Call / Whatsapp
+918447748545

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

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

Book Doctor Consultation

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.

Book Doctor Consultation

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.

Read Blog

Best Treatment Options for IBS in India

Irritable Bowel Syndrome (IBS) is a common digestive condition that affects millions of people across India. If you often suffer from stomach pain, bloating, constipation, or diarrhea, you may be dealing with IBS. While it can be frustrating and affect your daily life, the good news is that IBS can be managed effectively with the right approach.

In this blog, we will cover the best treatment options for IBS in India, from diet changes to ayurvedic solutions and advanced diagnostic tests.

What is IBS?

IBS (Irritable Bowel Syndrome) is a chronic digestive disorder that affects how your gut functions. Unlike other diseases, IBS doesn’t damage the digestive tract, but it causes uncomfortable symptoms that come and go.

Causes of IBS

The exact cause of IBS is not fully understood, but common factors include:

Gut-brain axis dysfunction
Stress and anxiety
Hormonal changes
Food intolerances (e.g., lactose, gluten)
Gut infections
Poor dietary habits

Common Symptoms of IBS

Abdominal pain or cramps
Gas and bloating
Diarrhea, constipation, or both
Changes in bowel movements
Mucus in the stool
Fatigue or sleep problems

Symptoms vary for each person and often get worse after eating or during times of stress.

Best Treatment Options for IBS in India

IBS treatment focuses on relieving symptoms, as there is no one-size-fits-all cure. Here are the top treatment approaches used across India:

1. Dietary Changes

One of the most effective ways to manage IBS is through food:

Follow the Low FODMAP Diet

FODMAPs are carbohydrates that are hard to digest and cause gas. The Low FODMAP diet helps reduce symptoms by eliminating:

Onions, garlic
Beans, lentils
Dairy
Wheat
Processed foods

Slowly reintroduce foods with the help of a nutritionist.

Eat Small, Frequent Meals

Instead of large meals, eat smaller portions 4–5 times a day.

Stay Hydrated

Drink 8–10 glasses of water daily to ease digestion and prevent constipation.

2. Probiotics and Supplements

Probiotics are good bacteria that help restore balance in your gut.

Brands like Darolac, Sporlac, VSL#3 are commonly used in India.
Fiber supplements (like Isabgol) help relieve constipation.
Peppermint oil capsules may soothe gut muscles.

Always consult your doctor before starting supplements.

3. Prescription Medications

Depending on the symptoms, doctors in India may prescribe:

Antispasmodics (e.g., Drotaverine, Mebeverine) – for cramps
Laxatives (e.g., Lactulose) – for constipation
Anti-diarrheal drugs (e.g., Loperamide) – for diarrhea
Tricyclic antidepressants – to reduce gut sensitivity

Medication should be used only under medical supervision.

4. Ayurvedic Treatment for IBS

India offers powerful traditional options through Ayurveda. Herbs used include:

Kutaj – for diarrhea
Bilva – for digestion
Triphala – for bowel regularity
Jeeraka and Musta – reduce bloating

Ayurvedic treatment focuses on balancing the vata, pitta, and kapha doshas. Always choose certified practitioners.

5. Stress Management Techniques

Since stress and anxiety worsen IBS, it’s important to care for your mental health:

Yoga – especially poses like Pawanmuktasana and Vajrasana
Meditation and Pranayama
Cognitive Behavioral Therapy (CBT)
Counseling for teenagers or working professionals under pressure

Mind-body techniques are especially useful in Indian urban settings.

Recommended Lab Tests (Available on SecondMedic with Thyrocare)

To rule out other conditions and get clarity on your gut health, the following tests are helpful:

Thyroid Profile (T3, T4, TSH) – to rule out hypothyroidism
Vitamin D & B12 Tests – deficiencies can mimic IBS
Liver and Kidney Function Tests – rule out other digestive diseases
Stool Occult Blood Test / Calprotectin – if symptoms persist
Aarogyam C Panel by Thyrocare – a full metabolic and vitamin panel

These tests are available at affordable rates with home sample collection via SecondMedic.

When to See a Doctor

Consult a gastroenterologist if:

Your symptoms last more than 4 weeks
You see blood in stool
You have rapid weight loss
You're losing sleep due to stomach pain

Early diagnosis prevents long-term damage and reduces emotional distress.

IBS Products Commonly Found in India

Isabgol (Psyllium husk) – for fiber
Probiotic sachets – Darolac, Vizylac
Ayurvedic syrups – Baidyanath Abhayarishta, Himalaya Triphala
Peppermint capsules – natural antispasmodic
Stress-relief teas – chamomile, tulsi

Conclusion

IBS can feel overwhelming, but with the right approach, it is very manageable. From diet changes and probiotics to Ayurveda and stress relief, you have many tools to regain control.

India offers a unique blend of modern and traditional therapies. Whether you're in a metro city or a small town, access to affordable tests and holistic treatments is improving every day.

If you’re struggling with IBS symptoms, talk to a doctor, get tested, and explore a personalized treatment plan. You don’t have to live in discomfort.

Explore the best treatment options for IBS in India and take the first step toward a healthier gut today.

Request A Callback

+91

By using this website/app, I confirm that I am at least 18 years old and consent to the processing of my personal data in accordance with the Terms of Service, Privacy Policy, and Declaration.