Articles on fever

Myth vs. Truth - Fever

Dr Ashish M Narsana
Fever - How bad it is for our Body. Do's and Don'ts of Fever.Once at evening an anxious mother called me for her daughter, who has consulted me on previous evening for acute upper respiratory tract infections. She was worried that her daughter's fever (around 100 F) has not reduced although she has started eating well, playing games, studying and also she has now a very little coughing then previous day. This is what called as #Feverphobia.Dr. Barton D. Schmitt,M.D. was the first to give this term. Then studies were conducted many times and each time it is observed that most of the parents have excessive, sometimes unrealistic fear for fevers, the FEVER PHOBIA. They were worried that fever can do damage to brain or other parts of child, and they considered fever as the sign of prognosis which must be treated first..Actually fever is normal fighting mechanism of body's defence system. Fever itself is not a disease but it's a sign of underlying disease like various viral / bacterial / parasitic infection , any injury of inflammation in body , some adverse effects of drug , cancer , etc. So importance should be given to the underlying cause , associated symptoms and general condition of the patient. It has been observed in many times that a child is feeling week, dizzy and dull at even 100 F but other is playing and eating well even at 104 F.        # Body temperature below 100 F is not actually fever. Hypothalamus is a centre in our brain which maintains body temperature, it increases temperature whenever required. Rise in body temperature may be due to physical exercise or work , heat , stress, infection or any other diseases, too. Sometimes feeling warm or heat of body after playing or exertion, in child, is considered as fever and given unrealistic and unwanted medicines.     # If you treat fever first and underlying cause like virus or bacteria remains inside the body, you may actually harm your child by two ways,                 * first you are allowing those agents to grow by decreasing body temperature and                  * second you are suppressing natural reflex of your defence system.    Many times fever medicines are given or taken by self without consulting any doctor and this is the worst thing to do. Sometimes while again consulting the doctor fever is given the first importance to be treated is again worse.First consult the doctor, diagnose the cause and take medicine accordingly to the cause. But the first thing you should expect is relief in general condition of patient and underlying infection's symptoms  , not the fever. Patient should first recover in weakness, appetite, cold-cough or any other symptoms of infection or the cause of fever. Febrile convulsions which are also been the concern is very rare and are not so much harmful as they are assumed.Conclusion is we should come out of our myths regarding fever which in most of the case is a helping hand to fight the diseases.Role of Homeopathy: Homeopathy's main idea is about increasing immunity and defence mechanism of the patient. So when Homeopathic medicine is taken for some fever it will help the body to fight against infection by boosting immunity power and will not suppress it.The myth Homeopathy acts slowly is also because of the misconception about fever. When you take Homeopathic medicines , it will work against the underlying cause but it does not act directly to remove the body temperature, actually in some cases in which patients are suffering from long standing chronic allergies or deep pathological diseases, rise in body temperature is considered as good sign, as it indicates body's immune system has started working well.As we have heard many times from the sufferer of cancer like grave diseased persons that , they never even get fevers, which may sometimes indicate lower resistance power of body. So when your body is working good don't suppress the symptoms by vague medicines and understand your body's language like pain or fever.So in such condition don't panic and consult the doctor for betterment of the sufferer.Understand that Fever is actually a kind of Soldiers response to the enemies and let our soldiers fight , don't take guns away from them. Be Healthy and Happy. 

