PAGES

Friday, June 14, 2013

Dengue - of platelets and papaya leaf juice

My wife was recently diagnosed with dengue fever.

Medical literature says that you must suspect dengue if you have fever accompanied any two of the following symptoms: severe headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or rash. But she didn't have any of them; only fever.

Her illness gave me an opportunity to learn about the disease. Here are some points. I have sourced the following from doctors and web pages of recognized health institutions.

(A diary of my wife's case is below the FAQs)

What is dengue?
It is a viral infection caused by the bite of a mosquito (female Aedes aegypti mosquito), which has previously bitten a dengue patient. The disease is transmitted this way: patient-mosquito-healthy person. The symptoms surface 3 to 14 days after the bite.

When should I suspect it could be dengue?
If you have fever that doesn't go with paracetamol tablets within 2 days, go to a doctor. You may or may not have other symptoms like headache, pain behind the eyes, muscle and joint pain, nausea, vomiting or rashes.

Is low blood platelet count, a sign of dengue?
As a first test, doctors order a blood test. The result would give lot of clues on why you have fever. A drop in platelet count could be a sign of dengue. The normal range is between 1.5 lakh and 4 lakh. But a drop in platelet count is no confirmation of dengue, as the count drops with any infection. So, a specific test for dengue is ordered.

After dengue is confirmed, with the specific test, the disease is monitored by looking at the count of the platelets. Typically, in a dengue patient, the platelet count keeps dropping. How fast and how much depends on many factors like immunity of the person and the severity of the attack.

Blood platelets help the blood to clot. When the count drops, there's a risk of bleeding. So patients are advised even not to brush teeth, because the gums could bleed. There are also dangers of internal bleeding.

The platelet count is monitored every 24 hours. But once the count goes below 50,000, every 12 hours the count is checked. Doctors won't let the count drop. Once it reaches a threshold level -- around 15,000 to 20,000, or even 25,000 -- platelets are injected.

Once the infection is out of the body, the platelet count starts increasing: at first slowly and then rapidly. The rate depends on the general health of the patient.

Is dengue dangerous, fatal?
If detected and treated early it is not. There is no need for panic or fear. A severe form of dengue can be dangerous, and even fatal without early medical intervention. So don't ignore the flu-like symptoms. Visit a doctor.

What is the cure for dengue?
There are no medicines for dengue. Doctors give medicines for the symptoms; and intravenously administer fluids. Patients are told to have plenty of fluids, like water and fruit juice; and have normal food. Nausea and vomiting reduces food intake; and that, combined with the infection, makes the patient weak. The infection lasts about a week. Even after fever is gone, the patient takes about one or two weeks to recover from the tiredness. Fluids, and more fluids, is the only way out.

How beneficial are papaya leaves?
Word has gone around that pomegranate and papaya; and the juice taken out of crushed pomegranate skin, papaya and neem leaves are said to be good for generation of platelets. Doctors merely advise patients to have any fruit. Though benefits of pomegranate and papaya have been well known, the benefits of papaya leaf juice is a new development.

People who have taken papaya leaf juice have spoken of dramatic rise in blood platelet count: for example, from 30,000 to 2 lakh; and from 80,000 to 3.5 lakh, within 24 hours. In Kerala, I am told that not just ayurvedic doctors, but allopathic doctors too, are advising patients to have the papaya leaf juice. I was advised by a couple of nurses to give the juice to my wife. I am also told that tender papaya leaves are being sold at a premium in Kerala.  

In the hospital where my wife was being treated, a patient was being given papaya leaf juice right from day one. But that didn't help much, it looks like, since her platelet count went down to 15,000 and she had to be administered platelets twice. But after she was cured of the infection, the count went up dramatically fast: from 55,000 to 1,30,000.

There is no well-validated and documented scientific backing for this. It's merely an anecdotal evidence. Allopathic doctors are not very forthcoming in giving any credence to this. Ayurvedic doctors say there is an urgent need to research thoroughly the correlation. 

