Dengue in Bangalore… Dont take it easy.. Here is a helpful discussion

We have seen 2 deaths in our known circle due to Dengue fever in recent past. I thought prevention knowledge needs to be shared.
This article is quite useful.
Best regards
http://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/health+topics/health+conditions+prevention+and+treatment/infectious+diseases/dengue+fever/dengue+fever+-+symptoms+treatment+and+prevention

Who was the second casualty?
Wife of our General Manager is right now down from dengue. Her platelet count is still high and the doctors are not admitting her into the hospital. Anxious days
Platelet count being high is no indication that all is well. When we detected Dengue in my daughter on a Saturday, her platelet count was 2.99 lakhs against a range of 1.5 – 4.5 lakhs. By Monday it was down to 1.5 lakhs and Tuesday it was 60,000.

When the count starts falling, it can fall exponentially. Pls tell your GM to keep a check on the count on a daily basis.
If the count shows a trend of falling rapidly, please do not delay admitting in a hospital, preferably a hospital with a blood bank attached. Though I am not a doctor, but as a matter of caution also keep a check on Creatinine level in the Kidneys and SPGO  and SPGT  ( liver function tests) enzyme levels. In my daughter’s case these enzyme levels had gone upto 16,000 as against a upper limit of 65 and 40.

This dangerous levels happen in the case of Dengue Shock Syndrome.

Please take care.

Regards

1) Platelet count goes down rapidly and below 40-50K it requires hospitalisation.

2) Fresh Papaya leaves juice couple of times in a day helps a lot in maintaining count.

Regards

My GM’s wife had high fever of 104 till yesterday, but fever level has dropped to 101 today, but her nausea and vomiting continues.
My son tells me the patient needs to be admitted to a hospital which has facility for separation of platelets from blood and not just a blood bank. He says there are just 2-3 hospitals in Bangalore. Is this correct?
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My son (6 years at that time) had dengue last year. He got treatment at manipal . manipal should have this facility .
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Dear Kiran Sir,
Fortis Bannerghatta Road has this facility.
Pl have checked with them on phone for more details.
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Rotary Blood Bank in thippasandra Manipal Hospital and I am sure Columbia Asia also must be having it
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She has been admitted to Columbia Asia Hebbal. Needs B+ blood. Hospital does not have platelet separation facility, so donor has to go to Yeshwanthpur facility. We have organized 4 donors so far. One doctor friend suggested blood group does not matter for platelet donation. If that is correct, we will organise more donors.
Keeping fingers crossed for her quick recovery.
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Similar was the case with my wife couple of years back and she was admitted to Columbia Asia,Hebbal. Her platelet was about 30000 and was asked to arrange for platelets. But fortunately she started recovering and the next platelet count started showing improvements. Its the matter of time as well when the body starts gaining immunity.
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1) platlet transfusion is not required until this goes to severe, below 10K. They keep it for emergency purposes.

2) Any group platelet can be donated will be exchanged by the hospital.

3) Interesting that Bangalore has so less hospital for Dengue. In Mumbai most of the hospital you get that treatment.

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One of my colleague  got Dengue recently. He was admitted to Manipal initially but after two days he got shifted to Fortis because of bad service of Manipal. His platelet count has gone down to 20k, and was not increasing even after his temperature had gone down, so, he was given steroids. Because of steroids his platelet count started increasing, and he is fine now, although a little weak.

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This was a most illuminating discussion and I am sure will come in very useful to us all in times of such distress.

On behalf of all, I will like to personally thank all the contributor on the thread: we now do know a lot about dengue, its treatment and even the ‘go-to” hospitals for good Dengue treatment.
Now that a lot has been learnt about the Hospital facilities, I want to know about removing those breeding spots around my home..
Can some one please suggest if I cannot dry the water fountain as its part of a terrace garden water body, what is the best way to kill possibilities of that waterbody becoming a breeding ground, oops pool? – Pour phynyle? or keroscene or Hit.? Any easily available chemicals? – I’ve seen Delhi MCD distributing some white powder, to pour in water coolers and drains, but have no clue what that is and will appreciate suggestions .
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It is correct that for platelets, the type of blood group is immaterial. Any group donor can give blood to the Blood Bank except persons who have diabetes or any other chronic disease. The Bank extracts platelets form the blood and the platelets are transfuse t the patient.
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Hi,

I had dengue 4 years back and platlet count went below 10000 and i was admitted in Manipal hospital under Dr Col Holla. I needed two rounds of platlet transfusion. During those four days. i was happy feeding on new platlets but my wife/family and friends did have to face lot of anxious moments. My platlet count started improving after 2nd round and was discharged after 4 days. Dengue causes lot of weakness for over a month and you need to take utmost care during that period.
After i came back from hospital, folks from national health department came and surveyed my house to identify the source. Live breeding ground of dengue mosquitoes was traced to a set of flower pots put by my neighbour just outside the gate. Lot of people use a plate under the flower pot to prevent water from leaking and soiling of floor. It is a clean water source best for dengue mosquitoes. They also showed me new eggs ready to become lethal dengue mosquitoes. Place was quickly fumigated. Some other places that they looked for:
– A little bit of water leftover in a mug/bucket etc for days
– Little bit of rain water that gets stuck near slider doors etc
Basically, any clean source of static water kept for days is what dengue mosquito loves. If you are working from home, you are at higher risk as dengue mosquitoes are found during day time.
From then on, mosquito coil/all outs are more used during day in my house.
Regards
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Does anyone have contact in Columbia Asia Hebbal? The doctor attending to the patient has been casual and not helping the anxious family. Also the hospital does not have platelet separation facility which has to be organized at their Yeshwanthpur hospital. The platelet count has dropped to 26000 and the hospital is rather unresponsive in taking proactive steps. The count had dropped from over 100000 last night to 26000 today noon.
Can anyone suggest a contact at this hospital to speed up action or even moving the patient to another better hospital?
Perhaps I am over-reacting but the family’s mental stress is bothering me.
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I have written to Columbia Asia corporate team. Will let you know as soon as I hear from them.
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The doctor has agreed to start platelet transfusion. We are rushing donors to Columbia Asia Yeshwanthpur for donation. The new count taken at 4 pm was 21000. The hospital also just assured us that they have alternate arrangements in case of emergency, whatever that means. We will in any case organise  blood even if it is not used ultimately.
I am worried if the procedure for her transfer to another hospital will be a long-drawn one.
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I just recovered from dengue, but fortunately stopped my platelet count dropping below 60K (I was in Fortis, Bannerghatta Road).

I can say this – detecting dengue early is very important, the earlier the better. One symptom, is feeling extreme weakness.

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