Tips to Avoid and Cure Cold - Fever Naturally

Dr. Manoj Madhukar Deshpande, Ayurveda
Protect Yourself From THESE things To Avoid Cold-FlueIn cold and rainy season ,avoid cold drinks,cold food stuff, cold water ,refrigerated food items because excess coldness increases susceptibility of your throat and nasal mucosa towards infectionAvoid using strong odour perfumes,deodorants,mosquito repellent liquids,mosquito repellant coils,incense stick smoke etc as those trigger allergic reaction in the body which afterwards can lead to cold,cough,fever etc.Rather use mosquito nets.Avoid contact with settled dust,pollution-cover nose with mask or use helmetDon't consume unnecessary excess water,drink according to your thirstAvoid bakery items,canned food as these items contain preservatives which trigger allergic reactions in the body.Don't get exposed to very chilled air conditioner or high-speed fansAvoid certain fruits such as banana,custard apple and raw salad such as cucumber,tomato .According to Ayurveda foodstuffs having excess water content increase cold and cough.Avoid bathing overhead(Shirosnana)NATURAL MEASURES TO CURE A COLD -FEVER---Take Langhana-that means avoid food if not feeling hungry.This fast help digests Aama- the toxins of fever.Drink hot water .Eat laja(puffed rice,sorgham,corn) Gargle 2-3 times a day with warm water+little salt+turmericDrink hot beverages frequentlyTake fomentationTake 2-3 spoons of pure honeyTake medicated tea of tulasi,dalchini,lawang,sunth,gavti chaha etc.If sever cold with a headache,sinusitis,then apply lep of Sunth,vekhand on forehead and nose.Consume milk+turmeric powder 2-3 times a dayTake adequate restIf very high degree fever (above 1-2 degree F) or having a history of convulsion during high fever then only give paracetamol .Many times in fevers like dengue, the liver is also affected,so a hepatotoxic drug like paracetamol or pain killer further hampers liver function.Fever in infection is a defence mechanism of our body against the toxins produced by germs.So the fever is essential to recover from infections.Fluid balance in the fever should be taken care of.In Ayurveda, there are several antipyretics,anticold formulations such as tribhuvan kirti,mahasudarshan kashay,laxminarayan ras,sanshamani vati,chandrakala ras,sutshekhar etc which are safe and devoid of any side effects.Post viral arthralgia-many times due to Chikun gunea is a very painful condition that is observed nowadays very frequently.This can be very nicely treated in Ayurveda.In high-grade fever, you can apply lep ofchandan+kapur(bheemseni) on foreheadDont get panic if platelets go down in the blood test.If the count goes down 50000,then only think of hospitalisation.In these case, papaya leaves juice increase platelet count very nicely.Good food in cold and fever-radish,flaxseed,drum steak,garlic,ginger,bajari,kulith,roasted chana etc.

Dengue Management and Prevention by Homeopathy

Dr. Abhay S Patil, Homeopath
Dengue fever also known as breakbone fever, is a mosquito-borne tropical disease caused by the dengue virus. Symptoms include fever, headache, muscle and joint pains, and a characteristic skin rashthat is similar to measles. In a small proportion of cases the disease develops into the life-threatening dengue hemorrhagic fever, resulting in bleeding, low levels of blood platelets and blood plasma leakage, or into dengue shock syndrome,According to statistical data there had been rise of 22 % cases of Dengue in Maharashtra in 2014 than 2013Prevention, Symptomatic  treatment after diagnosis, rest and lots of fluid can help to combat this diseaseThere are no approved vaccines for the dengue virus. Prevention thus depends on control of and protection from the bites of the mosquito that transmits it.The primary method of controlling A. aegypti is by eliminating its habitats. This is done by getting rid of open sources of water, or if this is not possible, by adding insecticides or biological control agents to these areas.Reducing open collections of water through environmental modification is the preferred method of control, given the concerns of negative health effects from insecticides and greater logistical difficulties with control agents.People can prevent mosquito bites by wearing clothing that fully covers the skin, using mosquito netting while resting,However, these methods appear not to be sufficiently effective, as the frequency of outbreaks appears to be increasing in some areas, probably due to urbanization increasing the habitat of A. aegypti. The range of the disease appears to be expanding possibly due to climate changeHome remedies1. Papaya for dengue:Juice made of papaya and its leaves is considered as one of the best home remedy. Papaya leaves are packed with enzymes that normalize platelet count, improve clotting factor, improves liver function thereby helping the person to recover.Have the juice with little water as it is bitter to taste2. Dragon fruit juice:This fruit once enjoyed as an expensive and exotic smoothic or juice is supposed to help for dengue fever.The vitamin c in this fruit aid in  improving immunity and prevent dengue hemorrhagic fever. It is good for bones, boost hemoglobin and has high antioxidant property3. High Protein Diet:To restore the vitamins,minerals,proteins and fats in body, high protein diet is required after  recovery. So eating fish, eggs,moong dal khichdi,buttermilk and vegetables soups will get patient to normal activities fastHomoeopathy can help you to get relief from the acute  symptoms and also prevent further  complications. Remedies indicatedEupatorium:Bone breaking pain with feverChill every 7-9am morning preceded by great thirstNausea, vomiting at close of chill.Periodical Headache and vomiting, chill 7-9 am, fever 3rd -4th day.Craving for cold drinks, acid drinks, ice creams.Moaning with all complaints.Aranea Diadema:Periodicity and suceptibility to Dampness with coldness present in every synptom.Throbbing pains in the long bones, feels cold to the very bones.Wakes up at night with hands twice their natural size.All complaints better by Smoking.Hammemilis:Haemorrhages Capillary which causes Undue weakness.Headache esp left temple feels as if bolt were pushed inside.Eyes feels sore, blood shot eyes, better by pressure on eyes.Hastens Absorption of haemorrhage inside the body.Forgetful , but egoistic remedy wants the respect to be shown.• Other remedies: gel, Rhus veneta, Secale cor, Podophyllum, Ipecac , Crotallus horridus are often used as per the symptoms