Doctors say once the virus is out of the body and the infection is over, the platelet count will naturally increase with normal food. But most patients tend to have lot of pomegranate and papaya, as part of the diet; and some go a step further and include the juice from crushed papaya leaves. So whether the rise in platelet count is a natural phenomenon or aided by fruit and juice is not clear.

One way of looking at it is: any way the platelet counts will increase once the infections is gone; and the other way of looking at it is: the fruit and juice have played a role. Until a proper scientific investigation is carried out, we wouldn't know for sure the effect.

The effect of any medicine depends a lot on the individual's health. The effect of such remedies vary a lot from individual to individual.

(November 30, 2015 Update: My uncle has been admitted to Chaya Hospital, with viral infection and fever. Though dengue was ruled out, his platelet count is down to 65,000 because of the infection. Doctors have prescribed Caripill, which is made of papaya leaf extracts, in order to boost the platelet count. This means allopathic doctors are recommending this ayurvedic solution.)

How to prevent dengue?
Tough. since it's very easy for a mosquito to bite you, and it's very difficult to keep that one mosquito away. But the following steps could be helpful.
  • Don't allow yourself to be bitten by mosquitoes.
  • Regularly spray mosquito repellents.
  • If you are in a mosquito-prone area, apply some mosquito repellent on your skin. 
  • If there are too many mosquitoes, cover your body; and while sleeping use mosquito net, since the effect of the repellent may not last too long. 
  • Don't allow water to stagnate. Keep changing the water in plant pots.
Related literature:

MY WIFE'S CASE

Wednesday, June 5
She got fever on Wednesday (June 5) morning. She had Crosin. The fever didn't go.

Saturday, June 8
After 72 hours, we went to Manipal Hospital at 9 am on Saturday. She was asked to take a blood and urine test. When we got the results at 12.30 pm, we found that all her parameters were normal, except the blood platelet count. It was 1,20,000. It should be at least 1,50,000. She was advised to get admitted to hospital. A specific test for dengue was also ordered.

Manipal Hospital has been seeing a rush of dengue cases. A lot of patients were also being referred to the hospital by smaller hospitals and clinics. There was no bed available and we were asked to call up at 5 pm. Luckily we got. She was admitted around 7.30 pm.

She was put on IV fluids, and given Dolo 650 (Paracetamol) and Folvite (folic acid) tablets. Her appetite had reduced to near nil.

Sunday, June 9
She had nausea and wasn't able to eat solid food. So the dietician ordered semi-solid food like kanji (porridge) of rice, rava, raagi etc, and soup. She was also having pomegranate and papaya.

On Sunday at 5 am, her platelet count come down to 90,000. By evening the fever and blood pressure, which was low, had satablilized.

Seeing the way her platelet count was dropping, I networked among my friends to look for papaya leaves. I thought, if papaya leaf juice has to be taken, then why not early enough, rather than when her condition had serious.

Monday, June 10
On Monday at 5 am, the count dropped to 35,000. In retrospect, arranging for papaya leaves the previous day, was a good move. Since her count had dropped below 50,000, her blood sample was taken at 5 pm. Her count hadn't dropped in 12 hours. It was the same 35,000.

By evening, I got the papaya leaves. Since we couldn't mash it and get the juice then, around 5.30 pm, she took three leaves and chewed them to get the juice out, and spat out the leaves, like bubble gum.

Since she had the leaves after the blood sample was taken, the leaves didn't have any role in arresting the fall of platelet counts. May be pomegranate and papaya and the water she had did.

Tuesday, June 11
The next day, Tuesday morning at 5 am, the count had gone up to 38,000. She had a teaspoon of papaya leaf juice around 11 am. Blood sample was taken at 5 pm. The count had gone up to 54,000. She was also regularly having lots of pomegranate and also papaya, and lots of water.

Wednesday, June 12
On Wednesday, at 5 am, her count went up to 65,000. I thought she would be discharged on Wednesday. But doctor said it was better her count goes up to at least 80,000. No sample was taken in the evening.

