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Dr K K Aggarwal

Tips to differentiate between different types of fever

By Dr K K Aggarwal
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Different fevers can be differentiated clinically. Following are few tips:

  1. If a patient comes with fever with chills and rigors, think of Malaria in north and filaria in Vidarbha region in India.
  2. In malaria, chills occur in the afternoon; in filaria, the chills occur in the evening.
  3. Fever with joint pains on extension is often due to Chikungunya (flexion improves the pain)
  4. Think of dengue if there is fever with itching, rash and periorbital pain.
  5. In presence of fever with single chills think of pneumonia.
  6. Fever with sore throat, no cough, no nasal discharge: Think of streptococcal sore throat, especially in the children.
  7. Fever with red angry–looking throat: Think of streptococcal sore throat
  8. Fever with red epiglottis: Think of Hemophilus infection
  9. Fever with cough and or nasal discharge: Think of common flu
  10. Fever with cough, nasal discharge, nausea and vomiting: Think of H1N1 flu
  11. Fever with toxic look, persistent fever: Look for typhoid
  12. Fever with no or low rise in pulse: Look for typhoid
  13. Fever with urinary symptoms (burning, frequency): Rule out urinary infection.
  14. Fever with high TLC (white cell count) and liver pain: Rule out liver abscess
  15. Fever with watery diarrhea, with no blood or mucous: Rule out acute gastroenteritis
  16. After the fever is over, jaundice appears: This is viral hepatitis
  17. After the fever subsides, one feels very weak: Rule our dengue hemorrhagic fever.

Tips to prevent Dengue and Malaria

By Dr K K Aggarwal
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• Both malaria and dengue mosquitoes bite during day time.

• It is the female mosquito which bites.

• Dengue mosquito takes three meals in a day while malaria mosquito takes one meal in three days.

• Malaria may infect only one person in the family but dengue will invariably infect multiple members in the family in the same day.

• Malaria fever often presents with chills and rigors. Suspect Chikungunya if the fever presents together with joint and muscle pains.

• Both dengue and malaria mosquitoes grow in fresh water collected in the house.

• The filaria mosquito grows in dirty water.

• There should be no collections of water inside the house for more than a week.

• Mosquito cycle takes 7-12 days to complete. So, if any utensil or container that stores water is scrubbed cleaned properly once in a week, there are no chances of mosquito breeding.

• Mosquitoes can lay eggs in flower pots or in water tanks on the terrace if they are not properly covered.

• If the water pots for birds kept on terraces are not cleaned every week, then mosquitoes can lay eggs in them.

• Some mosquitoes can lay eggs in broken tires, broken glasses or any container where water can stay for a week.

• Using mosquito nets/repellents in the night may not prevent malaria and dengue because these mosquitoes bite during the day time.

• Wearing full sleeves shirt and trousers can prevent mosquito bites.

• Mosquito repellent can be of help.

• If you suspect that you have a fever, which can be malaria or dengue, immediately report to the doctor.

• There are no vaccines for malaria and dengue.

Tips to prevent Dengue and Malaria

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on Tips to prevent Dengue and Malaria

• Both malaria and dengue mosquitoes bite during day time. • It is the female mosquito which bites.

• Dengue mosquito takes three meals in a day while malaria mosquito takes one meal in three days.

• Malaria may infect only one person in the family but dengue will invariably infect multiple members in the family in the same day.

• Malaria fever often presents with chills and rigors. Suspect Chikungunya if the fever presents together with joint and muscle pains.

• Both dengue and malaria mosquitoes grow in fresh water collected in the house.

• The filaria mosquito grows in dirty water.

• There should be no collections of water inside the house for more than a week.

• Mosquito cycle takes 7-12 days to complete. So, if any utensil or container that stores water is scrubbed cleaned properly once in a week, there are no chances of mosquito breeding.

• Mosquitoes can lay eggs in flower pots or in water tanks on the terrace if they are not properly covered.

• If the water pots for birds kept on terraces are not cleaned every week, then mosquitoes can lay eggs in them.

• Some mosquitoes can lay eggs in broken tires, broken glasses or any container where water can stay for a week.

• Using mosquito nets/repellents in the night may not prevent malaria and dengue because these mosquitoes bite during the day time.

• Wearing full sleeves shirt and trousers can prevent mosquito bites.

• Mosquito repellent can be of help.

• If you suspect that you have a fever, which can be malaria or dengue, immediately report to the doctor.

• There are no vaccines for malaria and dengue.