Don't Fear Chikungunya - Here's all you need to know!

Dr. Neelam Nath Bhatia, General Physician
Chikungunya fever is neither deadly nor contagious. There is absolutely nothing to fear.What is Chikungunya?Chikungunya is transmitted by mosquitoes, which breed in collected water. Direct transmission from one human to another has not been reported so far. Usually multiple members of a family fall sick at the same time because the transmitting mosquito is like a devil with a huge appetite for blood and cannot fly for more than 100 meters. In most cases, same mosquito bites multiple members of a family.After the bite of an infected mosquito, onset of illness occurs usually between 4 and 8 days but can range from 2 to 12 days.Chikungunya is “not” fatal Yes. You read that right. Chikungunya infection does not kill people. What is really fatal is the heavy antibiotics dosage prescribed by the quacks. They often prescribe 2-4 antibiotics at a time, which is too heavy for the body to handle and eventually leads to multi-organ failure.A body that is struck with fever is unable to digest food, let alone “digest” and metabolize heavy antibiotics, especially if they are the kind that are given after a heart/bone replacement surgeries or fractures.They are required in such treatments because the exposure of operated tissues is much more to the bacteria present in the environment. They also help avoid any infections being picked from the hospital environment.Symptoms of ChikungunyaThe symptoms of Chikungunya appear between two to twelve days after the mosquito bite.High fever and headacheIntense pain in the joints (ankles, wrists) that can persist for several weeks.The joints of the extremities in particular become swollen and painful to touch.A rash may sometimes occur.Haemorrhage is rare, and all but a few patients recover within three to five days.Some patients can suffer from joint pain for months even after recovery.Lifestyle advice for treatment of ChikungunyaComplete bed rest for at least 7 daysDrink lots of water, at least 5 litres per day for a normal adult. Plain water leads to distention  and too much glucose leads to cramps in the food pipe. Water has to be given indirectly by ORS (sachets or home made with lemon juice plus spoon of sugar and pinch of salt in per litre water.)Take paracetamol for fever only if tests are negative for Dengue. No aspirin/combiflams etc. should be taken for fever.7 days of rest is needed even after the body temperature has become normal, and it takes only 3 days to get normal from 104 with proper treatment.Don't take heavy medications unless indicated by a culture test (done rarely if Ampicillin does not work for Typhoid cases.)Wear cotton clothes.Try drinking- Weak tea with more milk and sugar.Clear soups.Roohafza in a glass of toned milk diluted with water in a ratio of 1:4, which means mix a glass of milk and 4 glasses of water with Roohafza.Remember gurupurab & roadside stalls offering Amrit to every passer by? This takes care of basic protein given through milk, at least 2 glasses of milk/day.Follow a no fat diet and rely more on liquid nourishment. Eat light food only (no fried food/maida/fats or heavier non-veg)I emphasize on taking adequate bed rest multiple times throughout this article since that's the most important thing people seem to miss. I've seen this mostly in people who earn daily wages because they are too scared to take a few days off to take bed rest.They will get back to work as soon as they feel their body temperature has lowered, which is a big mistake. This leads to exertional fever in these patients and they only get worse than before.We must educate all the people around us who do not have the luxury of reading information online and who are the ones worst affected by this hype that has been created.What can doctors do when they see a patient with 104 F ?Take a detailed history of shiverings, joint pains, swellings, rash, duration of fever, headache & relation of fever to Paracetamol (Yes, most patients do take few doses before coming to doctor.)Exclude Typhoid fever by doing a Widal Test (it costs 100-200 only.)Do a platelet count to rule out dengue. Malarial parasite may not be always seen on the slide, as it only comes out of the liver at specific times, when the person will have high fever with shiverings.Every foreigner coming for a visit to malaria affected areas is given 4 tablets of chloroquine as prevention.With a 104 degree fever, there's no harm in taking 4 tablets of Chloroquine after eating a packet of biscuits with tea made with more toned milk. It helps you get carbs, proteins, and water through tea.Chikungunya tests positive only on the 7th day and if treated well, it takes only 3 days to get well and be fever free. The joint pains & rashes take a few more days to fully heal.Check if the platelet counts are within normal range, perform widal test for typhoid. If that is negative, then it can be diagnosed by process of ruling out other illnesses and observation of symptoms.One can rule out Dengue/ Typhoid within 4 hours - yes good labs managed by MD doctors are giving excellent services through their collection agents within a radius of 10 kms.Try to take care of every fever patient at home first because there's very little need for hospitalization if proper care is taken at home.Do not get into politics of blame game between leaders, confusing junta about Chikungunya at Delhi. 4 people died at Sir Gangaram Hospital, but each one of them had actually landed at hospital with multi-organ failure. Why are we only blaming Chikungunya?

