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Very weakness after dengue a week ago
I am feeling very weakness, bone pain, when I am sleeping on bed feeling more weakness sometimes. No fever. Only headache and weakness.
Answers (16)
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I am Dr. Shamoon. What you are describing - profound weakness, bone and body pains that flare when you lie down in bed, headache, but no fever - is the classic post-dengue convalescent phase, and at one week out it is expected rather than alarming. Dengue transiently suppresses the bone marrow and causes a lot of muscle protein breakdown and fluid loss, so the fatigue and "break-bone" aches typically linger for 2 to 6 weeks even after the virus has cleared. The fact that your fever has settled is the most reassuring part of your message. Two things commonly prolong it in someone like you, a 28-year-old IT professional: sitting straight back at a desk too soon, and poor intake of fluids and protein during the illness. What I would want to make sure of is that this is only convalescence and not a lingering problem - persistent low platelets, anaemia from a small bleed, dehydration, low sodium, or a post-viral effect on the liver or thyroid can all present exactly as unrelenting weakness. Post-dengue headache with body pain can also simply be dehydration. A simple repeat blood test settles this in a day. Do not take ibuprofen, diclofenac, aspirin or any NSAID for these body pains - only paracetamol is safe until your platelets have fully recovered.
Next Steps
1) Get a repeat CBC with platelet count, plus haematocrit, serum electrolytes (sodium/potassium), creatinine, LFT and TSH this week - one week after dengue this is standard and it will tell us whether your weakness is simple convalescence or something correctable. 2) Fluids are the single biggest fix: 3 litres a day of water, ORS, coconut water, lime water, buttermilk, soups and fresh juices. Keep urine pale. 3) Protein repair: eggs, dal, paneer, curd, chicken or fish at every meal, plus small frequent meals rather than three big ones. Add fruits rich in vitamin C and iron-rich foods. 4) Rest properly for another 1-2 weeks - stay off gym, running, heavy lifting and long screen shifts. Return to work gradually, and take a 5-minute break every hour. 5) For headache and body pain take only paracetamol 500-650 mg, up to three times a day with food. 6) Change position slowly when getting up from bed, as post-dengue blood pressure drops are common and cause dizziness. 7) Expect steady improvement week by week - if you are not clearly better in 2 weeks, or the headache becomes the dominant symptom, get reviewed in person. You are welcome to share your reports with me on a Practo consult, or see me at Synergy Multispeciality Hospital, Miraj, for examination and a recovery plan.
Health Tips
Go to hospital immediately if you notice bleeding from gums or nose, red spots on the skin, blood in vomit, stool or urine, black stools, severe abdominal pain, persistent vomiting, breathlessness, cold clammy hands, fainting, very low urine output, or if fever returns. Strictly avoid ibuprofen, diclofenac, aspirin and alcohol until your platelets are confirmed normal.
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+141
Common.
Recovery 20to 25 days.
Polybion lc syr10 ml after dinner 3weeks.
Trinergic L ONE at night for 3weeks
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These are vague symptoms which can't conclude diagnosis.
U may have
Some vitamin deficiency
UTI
Viral infection
Any internal slow growing infection
Sinusitis
Etc etc
Next Steps
feel free to consult me on practo for further evaluation and management
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Kindly do connect and consult for better treatment
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Post viral weakness will be there
Multivitamins required
Kindly consult for further advice
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
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B12 test and d3 required
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Adv-Vit D3
CBC
CRP
Next Steps
Show the report
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Dr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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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.