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Hi, my husband has dengue positive, his platelet counts were dropped from 1.3 to 1.57 yesterday then today it's decreased again from 1.57 to 48000. Now it's 28000. Can I give him papaya leaves juice to drink because my present doctor said there will be many side effects and complications if I give papaya leaf juice. The count is 28000 so it dangerous, please tell me what to do, we are tensed. Patient had bodypain yesterday but today headache is bothering much.
Answers (6)
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This drop in paltelet count feom 1.57 to 48000 is considered as significant drop.
Don't give him papaya juice. Your doctor is right. It will create gastritis.
Give him tab pantoprazole 40 mg od
Syp oxetacaine 2 tsf tds
Tab pcm 500 mg bid/sos
Tab doxycycline 100 mg bid
No painkillers
Ideally arrange 4 units of platelet. And be prepared for transfusion if the count drop further.
Watch for any signs of bleed like a rash/blood in irine/black stools.
Next Steps
plenty of water
online consultation if symptoms do not improve/progess.
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Below 20k platelets is a concern.... It ll increase gradually... Check his platelets two days later...
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First he needs evaluation of f liver function tests and renal functions.and may need hospitalisation
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Dr. Lakin Vira
General Surgeon
14 yrs exp
Mumbai
See, if there any multiple red patches ok body or high grade fever, he needs to be admitted.
Any other meds started?
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Dr. Jeevan Kumar
General Medicine
6 yrs exp
Karimnagar
Hello... I can treat the condition... Don't get tensed... Did u give papaya juice to him earlier in the past? Need more history.... Consult me online for further management... 28000 is not so dangerous but u need to consider it important... Don't worry consult me now
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Dr. Soudip Saha
General Physician
5 yrs exp
South 24 Parganas
See platelet count is low. If platelet count will become lower that 20000 then he needs some platelet transfusions. Give him adequate amount of fluid.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.