4 Signs You Should Be Aware Of, if Your Baby Has Fever

Dr. Poonam.M. Sambhaji, Pediatrician
Being a paediatrician maximum of our OPD time is spent in treating fever related cases. Every parent must remember that not every fever is emergency. When a family welcomes a small baby in their family, along with the joy you invite many more things, few to name, responsibility towards the baby who cannot communicate, accountability towards every action towards the baby. And the most heartbreaking time is when baby is having fever with irritability.Here are few tips to help your child. You must have a thermometer at home, and fever medicine (paracetamol). Anytime you feel baby has fever, please document fever on a paper, as DATE/ TIME/TEMPERATURE. Help the baby cool down, by having minimum light clothing, give paracetamol as mentioned on the medicine box. Most important WIPE THE BABY FROM TOP TO BOTTOM WITH NORMAL TAP WATER with every fever spike, till temperature decreases to below 100FDanger signs indicating need to visit doctor are:1. Fever more than 101F2. Any symptoms other than just fever3. Altered sensorium4. Fever lasting more than 2 days. Visit your doctor in above cases and show her/him the temperature record maintained at home, which will help doctor make the right decision. Remember not all fevers require antibiotics to treat. In most fevers observation and symptomatic treatment is the only thing that is required. Below mentioned is a video link to an advice similar to what I follow with my patients.

Can I Give Curd, Banana, Milk During Cold , Cough & Fever to My Baby?

