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What is Dengue Fever With Warning Signs?

What is Dengue Fever With Warning Signs

Dengue fever, an assertive mosquito-borne viral malady, continues to cast its shadow across the tapestry of tropical and subtropical regions, including the vibrant landscape of Bangladesh. In this all-encompassing journey, orchestrated by the Bangladesh Health Alliance, we embark on a quest to unfurl the enigma shrouding dengue fever, particularly the poignant warning signs. Armed with scientific underpinnings and authentic references, we traverse the intricacies of this ailment and decipher the critical cues that beckon immediate attention and medical care.

Unveiling Dengue Fever with Warning Signals: A Vital Roadmap

Dengue fever with warning signs refers to a stage of dengue infection where the patient exhibits certain symptoms and clinical indicators that suggest an increased risk of developing severe dengue complications, such as dengue hemorrhagic fever (DHF) or dengue shock syndrome (DSS). These warning signs serve as red flags for healthcare providers to closely monitor and manage the patient’s condition to prevent progression to severe disease.

The warning signs of dengue fever with an increased risk of severe complications may include:

  1. Severe Abdominal Pain: Intense or persistent abdominal pain, often accompanied by tenderness.
  2. Persistent Vomiting: Frequent vomiting, which can lead to dehydration.
  3. Bleeding: Nosebleeds, gum bleeding, or easy bruising.
  4. Fluid Accumulation: Accumulation of fluid in the lungs or abdomen, causing respiratory or circulatory distress.
  5. Fatigue and Restlessness: Severe fatigue, restlessness, or irritability.
  6. Mucosal Bleeding: Bleeding from the mucous membranes, such as the nose or gums.
  7. Liver Enlargement: Enlargement of the liver as detected by physical examination or medical imaging.
  8. Increased Hematocrit (HCT): A significant rise in hematocrit levels, indicating hemoconcentration due to fluid loss.
  9. Rapid Platelet Decrease: A sudden drop in platelet count, which can affect blood clotting.

When a patient with dengue fever exhibits these warning signs, healthcare providers will often take immediate steps to closely monitor the patient’s condition, provide supportive care, and ensure appropriate medical interventions are initiated to prevent further complications. Early detection and management of warning signs can significantly reduce the risk of severe outcomes associated with dengue infection.

Navigating the Terrain: The Dance of Dengue Fever and its Cautions

Dengue fever, a multi-faceted saga, unfolds in distinct phases, a narrative where a fraction of individuals traverse towards graver dimensions of the ailment. It is within these crossroads that the sentinel signs emerge, beseeching us to heed their call:

  1. Febrile Phase:

    • The Feverish Blaze: Dengue’s overture often manifests as an abrupt and fierce fever, scaling the heights of 104°F (40°C) and beyond.
    • The Vice of the Skull: A distinctive and formidable headache, akin to a vice gripping the skull, marks its presence.
    • Muscles and Joints in Agony: A symphony of agony resonates through the body, as muscles and joints beseech for relief, lending credence to the moniker “breakbone fever.”
    • Weary Souls: Fatigue and weakness unfurl their wings, casting individuals into realms of profound exhaustion.
    • The Gaze of Discomfort: The eyes bear witness to discomfort, a distinct ocular pain that can linger as pressure behind the orbs.
  2. Critical Phase: Echoes of Alarm:
    • The Weeping Wounds: As dengue fever courses its path, the potential for dengue hemorrhagic fever (DHF) emerges, marked by bleeding gums, nosebleeds, or skin’s canvas painted with crimson.
    • The Echoing Abyss: Intense abdominal pain reverberates, accompanied by unyielding vomiting, a signpost of potential tribulations.
    • The Fluid Chronicles: Dengue shock syndrome (DSS) scribes its chapter, where fluid accumulates, giving rise to shock and a precipitous fall in blood pressure.

A Symphony of Swiftness: The Call to Action

Should the symphony of symptoms align with these cautionary notes during either the fevered or critical passages, a swift cadence must be embraced – a medical embrace sought with urgency. In this realm, early diagnosis and intervention are the bedrock upon which the edifice of reduced complications and potential salvation stands.

Guardians of Prevention: A Multifaceted Shield

In a realm where specific antiviral remedies remain elusive, the mantle of prevention takes center stage:

  • The Eradication Dance: Stagnant waters evicted, mosquito breeding sites eradicated – a serenade against the vectors.
  • Nets and Elixirs: Mosquito nets unfurled, repellents anointed – a defense woven through the fabric of clothing.
  • The Armor of Fabric: Long sleeves and protective drapery adorned, shielding the body’s canvas from the winged harbingers.
  • The Clarion Call: Educate, enlighten, empower – mobilizing communities as guardians of mosquito control.

The Unison of Vigilance: A Tapestry of Health

In the realm of dengue fever’s terrain, recognizing the signs, the clarion calls of warning, empowers individuals to surge forth. Armed with this knowledge, the journey is painted with prudence, resilience, and a symphony of collective health.

Learn From Video – What is Dengue Fever With Warning Signs?

Warning signs in dengue | Dr. Vivek Bhargava By Narayana Health


  1. World Health Organization. (2021). Dengue and severe dengue. Link
  2. Centers for Disease Control and Prevention. (2021). Dengue. Link
  3. Ministry of Health and Family Welfare, Government of Bangladesh. (2021). National Guideline on Dengue Fever and Dengue Hemorrhagic Fever. Link
  4. Dengue Symptoms. (2021). Link
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