Malaria, Dengue, Chikungunya and Filaria are diseases spread by mosquitoes and are totally preventable. Here are a few tips to prevent them.

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , | | Comments Off on Malaria, Dengue, Chikungunya and Filaria are diseases spread by mosquitoes and are totally preventable. Here are a few tips to prevent them.

  • Both malaria and dengue mosquitoes bite during day time.
  • It is the female mosquito which bites.
  • Dengue mosquito takes three meals in a day while malaria mosquito takes one meal in three days.
  • Malaria may infect only one person in the family but dengue will invariably infect multiple members in the family in the same day.
  • Malaria fever often presents with chills and rigors. If the fever presents together with joint and muscle pains, one should suspect Chikungunya.
  • Both dengue and malaria mosquitoes grow in fresh water collected in the house.
  • The filaria mosquito grows in dirty water.
  • There should be no collections of water inside the house for more than a week.
  • Mosquito cycle takes 7–12 days to complete. So, if any utensils or containers that store water are cleaned properly once in a week, there are no chances of mosquito breeding.
  • Mosquitoes can lay eggs in money plant pots or in water tanks on the terrace if they are not properly covered.
  • If the water pots for birds kept on terraces are not cleaned every week, then mosquitoes can lay eggs in them.
  • Some mosquitoes can lay eggs in broken tires, broken glasses or any container where water can stay for a week.
  • Using mosquito nets/repellents in the night may not prevent malaria and dengue because these mosquitoes bite during the day time.
  • Both malaria and dengue mosquitoes do not make a sound. Therefore, mosquitoes that do not produce a sound do not cause diseases.
  • Wearing full sleeves shirt and trousers can prevent mosquito bites.
  • Mosquito repellent can be helpful during the day.
  • If you suspect that you have a fever, which can be malaria or dengue, immediately report to the doctor.
  • There are no vaccines for malaria and dengue.

Malaria, Dengue, Chikungunya and Filaria are diseases spread by mosquitoes and are totally preventable. Here are a few tips:

By
Filed Under Wellness | Tagged With: , , , , , , | | Comments Off on Malaria, Dengue, Chikungunya and Filaria are diseases spread by mosquitoes and are totally preventable. Here are a few tips:

  • Both malaria and dengue mosquitoes bite during day time.
  • It is the female mosquito which bites.
  • Dengue mosquito takes three meals in a day while malaria mosquito takes one meal in three days.
  • Malaria may infect only one person in the family but dengue will invariably infect multiple members in the family in the same day.
  • Malaria fever often presents with chills and rigors. If the fever presents together with joint and muscle pains, one should suspect Chikungunya.
  • Both dengue and malaria mosquitoes grow in fresh water collected in the house.
  • The filaria mosquito grows in dirty water.
  • There should be no collections of water inside the house for more than a week.
  • Mosquito cycle takes 7-12 days to complete. So, if any utensil or container that stores water is cleaned properly once in a week, there are no chances of mosquito breeding.
  • Mosquitoes can lay eggs in money plant pots or in water tanks on the terrace if they are not properly covered.
  • If the water pots for birds kept on terraces are not cleaned every week, then mosquitoes can lay eggs in them.
  • Some mosquitoes can lay eggs in broken tires, broken glasses or any container where water can stay for a week.
  • Using mosquito nets/repellents in the night may not prevent malaria and dengue because these mosquitoes bite during the day time.
  • Both malaria and dengue mosquitoes do not make a sound. Therefore, mosquitoes that do not produce a sound do not cause diseases.
  • Wearing full sleeves shirt and trousers can prevent mosquito bites.
  • Mosquito repellent can be helpful during the day.
  • If you suspect that you have a fever, which can be malaria or dengue, immediately report to the doctor.
  • There are no vaccines for malaria and dengue.

 

After the intense summer heat, the arrival of monsoon is a cause of much cheer, but it also brings along a whole lot diseases. Monsoon reduces the immunity of the body.

The most common diseases in the monsoon are malaria, dengue, Chikungunya, jaundice including gastrointestinal infections like typhoid and cholera. Viral infections like cold and cough also make their presence felt.

Chikungunya patients, classically, have joint pains that are relieved by flexing the limbs. Dengue, if not adequately managed, can be fatal in 1 to 4 percent of cases but chikungunya, though not fatal, can cause chronic debilitating joint pains that may last for years. Dengue management involves fluid resuscitation and not platelet resuscitation. Mortality can be reduced if enough fluids are given. The mortality period usually starts when the fever subsides. Inappropriate use of anti fever medicines can precipitate bleeding in dengue patients. Read more