Hemapriya Natesan
As a parent, we hear so much advice, home remedies,  tips for prevention and treatment of fever, cough and cold that bewilders a new parent and ultimately we end up doing nothing due to fear of harming our little one.Myths surrounding foods and ailments are always not true except for a few genuine home remedies.Myths associated with Cough and Cold in ChildrenDon't allow the kid outside the house if he has a cold.Do not give fruits like Banana, pomegranate, watermelon, orange and grapes.Do not give dairy products like Milk and Curd.Don't bath the child during a cold.Do not give Ragi in winter or during cold.Do not give ghee during a cold.Here are the answers to all these myths1. Can I allow my child to play outside if he has a cough and cold ?This is a very tricky question since it largely depends on the weather and the intensity of the cold and cough of the child. If you think the child has a mild cold and the weather is amicable you can send your little one to play outside for an hour or so. Please also be aware that if he has an infectious type of cold or a cough he might infect his playmates as well (this is the most common reason for contracting cold in children)2. Can I give Bananas, grapes, watermelon, oranges during cold and cough to my child?It has been programmed into our brain that "No fruits during cold and cough in Children" and many of us follow blindly. This is a myth that has been proved wrong now.It has been proved scientifically that increase in fruits rich in vitamin C are in fact protective against cold and cough in children. This doesn't mean that you stuff your children with fruits when they have, consumption of fruits in moderation is the ideal way to combat cough and cold.The fruits can be given in the first half of the day.Research articles emphasizing the protective & beneficial effects of fruits in cough and cold1. Consumption of fresh fruits rich in Vitamin C and Wheezing symptoms.2. Effect of fresh fruit consumption on lung function and wheeze in children.3. Nutrition and children's respiratory health.According to our Homeopathic Expert Dr Bhavi Mody, fruits can be safely given during cough and cold, especially fruits rich in Vitamin C.3. Can I give Milk, Curd during cold and cough for my child?In my childhood days, if I had a cold, then my mom would ban milk till I recover completely which may be weeks :-(Now this is also has been proved wrong, milk and curds can be safely given to babies and children during cold and cough.Milk consumption does not lead to mucus production or occurrence of asthma.The Milk Mucus BeliefHow to feed milk and curd to children during cough and cold - Dhvani ShahThe best way to give curd is to season it (Tadka) with jeera, curry leaves, and ginger.Ginger Powder can be added to Milk.4. Can I give Bath to my child during cold and cough, Fever?Usually, elders advice not to give baths to babies during fever, cough and cold, it may hold good if you are planning to bath with cold water. But most of us bathe our children in either hot or lukewarm water. It is absolutely fine to bath the child with lukewarm water. Not giving a bath to the child for a long duration may exacerbate infections due to poor hygiene so try to bath at least once in 2 days during cold and cough.5. Can I give my baby Ragi during cold and cough?Ragi and Bajra are good winter foods and Ragi can be given to babies and children during cough and cold.6. Can I give my Ghee during cough and cold?According to Nutritionist Dhvani Shah" Ghee is one of the most nutritious Indian foods. It is therapeutic in Nature, helps line the lungs, prevent infection, prevent a dry cough and throw out mucous from the body".Hope that helps dispel some of the most popular myths surrounding Cough and cold in childrenThis article first appeared on www.mylittlemoppet.com, India's leading parenting website.

Chikungunya Fever

Dr. Maneet Kaur, Diabetologist
CHIKUNGUNYA is a mosquito-borne viral disease.  It is an RNA virus that belongs to the alphavirus genus of the family Togaviridae. The name “chikungunya” derives from a word in the Kimakonde language (local Tazanian language), meaning “to become contorted”, and describes the stooped appearance of sufferers with joint pain (ARTHRALGIA).BREEDING SITES SymptomsMost people infected with chikungunya virus will develop some symptoms.Symptoms usually begin 3–7 days after being bitten by an infected mosquito.The most common symptoms are fever and joint pain.Other symptoms may include headache, muscle pain, joint swelling, or rash.Chikungunya disease does not often result in death, but the symptoms can be severe and disabling.Most patients feel better within a week. In some people, the joint pain may persist for months.People at risk for more severe disease include newborns infected around the time of birth, older adults (≥65 years), and people with medical conditions such as high blood pressure, diabetes, or heart disease.Occasional cases of eye, neurological and heart complications have been reported, as well as gastrointestinal complaintsOnce a person has been infected, he or she is likely to be protected from future infections.TransmissionThe virus is transmitted from human to human by the bites of infected female mosquitoes. Most commonly, the mosquitoes involved are Aedes aegypti and Aedes albopictus, two species which can also transmit other mosquito-borne viruses, including dengue. These mosquitoes can be found biting throughout daylight hours, though there may be peaks of activity in the early morning and late afternoon.MODE OF TRANMISSION OF VIRUSDiagnosisThe symptoms of chikungunya are similar to those of any other viral fever.Consult your doctor if you develop the symptoms described above and have visited an area where chikungunya is found.The virus may be isolated from the blood during the first few days of infection. Various reverse transcriptase–polymerase chain reaction (RT–PCR) methods are available but are of variable sensitivity.Serological tests, such as enzyme-linked immunosorbent assays (ELISA), may confirm the presence of IgM and IgG anti-chikungunya antibodies.TreatmentThere is no vaccine to prevent or no specific antiviral medicine to treat chikungunya virus.Treat the symptoms:Plenty of rest.Drink plenty of fluids prevent dehydration.Take medicine such as acetaminophen or paracetamol to reduce fever and pain.Do not take aspirin and other non-steroidal anti-inflammatory drugs (NSAIDS until dengue can be ruled out to reduce the risk of bleeding).

