Dengue Fever and its Remedies
Dengue fever is a viral disease transmitted
by mosquitoes, which has become one of the fastest spreading infectious
diseases in tropical and subtropical regions of the world. It is transmitted
mainly by the Aedes aegypti mosquito, which breeds in hot climates, stagnant
water, and urban areas where the human population is high. Dengue is caused by
the dengue virus (DENV), which has four distinct serotypes: DENV-1, DENV2,
DENV-3, and DENV-4. Infection with one serotype confers lifelong immunity to
that serotype but only partial resistance or short term cross-immunity to the
other serotypes, which explains why an individual may suffer multiple
infections over their lifetime. The onset of dengue fever is often sudden,
beginning after an incubation period of four to ten days following a mosquito
bite. The virus affects the body in various ways, including an attack on the
immune system, weakening of blood vessels, and alteration in platelet
production, and eventual symptoms that can vary from a mild viral infection to
severe, life-threatening complications such as DHF or DSS.
The onset of dengue fever generally begins
with high grade fever, which can ascend to as high as 104°F or 40°C. This fever
is usually accompanied by intense headache, retro-orbital pain, severe muscle
and joint pains, fatigue, skin rash, nausea, and vomiting. Indeed, the pain in
the joints is so severe that this disease used to be called “break bone fever.”
One of the dangerous aspects of dengue is its unpredictable course. Many
patients who are sicker have a tendency to feel much better when the
temperature subsides after a few days, but this can be very misleading as this
is usually the beginning of the critical phase. During this phase, which is
usually between the third and seventh day of illness, the patient’s platelet
counts may suddenly drop, or plasma leakage might happen because the
capillaries are damaged. This can lead to internal hemorrhage, respiratory
distress, sudden decrease in blood pressure, and even shock. Warning signs that
need immediate medical attention include persistent vomiting, severe abdominal
pain, bleeding from gums or nose, blood in vomit or stool, restlessness, rapid
heartbeat, or sudden fatigue. If left untreated, the severe form of dengue can
cause failure of any of the organs and death; thus, early recognition and
appropriate management are of utmost importance.
As dengue is a viral disease, no specific
antiviral drugs or medication are available to treat the infection. The whole
treatment concentrates on symptom relief and averting complications to let your
body naturally recover from the illness. The most important part of treatment
is hydration. Dengue results in dehydration due to high fever, vomiting, and
plasma leakage. Doctors recommend drinking large volumes of fluids like ORS,
coconut water, fresh juices, soups, and plain water. ORS is very effective
because it replenishes the lost electrolytes. Hydration stabilizes the blood
pressure, limits the chances of shock, and maintains the functioning of organs
normally. In many cases, maintaining hydration consistently supports full
recovery among patients with home-based care. This requires hospitalization
when the counts of platelets go very low or when serious signs and symptoms
develop.
Paracetamol or acetaminophen is the
recommended drug for fever and body pain; this is a safe drug for dengue
patients, and its use helps control fever without affecting platelets.
Conversely, NSAIDs like ibuprofen, aspirin, or diclofenac should be strictly
avoided because they interfere with the coagulation of blood and may cause or
worsen internal bleeding. Suggest that doctors often monitor blood tests,
especially CBCs, to track their platelet count and hematocrit. Platelets
usually begin to fall around the third day of fever but may continue to drop
for several days. Patients need not be overly concerned about platelet numbers
unless they drop below dangerous thresholds-usually 20,000 or below. Decisions
about platelet transfusion are based on clinical symptoms rather than
laboratory values alone, as unnecessary transfusions may lead to complications.
One of the highly talked-about natural
remedies to improve the platelet count is papaya leaf extract. Many studies and
experiences show that papaya leaf juice can increase platelets, improve
immunity, and result in faster recovery. The extract consists of enzymes like
papain and chymopapain, which might help improve digestion, reduce
inflammation, and improve healing. Papaya leaves are a supplement but not a
replacement for medical treatment. Other beneficial drinks are giloy juices.
Giloy, as per traditional Indian herbal medicine, is supposed to enhance the
immunity system. It may act by reducing fever and encouraging recovery.
Clinical evidence still remains scanty. Similarly, pomegranate juice, apple
juice, kiwi, and green vegetables develop energy and encourage blood formation.
Citrus fruits rich in vitamin C, like oranges, lemons, strawberries, and guava,
will provide strength to the immunity to combat the virus.
Besides herbal remedies, rest is crucial for
the treatment and recovery of dengue. The virus leaves the body exhausted
because energy is drained away, and the immune system is deeply affected.
Overexertion of any sort during or after dengue slows down the recuperation
process or invites back fatigue. Patients are advised to stay in a cool
environment away from mosquitoes and avoid high fever besides paying close
attention to symptoms. The length of the recovery period may range from two to
four weeks based on the intensity of the infection. Even after the
disappearance of fever, the body continues to feel weak, and returning to
normal activities should be done gradually. Since the transmission of dengue
viruses is wholly by mosquitoes, prevention plays a leading role in its
control. The Aedes aegypti mosquito breeds in clean, stagnant water collected
in flower pots, tires, buckets, water tanks, air coolers, and in uncovered
containers. The biting behavior of these mosquitoes is mainly during the day,
especially early morning and late afternoon. Prevention includes the
elimination of breeding sites, screening of water storage containers, periodic
cleaning of water tanks, elimination of standing water around homes, proper
disposal of garbage and refuse, use of mosquito repellents and protective
clothing, and screening of windows. High risk communities apply fumigation,
larvicide, and public awareness campaigns. As innovative control programs, some
countries have introduced Wolbachia infected mosquitoes, which are known to
have a reduced transmission of dengue viruses. Vaccination is another
preventive measure, but the use of it varies from country to country. The
dengue vaccine is not recommended in people who have never had the disease
because there might be an increased risk of severe dengue upon first natural
infection. If there has been a previous history of the disease, then certain
vaccines offer protection against future infections. The main strategy
continues to be mosquito control and personal prevention. Emotional and mental
support is equally important in dengue, as the illness can be very stressful,
especially in cases of falling platelets or prolonged weakness. The family
should reassure the member, monitor the symptoms calmly, and see that the
patient is well hydrated. Many times, anxiety aggravates the entire experience
of dengue, and understanding the nature of the illness helps in reducing fear
and promoting better recovery. In a nutshell, dengue fever is a significant
viral illness that can impose serious health threats, particularly in tropical
regions. Though there is no specific cure, the disease can be managed and
complications minimized with early diagnosis, proper hydration, management of
the fever, and close monitoring. Natural remedies like papaya leaf extract,
giloy juice, and vitamin-rich foods support the body in recovering but should
complement and not replace medical advice. Preventing mosquito bites and
eliminating breeding sites remain the most effective long-term strategies for
reducing dengue transmission. With proper awareness, timely treatment, and
supportive care, most people recover fully from dengue and return to normal
life.

