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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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Read FAQs

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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How to Prevent Food Poisoning in Monsoon

Monsoon brings relief from the heat—but along with cool breezes and rains come increased chances of infections, especially food poisoning. The high moisture in the air creates a perfect breeding ground for bacteria, making food more likely to spoil and cause illness.

In this article, we’ll help you understand how to stay safe with easy, practical tips on how to prevent food poisoning in monsoon.

Why Is Food Poisoning So Common in Monsoon?

The damp and humid conditions during the rainy season promote bacterial and fungal growth. This contamination can easily affect the food we eat and the water we drink.

Common causes of food poisoning in monsoon include:

Eating contaminated street food
Drinking unfiltered or untreated water
Improper storage or refrigeration
Eating undercooked or reheated leftovers

Symptoms can range from mild stomach pain to vomiting, diarrhea, and fever—and can become serious if not treated on time.

How to Prevent Food Poisoning in Monsoon: Easy Tips

Let’s go step by step into what you should do (and not do) during this season to avoid foodborne illness:

1. Avoid Street Food and Raw Salads

Street vendors often use unclean water and keep food exposed to dust, flies, and pollution. In monsoon, this risk becomes even higher.

What to avoid:

Chaat, golgappas, sandwiches from carts
Cut fruits or raw vegetables sold outside
Juices from roadside stalls

Instead, eat home-cooked meals where you can control the hygiene.

2. Drink Only Boiled or Purified Water

Unfiltered water is a major cause of stomach infections during monsoon. Make sure your drinking water is:

Boiled for 10 minutes, or
Filtered using a RO/UV purifier, or
Packaged from a trusted brand

Avoid consuming water-based drinks like sherbets or ice made with unclean water.

3. Eat Fresh and Hot Food

In monsoon, bacteria multiply quickly. Avoid eating food that has been left out for hours.

Tips:

Eat freshly cooked meals while still warm
Avoid reheating food multiple times
Don't leave cooked food at room temperature for more than 2 hours

4. Refrigerate Perishables Quickly

Your fridge is your best friend in this season—but only if you use it right.

Refrigeration tips:

Store cooked food in airtight containers
Don't keep raw meat and vegetables together
Use leftovers within 24 hours
Check for expired or spoiled food regularly

5. Clean Fruits and Vegetables Properly

Rainwater often brings mud and germs to fresh produce. Even greens from the market can carry bacteria and insect eggs.

Cleaning tips:

Wash produce thoroughly with clean water
Use salt water or vinegar soak for 10–15 minutes to disinfect
Peel fruits like mangoes and bananas before eating
Avoid leafy vegetables that are difficult to clean, like spinach and lettuce

6. Practice Good Kitchen Hygiene

Contamination often starts in your kitchen.

Hygiene habits to follow:

Wash hands before and after handling food
Keep utensils and chopping boards dry and clean
Don't let water collect on kitchen surfaces
Wash dish cloths and sponges regularly

Related Health Checkups to Consider

If you're experiencing stomach problems or want to monitor your digestive health during monsoon, these lab tests (available via SecondMedic powered by Thyrocare) may help:

???? Complete Blood Count (CBC)

Checks for infections or inflammation.

???? Stool Routine & Culture Test

Detects bacterial infections, parasites, or digestive disorders.

???? CRP Test (C-Reactive Protein)

Shows whether your body is fighting an infection.

???? Food Intolerance Test

For people with recurring food-related digestive issues.

All tests come with home sample collection and online report access at www.secondmedic.com.

Foods You Can Eat During Monsoon

Here are some healthy, safe food choices during the rainy season:

Warm soups and khichdi – light and easy to digest
Steamed vegetables – safer than raw
Ginger tea – helps digestion
Turmeric milk – natural immunity booster
Boiled eggs or well-cooked lean meat

Avoid oily, uncooked, or refrigerated food that’s more than a day old.

Conclusion

Monsoon brings beauty, but also bacteria. Staying safe is all about being smart with your food and water. By following simple hygiene rules and eating fresh, clean food, you can enjoy the season without worrying about stomach issues.

Be alert, eat smart, and protect your family by following these tips on how to prevent food poisoning in monsoon.

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