encourage the baby to drink. In addition, these signs need to improve during that emergency period.

Stages of dengue fever in children

With each specific stage, the characteristic signs of dengue fever will have certain differences. The stages of dengue fever in children include:

Fever phase: This is the first stage when the disease begins to appear. At this stage, children will often experience symptoms of infection such as burning forehead, high fever (from 39-40 degrees Celsius) in the first 2-5 days. In addition, there are some other signs to watch out for, such as:

+ Children with high fever do not show signs of improvement despite taking antipyretic drugs.

+ Children with muscle aches, headaches, fatigue, loss of appetite, cough, runny nose, sneezing.

+ Children with bleeding under the skin: bleeding gums, nosebleeds or skin rashes, rashes.

Danger period: Starting on the 3rd to 7th day of the infection, this is considered the most dangerous period of all. At this point, the child may have had a fever but begin to show signs of increased vascular permeability causing plasma leakage. Other serious symptoms may be encountered at a critical stage such as liver pain, swelling of the liver, pleural, peritoneal, interstitial, or eyelid swelling.

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The critical phase begins on the 3rd to 7th day of infection. (Illustration)

Some of the signs of shock may appear if the child has plasma leakage such as: lethargy, lethargy, fatigue, cold and moist skin, cold head and limbs, rapid and small pulse, little urination. In addition, there will also be other symptoms such as low blood pressure, less urination, heavy bleeding under the skin or internal organs, or thirst, abdominal pain, bloating due to plasma leakage…

Recovery phase: After the dangerous period of about 48-72 hours, the signs of dengue fever in children will show signs of gradual recovery. The child’s body will gradually improve and the symptoms will also gradually recover such as urinating more, blood pressure more stable.

How to take care of a child when there are signs of dengue fever

In order to minimize the risk of complications as well as help the child quickly recover health and recover from illness, parents should pay attention to how to properly care for the child:

– Reduce fever for children properly: If the child has a high fever (above 38.5 degrees Celsius), the mother should immediately give the child an antipyretic drug Paracetamol (indicated dose 10-15mg/kg). If after 4-6 hours, the child still has a fever, continue to give it to the child. In addition to taking medicine, parents also often have to cool down the child’s body temperature by applying warm towels to the forehead, armpits, groin… This will help reduce the high fever and cause dangerous convulsions.

– Ensure proper nutrition: When infected with dengue fever, children often feel anorexia and fatigue. Therefore, it is best for mothers to give their children their favorite foods in soft form but still ensure the necessary nutritional status. It can be divided into smaller meals to make it easier for the baby to eat.

– Increase the addition of water: When you have a fever, dehydration is inevitable due to a high body temperature. Therefore, children need to actively be replenished with water, mothers can give children filtered water, juice or oresol solution to replace electrolytes.

– When the child experiences the following signs, it is necessary to take the child to a medical facility immediately:

+ The child has a fever that is lethargic, does not improve and is struggling more and more.

+ Have been taking antipyretic drugs but still have high fever continuously for 2 days.

+ Feeling cold hands and feet, purple lips, bruised skin, vomiting a lot.

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When you have dengue fever, it is necessary to check the child’s temperature regularly. (Illustration)

– Some things parents should not do when taking care of children such as:

+ Do not cut or shave to cause infection.

+ Do not arbitrarily use Ibuprofen or Aspirin without a doctor’s prescription, to avoid stomach bleeding.

+ Do not give the child red/black foods to avoid suspicion of gastrointestinal bleeding.

+ Do not arbitrarily give fluids at home to children.

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