During the monsoon months in Bangladesh, from June to October, dengue cases often rise. For parents, watching a child struggle with a high fever is incredibly stressful. Most people expect the danger to pass once the fever breaks, but with dengue, the most critical period often begins just as the temperature starts to drop.
The "False Sense of Security"
In many dengue cases, the fever lasts for about 2 to 7 days. Around the fourth or fifth day, the fever might suddenly decrease. While this feels like progress, it is actually the "critical phase." During this time, the body's response to the virus can cause blood vessels to leak fluid. This is when complications like dehydration or low platelet counts are most likely to occur.
Managing your child at home
If your child has been diagnosed with dengue, your main goal is hydration. Encourage them to drink plenty of fluids. Oral Rehydration Salts (ORS) are very important; give ORS after each loose stool or if they are vomiting, prepared exactly as per the packet instructions.
For fever or body aches, you can use paracetamol (such as Napa). However, never decide the amount yourself. Your doctor or pharmacist will calculate the exact dose based on your child's current weight. Avoid any other pain relievers unless specifically told to do so by a healthcare professional.
Monitoring and observation
Keep a close eye on your child's activity levels. Are they playing a little, or are they unusually quiet? Are they drinking enough? It is also helpful to keep a log of how much they are urinating. A significant drop in urine output can be a sign of dehydration.
When to see a doctor
While many children recover at home with rest and fluids, some need hospital care immediately. If you notice any of the following "red flags," contact a doctor or visit a hospital right away:
- Severe abdominal pain or tenderness.
- Persistent vomiting (unable to keep any liquids down).
- Any signs of bleeding, such as bleeding gums, nosebleeds, or small red spots on the skin.
- Extreme lethargy, confusion, or being very difficult to wake up.
- Cold or clammy skin.
Emergency Alert: If your child has difficulty breathing, blue lips, or experiences a seizure (fit), call 999 immediately or head to the nearest emergency room.
One honest note
These articles are general advice. Your body, your reports, your pregnancy, your old medicines — those need a real doctor's eye, not a webpage. We're here to help you ask better questions, not replace the check-up.