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Published on: Jul 24, 2024
3 minute read
By: SecondMedic Expert

Why Dengue Fever Causes Low Platelet Counts And How To Manage It

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Dengue fever, a mosquito-borne viral infection, has become a significant public health concern in many tropical and subtropical regions. One of the hallmarks of severe dengue is a drop in platelet count, which can lead to serious complications. Understanding why dengue fever causes low platelet counts and how to manage this condition is crucial for anyone living in or traveling to affected areas.

Understanding Dengue Fever

Dengue fever is caused by the dengue virus, which is transmitted primarily by Aedes aegypti mosquitoes. The virus has four distinct serotypes (DENV-1, DENV-2, DENV-3, and DENV-4). Infection with one serotype usually provides lifelong immunity against that specific type, but only partial and temporary immunity against the others. Subsequent infections with a different serotype increase the risk of severe dengue, including dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS).

Why Dengue Fever Causes Low Platelet Counts

Platelets are small blood cells that play a crucial role in blood clotting. A normal platelet count ranges from 150,000 to 450,000 platelets per microliter of blood. Dengue fever often leads to a significant drop in platelet count, a condition known as thrombocytopenia. There are several reasons for this:

1. Bone Marrow Suppression: The dengue virus can infect and impair the bone marrow, which is responsible for producing blood cells, including platelets. This leads to reduced platelet production.

2. Increased Platelet Destruction: The virus and the immune response it triggers can increase the destruction of platelets. The body’s immune system mistakenly targets platelets, thinking they are infected cells.

3. Increased Utilization: In severe dengue, there is increased leakage of plasma from the blood vessels. To combat this, the body uses up more platelets for clotting, leading to lower counts in the bloodstream.

4. Splenic Sequestration: The spleen may sequester or hold onto more platelets than usual in dengue fever, reducing the number of platelets circulating in the blood.

Symptoms of Low Platelet Count

A low platelet count can lead to several symptoms, which may vary in severity:

- Easy bruising

- Petechiae (small red or purple spots on the skin)

- Bleeding gums or nosebleeds

- Blood in urine or stools

- Heavy menstrual bleeding

- Fatigue and weakness

In severe cases, internal bleeding and shock can occur, which are life-threatening conditions requiring immediate medical attention.

How to Manage Low Platelet Counts in Dengue Fever

Managing low platelet counts in dengue fever involves several strategies aimed at supporting the patient until their body recovers. Here are some key approaches:

1. Hydration

Maintaining adequate hydration is crucial. Fluids help maintain blood volume and support overall bodily functions. Oral rehydration solutions, coconut water, and plain water are often recommended. In severe cases, intravenous (IV) fluids may be necessary.

2. Monitoring Platelet Counts

Regular monitoring of platelet counts is essential to assess the severity of thrombocytopenia. This helps healthcare providers decide on the necessary interventions and monitor recovery.

3. Medications

There are no specific antiviral medications for dengue. However, supportive care includes:

Acetaminophen: To reduce fever and relieve pain. Avoid nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and aspirin, as they can increase the risk of bleeding.

Platelet Transfusions: In cases of very low platelet counts or significant bleeding, platelet transfusions may be necessary.

4. Rest and Nutrition

Adequate rest and proper nutrition support the body's recovery. A balanced diet rich in fruits, vegetables, and lean proteins can help maintain energy levels and support immune function.

5. Avoiding Certain Foods and Activities

Patients with low platelet counts should avoid activities that can increase the risk of bleeding, such as contact sports. Additionally, foods that may thin the blood, like garlic and ginger, should be consumed in moderation.

6. Natural Remedies

Some natural remedies are believed to help increase platelet counts, although scientific evidence is limited. These include:

Papaya Leaf Extract: Some studies suggest that papaya leaf extract can help increase platelet counts.

Pomegranate and Kiwi: These fruits are rich in vitamins and antioxidants that support overall health.

Preventing Dengue Fever

Preventing dengue fever is the best way to avoid complications like low platelet counts. Preventive measures include:

Mosquito Control: Eliminate standing water around your home, use mosquito repellents, and install screens on windows and doors.

Protective Clothing: Wear long-sleeved shirts, long pants, socks, and shoes when outdoors.

Vaccination: In some regions, a dengue vaccine is available and recommended for individuals who have had a previous dengue infection.

Conclusion

Dengue fever and its complications, such as low platelet counts, pose significant health challenges in many parts of the world. Understanding the reasons behind thrombocytopenia and implementing effective management strategies can help mitigate the risks and support recovery. By taking preventive measures and staying informed, individuals can reduce their risk of dengue fever and its potentially severe consequences.

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A. Dengue fever causes low platelet counts due to bone marrow suppression, increased platelet destruction, increased utilization for clotting, and splenic sequestration. The dengue virus affects the body's ability to produce and maintain adequate platelet levels.

A. Managing low platelet counts involves staying hydrated, monitoring platelet levels, taking acetaminophen for fever and pain, resting, eating a nutritious diet, and avoiding activities and foods that increase bleeding risk. In severe cases, platelet transfusions may be necessary.