Thursday, June 13
Thursday, at 5 am, the sample was again taken at 5 am. Her count had gone up to 1,28,000. May be the juice had some effect in boosting the platelet count by 90,000 in 48 hours. She was discharged yesterday around 2 pm.

She is very weak. Recovery will take a lot of time. She will have to take a lot of fluids, and may be another round of papaya leaf juice.

MY SUGGESTIONS:
  • If you get fever, especially when there are lot of dengue cases in your city, don't ignore fever. If it doesn't subside within two days, go to a doctor.
  • Don't panic. Even if the doctor suspects it's dengue, and later it is confirmed it's so, don't panic. Do get admitted to a hospital, where your platelet count can be regularly monitored.
  • Drink lots of fluids -- water and fruit juice.
  • Have lots of pomegranate and papaya. If you can get papaya and neem leaves, do arrange for them. Wash the leaves very well. Mash them in mixie with a little water, filter it, and have the juice. Even if there may not not be any good, there won't be any harm.
  • Recovery will take its time. Eat whatever you feel like. Drink lots and lots of fluid.

67 comments:

  1. My best wishes for a speedy recovery.

    ReplyDelete
  2. Hope your wife recovers quickly. Thanks for the detailed information.

    ReplyDelete
  3. Thank you..wish your wife a speedy recovery

    ReplyDelete
  4. I read the post after seeing the post by Rajkumar.
    There is a serious methodological flaw and the conclusion is flawed.

    a) The randomization method is not valid. They did not have a randomization sequence to begin with. They might have perhaps thought they were using permuted block design but this is not the way to go about it (in fact they have done exactly what students are taught not to do as a negative example). The envelopes must be prepared based on an a priori generated sequence by a third party and the envelopes must be numbered serially to avoid bias in allotment of envelopes.
    Randomization is sequence is the most sacrosanct thing in an open label study that minimizes bias in allotment.

    Then if you look at Table 2 you will see that there is no consistent trend with topsy turvy results. The overall treatment effect is not significant (table 3)

    Rest of everything they quote is cherry picking.

    Poor quality study with over enthusiastic interpretation.

    ReplyDelete
  5. Papaya leaves, pomegranate juice all are effective. One day United States will patent them and sell to us on exorbitant rates.Let us wait for that. Wish speedy recovery.

    ReplyDelete
  6. Thanks for sharing this...my friend was admitted to hospital for fever and decrease in platelets so happen to browse about dengue, was very useful thanks a lot...

    ReplyDelete
    Replies
    1. Thanks Vinod. Glad to know that this article was useful.

      Delete
  7. Thanks Pradeep for this detailed post.. It is really motivating for a person who is undergoing this medical condition.

    ReplyDelete
  8. Dear Pradeep,

    Really informative and useful report. I was searching on the web about Dengue when yesterday evening we my daughter tested positive for Dengue. We will get the detailed report in the afternoon and will admit her to the hospital.

    ReplyDelete
    Replies
    1. Nothing to worry, Suresh. Wishing your daughter well.

      Delete
  9. The information provided by you is really helpful. Thanks a lot!

    ReplyDelete
  10. my platelets has been dropping since 6 days to 62k.
    When i approached Safderjung hospital new dethi doctors here told me wait til 20k the time time when bleeding starts. We cant admit til that statge.
    Can any one explain me, are doctors of safdurjung authorized to deny admission on this ground

    Rahim

    ReplyDelete
  11. Only a doctor will be able to tell if and when a patient needs to get admitted.
    But I know a two of my friends who got dengue, but didn't get admitted to a hospital. They merely got their blood tested from at a nearby lab, and drank lots of lots of fluids.
    Wishing you a speedy recovery.

    ReplyDelete
  12. Thanks for a very detailed Post .. will be useful to many I am sure. You can also find a - seemingly - well researched investigation on this at :

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3614241/

    Have also cited you at :

    http://www.getjoy.in/talk/Thread-Dengue-Dawa-Natural-Treatment-for-Dengue

    along with a Hindi version...people interested may see/post their comments therein.

