Content
Hemorrhagic dengue is a serious reaction of the body to the dengue virus, which leads to the onset of symptoms more serious than classic dengue and that can endanger the person's life, such as altered heartbeat, persistent vomiting and bleeding, which can be in the eyes, gums, ears and / or nose.
Hemorrhagic dengue is more frequent in people who have dengue for the 2nd time, and can be differentiated from other types of dengue around the 3rd day with the appearance of hemorrhages after the appearance of classic dengue symptoms, such as pain in the back of the eyes, fever and body pain. See what are the other common symptoms of classic dengue.
Although severe, hemorrhagic dengue can be cured when it is identified in the initial phase and the treatment mainly involves hydration through the injection of serum into the vein, making it necessary for the person to be admitted to the hospital, as this is also possible monitored by the medical and nursing staff, avoiding complications.
Main symptoms
The symptoms of hemorrhagic dengue are initially the same as common dengue, however after about 3 days more serious signs and symptoms may appear:
- Red spots on the skin
- Bleeding gums, mouth, nose, ears or intestines
- Persistent vomiting;
- Severe abdominal pain;
- Cold and damp skin;
- Dry mouth and constant feeling of thirst;
- Bloody urine;
- Mental confusion;
- Red eyes;
- Change in heart rate.
Although bleeding is characteristic of hemorrhagic dengue, in some cases it may not happen, which ends up making the diagnosis more difficult and delaying the start of treatment. Therefore, whenever signs and symptoms indicative of dengue are perceived, it is important to go to the hospital, regardless of its type.
How to confirm the diagnosis
The diagnosis of hemorrhagic dengue can be made by observing the symptoms of the disease, but to confirm the diagnosis, the doctor may order a blood test and proof of the loop, which is made by observing more than 20 red spots in a square of 2.5 x 2.5 cm drawn on the skin, after 5 minutes of the arm slightly tightened with a tape.
In addition, other diagnostic tests may also be recommended in order to check the severity of the disease, such as blood count and coagulogram, for example. Check out the main tests to diagnose dengue.
How the treatment is done
The treatment of hemorrhagic dengue should be guided by a general practitioner and / or by the infectious disease specialist and must be done at the hospital, since hydration is necessary directly in the vein and monitoring of the person, since in addition to dehydration it is possible that hepatic and cardiac changes may occur , respiratory or blood.
It is important that treatment for hemorrhagic dengue is started within the first 24 hours after the onset of symptoms, and oxygen therapy and blood transfusions may be necessary.
It is recommended to avoid the use of drugs based on acetylsalicylic acid, such as ASA and anti-inflammatory drugs such as Ibuprofen, in case of suspected dengue.
6 common doubts about hemorrhagic dengue
1. Is hemorrhagic dengue contagious?
Hemorrhagic dengue is not contagious, as like any other type of dengue, mosquito bites are necessary Aedes aegypti infected with the virus to develop the disease. Thus, to prevent mosquito bites and the emergence of dengue it is important to:
- Avoid the dengue epidemic sites;
- Use repellents daily;
- Light a citronella aromatic candle in each room of the house to keep the mosquito away;
- Place protective screens on all windows and doors to prevent mosquitoes from entering the house;
- Consume foods with vitamin K that help with blood clotting such as broccoli, cabbage, turnip greens and lettuce that help prevent hemorrhagic dengue.
- Respect all clinical guidelines in relation to dengue prevention, avoiding the breeding sites of the dengue mosquito, leaving no clean or dirty water standing in any place.
These measures are important and must be followed by the entire population in order to reduce dengue cases in the country. Check out the following video for some other tips to ward off the dengue mosquito:
2. Does hemorrhagic dengue kill?
Hemorrhagic dengue is a very serious disease that must be treated in hospital because it is necessary to administer medication directly into the vein and oxygen mask in some cases. If treatment is not started or is not done correctly, hemorrhagic dengue can lead to death.
According to severity, hemorrhagic dengue can be classified into 4 degrees, in which the mildest symptoms are milder, bleeding may not be seen, despite the positive evidence of the bond, and in the most severe it is possible that there is shock syndrome associated with dengue, increasing the risk of death.
3. How do you get hemorrhagic dengue?
Hemorrhagic dengue is caused by mosquito bitesAedes aegypti that transmits the dengue virus. In most cases of hemorrhagic dengue, the person had previously had dengue and when he is infected by the virus again, he develops more severe symptoms, resulting in this type of dengue.
4. Is the first time never hemorrhagic dengue?
Although hemorrhagic dengue is rarer, it can occur in people who have never had dengue, in which case babies are the most affected. Although it is not yet known exactly why this may happen, there is knowledge that the person's antibodies can bind to the virus, but it cannot neutralize it and that is why it continues to replicate very quickly and causing serious changes in the body.
In most cases, hemorrhagic dengue appears in people who have been infected with the virus at least once.
5. Can it be caused by using the wrong medicine?
The inappropriate use of medicines can also favor the development of hemorrhagic dengue, since some drugs based on acetylsalicylic acid, such as ASA and Aspirin, can favor bleeding and hemorrhage, complicating dengue. Check how dengue treatment should be to avoid complications.
6. Is there a cure?
Hemorrhagic dengue is curable when it is quickly identified and treated. It is possible to be completely cured, but for that you need to go to the hospital as soon as the first symptoms of dengue appear, especially if there is a lot of abdominal pain or bleeding from the nose, ears or mouth.
One of the first signs that may indicate hemorrhagic dengue is the ease of having purple marks on the body, even in small bumps, or the appearance of a dark mark at the place where an injection was given or blood was drawn.