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Continuous fever from 5 days
I have been suffering from fever since 5 days, with huge cold shivering & huge headache with body pain, some problem in liver also ,
Today's I have done some blood test.
Reports are below
Dengu test :
Dengu Ns1. - Positive
Dengu lgM. - Negative
Dengu lgG. - Negative
LFT test.
AST - 80.4 U/L. <31
ALT - 44.5. U/L. < 34
ALP - 122.5. U/L. 35-105
CBC test
TLC - 3090. Cell/cmm. 4000-10000
Platelet Count. - 1.12. Lakh/cmm. 1.5-4.5
Absolute Lymphocytes Count - 0.72 - 1-3
RDW CV. - 14.2. %. - 11.5-14.0
PCT. - 0.103. % 0.108 - 0.282
Sir Please suggest best advice & medicine for treatment?
Answers (17)
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Your reports are suggestive of acute dengue infection. A positive Dengue NS1 with negative IgM/IgG indicates early dengue (day 3–6). The low TLC (3090), falling platelets (1.12 lakh), and mildly raised liver enzymes (AST > ALT) are typical findings in dengue and do not indicate liver failure at this stage. At present, this appears to be uncomplicated dengue, but close monitoring is essential.
Next Steps
• Take paracetamol only for fever (do not exceed recommended dose)
• Drink plenty of oral fluids (ORS, coconut water, water, soups)
• Take adequate rest and avoid exertion
• Monitor platelet count and hematocrit daily or as advised
• Eat light, easily digestible food
• Follow up regularly with your treating doctor
Health Tips
You have early dengue, currently stable. With proper hydration, rest, and close monitoring, most patients recover fully within 7–10 days.
Answered
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• Findings are consistent with acute Dengue fever
(NS1 positive, low TLC, low platelets, mildly raised liver enzymes).
• This is usually managed conservatively.
Next Steps
1. Paracetamol only for fever & body pain
• 500–650 mg every 6–8 hours.
2. Avoid aspirin, ibuprofen, diclofenac, mefenamic acid.
3. Plenty of oral fluids
• ORS, coconut water, lemon water, soups.
4. Complete bed rest.
5. No antibiotics unless another infection is proven.
6. No alcohol and avoid unnecessary medicines (liver enzymes are raised).
Monitoring
• Daily CBC (platelet, hematocrit).
• Repeat LFT after 5–7 days.
• Platelets 1.12 lakh → no transfusion needed unless bleeding or
Health Tips
• Bleeding (gums, nose, black stools, vomiting blood)
• Persistent vomiting
• Severe abdominal pain
• Breathlessness, extreme weakness
• Reduced urine output
Answered
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You are diagnosed with dengue fever...your lft have some variations
There is no specific treatment for dengue fever
If you have fever T dolo 650 mg
Plenty of fluids, rest and food
If any symptoms like abdominal pain, vomiting, or bleeding manifestation please concern and report to nearest hospital
If any doubt please connect me throgh practo or wattsap nine zero seven two two zero seven zero nine three
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Your reports and history definitely point towards Dengue Fever however it seems there is some liver injury as well secondary to the infection.
The main important treatment for dengue is hydration as well as symptomatic control. If you develop any secondary infections or if fever persists antibiotics will have to be administered. However considering your lab reports you will need regular monitoring of your platelet count and hematocrit (PCV) daily and your liver parameters atleast every third day. As your fever settles expect your platelets drop further. Nothing to panic but if it drops below 70,000 along with persistent liver enzyme elevation you will require admission just for monitoring.
Please do look out for any persistent rash, itching, bleeding episodes like from gums, urine or motion.
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Dengue fever positive .. take plenty of oral fluid . Daily CBP to look for fall in platelets.. criteria to admit in hospital when platelets fall below 1 lak . Still you need not worry .. only treatment is fluids ..better iv fluids tab doxy 100mg start twice a day.
Next Steps
Consult local doctor and take proacto consultation for detailsed explanation
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You have dengue fever, with liver enzymes deranged and low platelets. Get hospitalised soon for observation and suitable management.
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