    Hoe your wife is fully recovered.

    ReplyDelete
    Replies
    1. Glad to know that the article was of use. :-)

      Delete
  13. I liked this statement--
    "Her illness gave me an opportunity to learn about the disease."

    ReplyDelete
  14. Thank you so much Pradeep ji...... this is very useful for me now.... because my sister is admitted in hospital due to dengue fever so it is very helpful for me to take care of her by your instructions...... Thanks Again

    ReplyDelete
  15. Dear Pradeep,

    your statement that "There is no well-validated and documented scientific backing for this" Papaya leaf extract is not truly right. you may refer to many of the medical journals which has published this findings, http://www.dhakatribune.com/wellness/2013/aug/30/papaya-leaf-juice-cure-dengue-fever

    regards
    Jayen

    ReplyDelete
    Replies
    1. Ever since this post was written, there has been lot of development regarding relationship between papaya leaf extract and platelet levels. Of late, I have been seeing many doctors prescribing Caripill tablets (which is nothing but papaya leaf extracts) for patients who have low platelet counts.

      Delete
  16. Hi, I liked this blog very much..we also manufacture and supply Mosquito Bat in India.
    Thanks for sharing with us.

    ReplyDelete
  17. dear Pradeep,
    very enlightening!
    i am treating my four year old at home itself for dengue. papaya leaves juice, pomegranates, kiwis and dragon fruit are all miracles that boost the platelet count. and keeping the patient hydrated is of utmost importance as water mobilizes and throws toxins out of the body, also providing fuel to the platelets. am monitoring her platelets every 48 hours. am also giving her enerzal (just like electral) which she keeps sipping through out the day. also coaxing and cajoling while feeding her palak, carrots, broccoli, eggs and crab meat rich food is making a difference too!
    the rest is precautions...and prayers.
    thank you.
    god bless.
    thank u so much.

    ReplyDelete
  18. Nice post, I bookmark your blog because I found very good information on your blog, Thanks for sharing

    Quality Services & Training Pvt.Ltd.

    ReplyDelete
  19. Thank you very much for sharing such a usefull information

    ReplyDelete
  20. The mosquitoes just want to have fun as well. Drinking beer is going to make you more attractive to Australian mosquitoes but certainly the more you drink the less likely you will remember to put on repellent. To prevent from mosquito bites, visit mosquito net for windows

    ReplyDelete
  21. Very informative post review. I am pleased to have come accross this article. I was eagerly looking for a post that give such information. Keep it up.
    I have some relevant information you can review below.
    Apotheke Langenhagen

    ReplyDelete
  22. Very good article! Helped alot. I am also suffering from dengue and getting discharged today! Even my case was exactly the same with respect to no. of days and platelet counts! Thank you!

    ReplyDelete
  23. Excellent compilation and sharing of first hand experience. Best wishes for a speedy recovery.

    Last few days I was in similar state of mind when my wife had similar symptoms. Luckily her platelet count did not fall below threshold.

    Take lot of buttermilk also during fever to ward off the medicine side effects.

