Most of the patients with dengue fever show symptoms of shock syndrome. In case of shock syndrome, the patient’s blood pressure and blood sugar levels drop very quickly. Complications of fluid management (fluid management) are seen in the body.
Dehydration occurs. Due to this many people become unconscious. As the situation is more complicated, many are even dying. Doctors say that patients are coming with two types of problems, dengue shock syndrome and hemorrhagic fever.
Like last year, this time the patients of shock syndrome seem to be more. Most of the shock syndrome patients are coming from outside Dhaka. Most of them are infected with dengue for the first time. However, regardless of the symptoms of shock syndrome or hemorrhagic symptoms, the patient should be taken to the hospital immediately.
Number 207 in the children’s ward of Dhaka Medical College Hospital at 11:30 on Wednesday. Ismail, a 3-and-a-half-year-old child, is seen lying on a leaf bed on the floor of this ward. His hand planted canola, running saline. The little body is shaking with high fever. His mother Maryam Begum hugged her son with two kanthas. The mother is trying to console her son by patting his head repeatedly. Sometimes wiping the body with a wet cloth, sometimes trying to give medicine. Sometimes calling the nurses with anxiety and telling about the child’s problems.
When asked, two doctors on duty told Jugantar that the child is suffering from dengue fever. But the parents did not understand in the beginning after the fever came. Timely treatment not given. Bringing here because the situation is worse. Delayed arrival at the hospital resulted in symptoms of shock syndrome.
Mother Sadia Parveen was trying to give medicine to 3 and a half year old Jurain Yasar, who was admitted in bed number 32 of the specialized dengue ward of Bangladesh Children’s Hospital. But the little child did not want to take medicine at all. When asked, Sadia said that her son has fever for the past one week. A day after the onset of fever, the dengue test is negative. I was serving at home. Still the fever was rising to 102-103 degrees. On the third day, after dengue test again, it was found positive. By then, the physical condition worsened. After being brought to the hospital, the doctors said that the boy had gone into shock. But after a few days of treatment, it is much better now.
It has been found that not only Dhaka Medical or Children’s Hospital, Mugda General Hospital, Kurmitola General Hospital, Mohakhali Covid Dedicated DNCC Hospital and Shaheed Suhrawardy Medical Hospital are crowded with dengue patients. Due to shortage of beds, some hospitals are treating two children in one bed. Doctors said that most of the patients, young and old, are suffering from shock syndrome.
Medical experts told Jugantar that fever usually clears up within one to two weeks after dengue infection. In some patients, the situation can become dangerous. In these cases, death can occur. These complications are dengue hemorrhagic fever and dengue shock syndrome.
In hemorrhagic dengue, blood clots in the patient’s eyes. Bleeding from nose, gums; Bleeding can occur from any one or more parts such as mouth, ears, anus. Vomiting and coughing up blood may occur. So if you have a fever at this time, you should consult a doctor or take it to the hospital without neglecting it.
Dr. Assistant Professor of Medicine Department of DMK. Mo Saifullah said that all those who have been admitted to the hospital due to dengue this year. Most of them were suffering from dengue shock syndrome and hemorrhagic fever (abnormal bleeding). Sometimes saving such patients becomes a challenge. We have patients admitted here with symptoms other than dengue shock syndrome. Patients are being admitted with some different symptoms than last time.
He said the symptoms of dengue fever appear four to seven days after being bitten by a mosquito carrying the dengue virus. During this time, there is a constant headache, severe pain in the bones and muscles of the bones, nausea, vomiting, swelling of the glands, rash all over the body, pain behind the eyes, bleeding in the stool or urine, severe abdominal pain, bleeding from the nose and gums and lethargy. Sometimes there may be bleeding in the brain. If such symptoms are seen, the patient should be taken to the hospital immediately. Do not take any pain medication other than paracetamol without consulting a doctor.
Advising children to be careful about dengue, the professor and head of the children’s department of Dhaka Medical. Lutfun Necha said that a child should consult a doctor on the first day of fever. Seasonal fever should not be neglected at all. If the symptoms are delayed, the child falls into a critical situation. Along with fever, the child may have nausea, loose stools. A red rash on the child’s body after fever is also one of the symptoms of dengue. Therefore, if the doctor suspects, dengue can be detected by testing dengue NS1 antigen on the first or second day.
Resident Medical Officer of Bangladesh Children’s Hospital Dr. Farhana Ahmed Samarani said that you must sleep with mosquito nets during the day and night. Aedes mosquito larvae should be identified and destroyed. The house should be kept clean. Spray around the house regularly. Anti-mosquito cream can be used on hands and feet along with keeping children in full-sleeved clothing.
583 hospital admissions in 24 hours, three deaths: Another 583 people were admitted to hospitals across the country between 8 am on Wednesday and 8 am on Thursday due to dengue fever carried by Aedes mosquitoes. This has increased the number of dengue patients to 40,405 this year. Three dengue patients have died in the last 24 hours. With this, the number of dengue deaths has increased to 199 this year.
Sources of the Health Department said that among the patients admitted in the last 24 hours, one is from Dhaka, one from Barisal and one from Khulna division. In the last 24 hours, 246 people from the two city corporation areas of Dhaka have been affected by dengue. Also, 163 people in Dhaka Division, 22 in Chittagong Division, 62 in Barisal Division, 27 in Khulna Division, 29 in Mymensingh Division, 27 in Rajshahi Division and 7 in Rangpur Division have been admitted to hospital.
From January 1 to October 10 of this year, a total of 40 thousand 405 people have been admitted to hospital due to dengue. Of whom 63.30 percent are men and 36.70 percent are women. Besides, 50.30 percent of the 199 dead are men and 49.70 percent are women.