These Patients Have Felt Swellings on Feet, Days After Fever However, Only For Three Days

Dr. Neelam Nath Bhatia, General Physician
I am writing it from Delhi, now flooded due to incessant rains, epidemics of Dengue, Chikungunya, Malaria, Typhoid, Jaundice and other water /airborne infections. Humidity is 100% and droplets of water, not seen by us trap allergens, bacteria and viruses in them.The latest about Hepatitis B infection is Transmission from human to human through droplets in air (otherwise, it is through infected needles and body fluids unlike Hepatitis A which is a water borne disease)Viral infections like known / unknown are self-limiting and rarely require heavy antiviral drugs which are not specific. Commonly seen viral infections are Dengue and Chikungunya (it has nothing to do with chicken, infection was detected in an African country and name is local for the place where it was diagnosed first)Only Paracetamol 500 mg 8 hourly is needed for symptoms of joint pains & fever.Once Dengue is ruled out by blood report of good counts of platelets ( 1-4.5 lakhs), one can start Combiflam, and other NSAIDS for Joint pains seen and felt by patients of Chickengunea. Above medicines carry a risk of bleeding in cases of Dengue. Only paracetamol is safe if platelet counts are lower than 1 L.Lots of fluids are needed , besides total bed rest to save loss of water through sweat which will be there in any case once the fever comes down from 104 to 99 within a day provided no heavy foods are given to avoid vomitings and gastric disturbances.Do Not give plain water, it causes distention. Give only ORS - home made or sachets bought from shop.Coconut water is like plasma fluid - give this juice but stay away from other juices available in market on the road side or over the shelf.Mosquitoes breed in water and cause disease and Water is The Therapy !One can give clear soups, diluted toned milk for proteins and dry biscuits for wheat.But No Fats/ Maida/ Heavy spices/Heavy grains.Home made ORS- Juice of a lemon + spoon of sugar/honey/Roohafza + pinch of salt in 1L water.Diluted milk 1:4 with water with Roohafza to be sipped frequently. Chachh is another healthy choice as it has essential amino acids as proteins to repair damaged cells.Due to Fever or due to Water Retention, patients Do Complain of Rash. Apply No Creams/Lotions/gels etc. Keep the skin as dry as possible by being indoors. Apply medicated powder like Clotrimazole lavishly to affected areas ( available as Mycoderm-C / Absorb, looks like Nycil and costs the same ) Despite Every Caution , Despite fever being under control after 104 F, why are healthy adults complaining of swellings on feet as if there is water retention.No extra salts were given all through the phase of fever.Remember lots of breakdown of blood cells has occurred during the process of bringing down the fever.Most probable cause of swelling is temporary Anemia, and it is not due to Liver or kidneys as No Heavy antibiotics have been given during fever  to affect these vital organs.It is a Passing Phase.Reduce salt to bare minimum but do not eat a Bland diet after fever. Say No to packaged foods like Sauces , Pickles , Papads , Chutneys etc because salt with sodium is a Preservative and is Added to Every Packed food.Counter the effects of sodium in little salt taken by taking more Potassium Through Food Only ( no supplements as they can harm the heart but foods rich in potassium are safe)Take as much as you can -lemon, citrus fruits like oranges , mausami, bananas , raw amla but No Juices , only whole fruits with fiber which will absorb toxins causing distention and swellings on feet ( visible on feet but swellings are all over the body) Swelling around brain does make a person a bit dumb ,but it is just for the time being !Do not sit with legs with feet not supported , keep a stool under feet as a support.Get a massage done with movements towards the heart and not the other way .The Swellings are scary as they cause some load on the body too but there is No Need to take Diuretic medicines like Lasix to get rid of them.  Potassium rich foods plus drinking lots of water does help in removing extra water from body by inducing more urine generation the natural way and removing the collected toxins after the Fever