    ReplyDelete
  24. Papaya Leaves in Dengue Fever: Is
    there Scientific Evidence?
    With the recent dengue outbreak, the use of papaya leaves
    as natural cure for dengue has received much interest
    among the public, and in the lay press [1]. Being easily
    available and affordable, the use of papaya leaves occurs
    indiscriminately. The physician however remains unclear
    of his or her stand on the issue.
    The therapeutic effects of aqueous extract of papaya
    (Carica papaya) leaves are presumed to be due to several
    active components such as papain, chymopapain,
    cystatin, L-tocopherol, ascorbic acid, flavonoids,
    cyanogenic glucosides and glucosinolates. These are
    antioxidants that reduce lipid peroxidation, exhibit antitumor
    activity and immune modulatory effects [2].
    Animal studies suggest that papaya leaf extracts have
    potential therapeutic effect on disease processes causing
    destabilization of biological membranes as they inhibit
    hemolysis in vitro [3] and may cause increased platelet
    and red blood cell counts [4]. A recent open-labelled trial
    from Malayasia demonstrated significantly higher
    platelet count after 40-48 hours of first dose of papaya
    leaves’ juice [5]. Others have also reported encouraging
    findings. In spite of these small scale studies, the fact
    remains that dengue is a mostly a self-limiting disease
    with spontaneous increase in platelets during recovery.
    The role of papaya leaves cannot be scientifically
    substantiated based on a few positive preliminary reports.
    The need of the day is to commission high quality trials in
    humans to provide scientific evidence for or against
    papaya leaves. Herbal products are assumed to be safe
    because they are natural, but this assumption cannot be
    valued more than mere conventional wisdom. As
    reported, anticoagulant effect of warfarin was found to
    be potentiated after consuming an extract of Carica
    papaya [6].
    The purpose of this communication is not to raise
    questions on the use of herbal products for disease
    management, or to belittle the patients’ efforts to use all
    available measures, whether approved or not, to alleviate
    INDIAN PEDIATRICS 325 VOLUME 51__APRIL 15, 2014
    CORRESPONDENCE
    their suffering; but, a call to the research community to
    generate evidence so that any potential benefits are not
    discredited. The science must provide evidence to dispel
    myths and focus efforts on evidence-based management
    of dengue.
    NEETU SHARMA AND *DEVENDRA MISHRA
    Departments of Pediatrics, GR Medical College, Gwalior, and
    *Maulana Azad Medical College, Delhi, India.
    drneetuagarwal@gmail.com
    REFERENCES
    1. Home Cure for Dengue Death Sting. Available from: http:/
    /articles.timesofindia. indiatimes.com/2012-09-12/
    kolkata/33788187_1_platelet-dengue-patients-papaya.
    Accessed October 22, 2013
    2. Otsuki N, Dang N H, Kumagai E, Kondo A, Iwata S,
    Morimoto C. Aqueous extract of Carica papaya leaves
    exhibits anti-tumor activity and immunomodulatory
    effects. J Ethnopharmacology. 2010;127:760-7.
    3. Ranasinghe P, Ranasinghe P, Kaushalya M, Abeysekera
    WP, Sirimal Premakumara GA, Perera YS, et al. In vitro
    erythrocyte membrane stabilization properties of Carica
    papaya L. leaf extracts. Phcog Res. 2012;4:196-202.
    4. Dharmarathna SL, Wickramasinghe S, Waduge RN,
    Rajapakse RP, Kularatne SA. Does Carica papaya leafextract
    increase the platelet count? An experimental study
    in a murine model. Asian Pac J Trop Biomed. 2013;3:720-
    4.
    5. Subenthiran S, Choon TC, Cheong KC, Thayan R, Teck
    MB, Muniandy PK, et al. Carica papaya leaves juice
    significantly accelerates the rate of increase in platelet
    count among patients with dengue fever and dengue
    haemorrhagic Fever. Evid Based Complement Alternat
    Med. 2013;2013:616-737.
    6. Yaheya M, Ismail M. Herb-drug interactions and patient
    counseling. Internat J Pharmacy Pharmaceut Sci.
    2009;1:151-61.