A. Signs of a low platelet count include easy bruising, petechiae (small red or purple spots on the skin), bleeding gums or nosebleeds, blood in urine or stools, heavy menstrual bleeding, fatigue, and weakness. In severe cases, internal bleeding and shock may occur.

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Secondmedic Lunch & Learns: How Combining Skill Building and Health Education Transforms Workplace Wellness

Corporate wellness is no longer limited to annual health checkups or fitness challenges. Modern organisations recognise that sustained employee wellbeing requires continuous learning, awareness and engagement. Secondmedic Lunch & Learns are designed around this philosophy, bringing together skill development and health education in a format that is practical, engaging and easy to implement.

By using informal lunchtime sessions, organisations create a safe, relaxed environment where employees can learn, ask questions and apply knowledge immediately.

What Are Lunch & Learn Sessions?

Lunch & Learn sessions are short, focused learning programs conducted during lunch hours.

They:

minimise disruption to work
encourage voluntary participation
promote informal learning

Secondmedic enhances this format by integrating health education with essential workplace skills.

Why Combine Skill Development with Health Education?

Health and performance are deeply interconnected.

Employees who understand:

stress management
nutrition
ergonomics
mental wellbeing

are better equipped to:

focus
collaborate
perform consistently

NITI Aayog workforce reports highlight that health literacy directly influences productivity and engagement.

The Growing Need for Workplace Health Education in India

India faces a rising burden of lifestyle diseases.

According to ICMR and NFHS-5:

a large portion of the working population has undiagnosed risk factors
stress and sedentary behaviour are increasing
health awareness remains low despite access to information

Workplaces offer the ideal platform for preventive health education.

How Secondmedic Lunch & Learns Are Structured

Secondmedic Lunch & Learns follow a structured yet flexible format:

short expert-led presentations
interactive discussions
real-life case examples
practical takeaways

Sessions are designed to be concise, engaging and actionable.

Health Topics Commonly Covered

Health education topics include:

preventive health and early detection
stress and mental wellbeing
nutrition for working professionals
sleep health and fatigue management
posture and ergonomic safety

These topics address everyday challenges faced by employees.

Skill-Focused Learning Areas

Alongside health, sessions also support professional growth through:

communication skills
time and energy management
resilience and adaptability
decision-making under pressure

This dual focus enhances overall workplace capability.

Benefits for Employees

Improved Health Awareness

Employees learn how daily habits affect long-term health.

Practical Skill Application

Skills taught can be used immediately at work and home.

Higher Engagement

Interactive sessions increase participation and interest.

Reduced Stress

Knowledge empowers employees to manage stress better.

Benefits for Employers

Stronger Wellness Culture

Learning-driven wellness signals genuine organisational care.

Better Productivity

Healthy, skilled employees perform more consistently.

Reduced Absenteeism

Preventive education lowers illness-related leave.

High ROI Initiative

Lunch & Learns are cost-effective and scalable.

EY-FICCI reports show that preventive wellness programs deliver long-term savings for organisations.

Why Lunch Hours Work Best

Lunchtime sessions:

feel informal and relaxed
encourage open participation
avoid meeting fatigue

Employees are more receptive when learning is integrated naturally into the day.

Virtual and Hybrid Lunch & Learns

Secondmedic adapts sessions for:

in-office teams
remote employees
hybrid workplaces

This ensures consistent learning experiences across locations.

Role of Medical and Subject Experts

Sessions are led by:

doctors
nutritionists
mental health professionals
trained facilitators

Expert-led content ensures accuracy and trust.

Encouraging Behaviour Change Through Education

Information alone does not drive change.

Secondmedic focuses on:

practical examples
small habit shifts
realistic goal setting

Lancet behaviour change studies confirm that interactive education improves long-term adherence.

Measuring Impact of Lunch & Learns

Organisations often observe:

higher session attendance
improved employee feedback
increased health screening participation
better engagement scores

These metrics demonstrate sustained value.

Aligning Lunch & Learns with Preventive Healthcare

Lunch & Learns complement:

preventive health checkups
wellness campaigns
digital health initiatives

They reinforce messages and encourage proactive health decisions.

Customisation for Organisational Needs

Secondmedic customises sessions based on:

workforce demographics
industry-specific risks
organisational goals

Tailored content improves relevance and impact.

Long-Term Value of Continuous Learning

Wellness is not a one-time intervention.

Regular Lunch & Learns:

reinforce healthy behaviours
build long-term awareness
create a learning culture

WHO emphasises continuous education as a pillar of workplace health promotion.

Conclusion

Secondmedic Lunch & Learns represent a modern, effective approach to corporate wellness by combining skill development with health education. These sessions empower employees with knowledge that improves both personal wellbeing and professional performance. Easy to implement, cost-effective and highly engaging, Lunch & Learns help organisations build healthier, more capable and more loyal teams. When learning and wellbeing come together, workplaces thrive.

References

Indian Council of Medical Research (ICMR) – Workplace Health and Lifestyle Studies
National Family Health Survey (NFHS-5) – Adult Health and Risk Factor Data
World Health Organization (WHO) – Workplace Health Promotion Guidelines
Lancet – Health Education and Behaviour Change Research
NITI Aayog – Workforce Productivity and Preventive Health Reports
EY-FICCI – Corporate Wellness and Employee Engagement Studies

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