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Infectious Diseases 2023

As é the treatment of dengue (clássica and hemorrhagicágica)

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As é the treatment of dengue (clássica and hemorrhagicágica)
As é the treatment of dengue (clássica and hemorrhagicágica)

Treatment for dengue aims to relieve symptoms, such as fever and body aches, and is usually done with the use of paracetamol or dipyrone, for example. In addition, it is important to maintain hydration and rest to facilitate the fight against the virus by the body.

Some anti-inflammatory drugs, especially those containing acetylsalicylic acid, such as aspirin, for example, should not be used by people with dengue, as this drug can interfere with clotting and increase the risk of bleeding. See which drugs should not be used during dengue.

Treatment of classic or hemorrhagic dengue should always be done with medical advice, according to the recommendation of the Ministry of He alth, to avoid complications such as severe dehydration, liver, heart, neurological and/or respiratory problems.


Treatment of classic dengue

Treatment of classic dengue consists of relieving the main symptoms such as high fever, malaise in the body, headaches and excessive tiredness. For this reason, the doctor may recommend the use of some analgesic, usually paracetamol or dipyrone.

During treatment, it is important to drink plenty of water and use oral rehydration serum, sold in pharmacies or drugstores, or homemade serum, in addition to having a light diet that facilitates digestion. In addition, sweet drinks such as soft drinks and isotonic drinks should be avoided, as they are diuretics and, thus, can increase dehydration, in addition to worsening the symptoms of nausea and vomiting. Learn more about food to recover faster from dengue.

The recommended thing is that the person returns to the he alth service 72 hours after the diagnosis of dengue, to do medical follow-up and avoid early identification of possible complications such as bleeding or dehydration, for example.

However, in case the person is unable to provide adequate oral hydration at home, in cases of babies or fever that does not improve, hospitalization may be necessary, which must be guided and indicated by the doctor.

Treatment of dengue hemorrhagic fever

Treatment of dengue hemorrhagic fever, which is the main complication of dengue, should be done in the hospital using serum directly into the vein and medication to stop bleeding and increase platelets, which are blood components responsible for clotting blood flow and stop bleeding.

Also, when a person loses a lot of blood, a blood transfusion may be required to replace the volume of blood in the body or to replace platelets if they are very low.

In some more serious cases, in which the bleeding cannot be controlled and the person may have cardiocirculatory failure and shock, the doctor recommends admission to the ICU for more rigorous monitoring, because in these cases life can be at risk. risk.

In the hospital, blood tests to monitor the recovery and he alth status of the person are initially repeated every 15 minutes and when there is any improvement, every 2 hours. Normally, discharge occurs about 48 hours after the fever ends and when the platelet concentration has normalized.


When undergoing treatment in the hospital

Dengue treatment should be carried out in the hospital in cases of pregnant women, babies, children, people who have high blood pressure, patients with heart or kidney failure, or people who have an asthma attack or decompensated diabetes, even other than dengue hemorrhagic fever. Check out the precautions to be taken with dengue during pregnancy.

In addition, hospital treatment is also recommended for people with chronic hemolytic diseases such as sickle cell anemia or autoimmune diseases.

Hospitalization aims at a more rigorous follow-up of the person and avoiding the appearance of complications that can put life at risk.

Natural care options

Natural treatment can help to complement the medical treatment for dengue, which may include the consumption of chamomile tea, St. strengthen immunity.

However, these natural treatments should not replace the doctor's advice, and it is always important to follow their guidelines. See which are the best home remedies for dengue.


Possible complications

The main complication of dengue is the development of dengue hemorrhagic fever, which should always be treated in the hospital because it is a serious situation. In addition, children can have seizures due to fever and dehydration, and should always be accompanied by a doctor who may indicate hospital admission.

In some people dengue can damage the liver causing hepatitis, which needs to be treated quickly. In rare cases, irreversible liver damage may occur and a liver transplant may be required. Know all the complications and sequelae that dengue can cause.

Signs of improvement

The signs of improvement in dengue are fever reduction and pain relief in the body and usually appear up to 8 days after the onset of symptoms.

Signs of worsening

Signs of worsening dengue can occur in anyone and include vomiting, severe abdominal pain, agitation or discouragement, pallor, low blood pressure, heart palpitations, cold hands and feet, excessive sweating, fainting or changes in conscience, spots on the skin or bleeding, such as from the nose or gums, when brushing teeth, for example.

If these symptoms appear, go to the hospital or emergency room as soon as possible so that the person is hospitalized, undergo tests and be closely monitored by the doctor.

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