    ReplyDelete
  25. Papaya Leaves in Dengue Fever: Is
    there Scientific Evidence?
    With the recent dengue outbreak, the use of papaya leaves
    as natural cure for dengue has received much interest
    among the public, and in the lay press [1]. Being easily
    available and affordable, the use of papaya leaves occurs
    indiscriminately. The physician however remains unclear
    of his or her stand on the issue.
    The therapeutic effects of aqueous extract of papaya
    (Carica papaya) leaves are presumed to be due to several
    active components such as papain, chymopapain,
    cystatin, L-tocopherol, ascorbic acid, flavonoids,
    cyanogenic glucosides and glucosinolates. These are
    antioxidants that reduce lipid peroxidation, exhibit antitumor
    activity and immune modulatory effects [2].
    Animal studies suggest that papaya leaf extracts have
    potential therapeutic effect on disease processes causing
    destabilization of biological membranes as they inhibit
    hemolysis in vitro [3] and may cause increased platelet
    and red blood cell counts [4]. A recent open-labelled trial
    from Malayasia demonstrated significantly higher
    platelet count after 40-48 hours of first dose of papaya
    leaves’ juice [5]. Others have also reported encouraging
    findings. In spite of these small scale studies, the fact
    remains that dengue is a mostly a self-limiting disease
    with spontaneous increase in platelets during recovery.
    The role of papaya leaves cannot be scientifically
    substantiated based on a few positive preliminary reports.
    The need of the day is to commission high quality trials in
    humans to provide scientific evidence for or against
    papaya leaves. Herbal products are assumed to be safe
    because they are natural, but this assumption cannot be
    valued more than mere conventional wisdom. As
    reported, anticoagulant effect of warfarin was found to
    be potentiated after consuming an extract of Carica
    papaya [6].
    The purpose of this communication is not to raise
    questions on the use of herbal products for disease
    management, or to belittle the patients’ efforts to use all
    available measures, whether approved or not, to alleviate
    INDIAN PEDIATRICS 325 VOLUME 51__APRIL 15, 2014
    CORRESPONDENCE
    their suffering; but, a call to the research community to
    generate evidence so that any potential benefits are not
    discredited. The science must provide evidence to dispel
    myths and focus efforts on evidence-based management
    of dengue.
    NEETU SHARMA AND *DEVENDRA MISHRA
    Departments of Pediatrics, GR Medical College, Gwalior, and
    *Maulana Azad Medical College, Delhi, India.
    drneetuagarwal@gmail.com
    REFERENCES
    1. Home Cure for Dengue Death Sting. Available from: http:/
    /articles.timesofindia. indiatimes.com/2012-09-12/
    kolkata/33788187_1_platelet-dengue-patients-papaya.
    Accessed October 22, 2013
    2. Otsuki N, Dang N H, Kumagai E, Kondo A, Iwata S,
    Morimoto C. Aqueous extract of Carica papaya leaves
    exhibits anti-tumor activity and immunomodulatory
    effects. J Ethnopharmacology. 2010;127:760-7.
    3. Ranasinghe P, Ranasinghe P, Kaushalya M, Abeysekera
    WP, Sirimal Premakumara GA, Perera YS, et al. In vitro
    erythrocyte membrane stabilization properties of Carica
    papaya L. leaf extracts. Phcog Res. 2012;4:196-202.
    4. Dharmarathna SL, Wickramasinghe S, Waduge RN,
    Rajapakse RP, Kularatne SA. Does Carica papaya leafextract
    increase the platelet count? An experimental study
    in a murine model. Asian Pac J Trop Biomed. 2013;3:720-
    4.
    5. Subenthiran S, Choon TC, Cheong KC, Thayan R, Teck
    MB, Muniandy PK, et al. Carica papaya leaves juice
    significantly accelerates the rate of increase in platelet
    count among patients with dengue fever and dengue
    haemorrhagic Fever. Evid Based Complement Alternat
    Med. 2013;2013:616-737.
    6. Yaheya M, Ismail M. Herb-drug interactions and patient
    counseling. Internat J Pharmacy Pharmaceut Sci.
    2009;1:151-61.

    ReplyDelete
  26. Thank you for this. God Bless!

    ReplyDelete
  27. Many tnx for the detailed post. My daughter 16 yrs had just got discharged. Uterly exhausted and is still tired. Body has to work and improve the energy which needs good food and rest.

    ReplyDelete
  28. Thanks for sharing ur experience.wish your wife a speedy recovery. my platelet count went down from 98 to 50. Started with pomegranate and papaya leaf extract.

    ReplyDelete
  29. Thanks for sharing ur experience.wish your wife a speedy recovery. my platelet count went down from 98 to 50. Started with pomegranate and papaya leaf extract.

