Q. What causes abdominal discomfort in individuals with dengue fever?
Doctor Answer is medically reviewed by SecondMedic medical review team.
Abdominal pain can be a symptom of dengue fever, but it is not the most common or prominent symptom. Dengue fever is primarily characterized by high fever, severe headache, joint and muscle pain, rash, and other symptoms. However, abdominal pain can occur in some dengue patients due to several reasons:
1. Enlarged Liver: Dengue infection can cause the liver to become enlarged, a condition known as hepatomegaly. The enlarged liver can lead to discomfort or mild pain in the upper right side of the abdomen.
2. Enlarged Spleen: Similar to the liver, the spleen can also become enlarged during a dengue infection (splenomegaly). This can result in left upper abdominal pain or discomfort.
3. Gastrointestinal Symptoms: Some dengue patients may experience gastrointestinal symptoms such as nausea, vomiting, or diarrhea, which can be accompanied by abdominal pain.
4. Bleeding and Hemorrhage: In severe cases of dengue infection, particularly in the form known as dengue hemorrhagic fever (DHF) or dengue shock syndrome (DSS), bleeding tendencies can occur. Gastrointestinal bleeding, which may lead to abdominal pain and bloody stools, can be a serious complication.
5. Complications: Dengue can lead to complications involving various organ systems, including the liver and gastrointestinal tract. These complications can cause abdominal pain as a secondary symptom.
It's important to note that abdominal pain alone is not a definitive sign of dengue fever. Dengue diagnosis typically relies on a combination of symptoms, along with laboratory tests to detect the virus or antibodies in the blood. If you or someone you know experiences symptoms of dengue, particularly if they are severe or accompanied by bleeding, it's important to seek medical attention promptly.
Severe dengue cases can be life-threatening, so early detection and appropriate medical care are crucial for a better prognosis. Dengue treatment primarily focuses on supportive care to manage symptoms, maintain hydration, and monitor for complications.
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