    ReplyDelete
  30. Thanks Prasanth for the valuable post. My wife is also having high temperature and fever which won't subside with paracetamol. We had a CBC blood test this eve and just got the result stating that her platelets count is 151 thousands. Just above normal. She doesn't have any other symptoms for dengue.

    ReplyDelete
  31. Thanks Prasanth for the valuable post. My wife is also having high temperature and fever which won't subside with paracetamol. We had a CBC blood test this eve and just got the result stating that her platelets count is 151 thousands. Just above normal. She doesn't have any other symptoms for dengue.

    ReplyDelete
  32. hello sir...I am currently suffering from dengue fever...my platelet count decreased from 1,96000 to 1,70000...so would drinking papaya leaf juice increase my platelet count within 24 hours if taken in 2 hours dosage???

    ReplyDelete
  33. Beware of Papaya Leaf Extract, though. It does not work uniformly for everyone. I gave it to my mom and the platelet count dropped by almost 100000. It doesn't work for everyone so please keep this in mind.

    ReplyDelete
  34. May and June are not Summers in India , they are more of mosquito season , Specially dengue , a life threatening and life taking disease. Indians still go for home remedies to increase platelet counts rather than going to a doctor, they rely on papaya leaves juice and its really effective as well. It increases the platelets count.

    ReplyDelete
  35. This comment has been removed by the author.

    ReplyDelete
  36. You are right pradeep. Papaya fruit is good to increase blood platelets faster than normal. I was infected twice by dengue and papaya was the only friend of my at down time. disease spread by mosquito

    ReplyDelete
  37. Dengue infection is a leading cause of death and sickness in tropical and subtropical parts of the world. Dengue is caused by one of four viruses that are transmitted by the bite of an infected mosquito. Dengue hemorrhagic fever is a more serious form of dengue infection.

    ReplyDelete
  38. How to identify whether platelets are in normal or i have to check rergulararly2

    ReplyDelete
  39. Recently my son was Hospitalized with dengue fever.
    He suffered with hedache, body , vomitings
    After continous sympotoms finally conirmed as dengue
    This is my son hustory

    ReplyDelete
  40. What are regular diet reqd for vegitarians particulkarlky for low platelet count

    ReplyDelete
  41. What are regular diet reqd for vegitarians particulkarlky for low platelet count

    ReplyDelete
  42. How to identify whether platelets are in normal or i have to check rergulararly2

    ReplyDelete
  43. Thanks for the blog, I found it very useful. My wife was recently tested positive for Dengue and we started the concoction of Papaya leaf and Giloy (from Patanjali). It definitely has helped tremendously. If started in very initial stage, the platelet count does not fall below 1 lacs.

    ReplyDelete
  44. VERY GOOD AND APRAISEABLE TOPICS

    ReplyDelete
  45. Thanks Pradeep for your nice info. It help a lot.

    ReplyDelete
  46. I'm suffering from dengue... Presently admitted in hospital & In place of direct papaya juice I'm having caripill tablets will that be good

    ReplyDelete
    Replies
    1. I am NOT a doctor. However, I have seen Caripill tablets being prescribed by doctors for people who have low platelet counts.
      But since I am not a doctor, please consult a physician and follow the advice she gives.

      Delete
  47. Thank you so much for sharing, and for the detailed information

    ReplyDelete
  48. Thank you so much for all the detailed information. God bless

    ReplyDelete
  49. Thanks for giving detailed information

    ReplyDelete
  50. Helpful here in Pakistan, Thanks a lot.

    ReplyDelete
  51. That's really awesome blog because i found there lot of valuable Information and i am very glad that you share this blog with us.ot table manufacturer in delhi

    ReplyDelete
  52. Excellent blog very nice and unique information related to Beclovent. Thanks for sharing this information.ot table manufacturer in delhi

    ReplyDelete
  53. Excellent and decent post. I found this much informative, as to what I was exactly searching for. Thanks for such post and please keep it up.ot table manufacturer in delhi

    ReplyDelete
  54. thanks for sharing your blog ,its very good content by reading this blog we got cleared our minds.. Find best general physician in kolkata

    ReplyDelete