I'm feeling really confused and worried right now. I had a fever and took a paracetamol tablet at night, then ended up sweating a lot. I thought it might be some reaction to the tablet, but the next morning I woke up feeling really cold. I decided to go to the hospital, and the consultant told me its because of viral fever. Ive always thought that the main symptom of a viral infection would be a runny nose. Am I wrong about that? I got a blood test done, and the results were all normal, but the doctor still wants me to come back in two days to check my platelets. What do you think is going on?

Dr Kareemulla Shaik

General Practitioner

• MBBS
• 0+ Yrs

Consult Now

Dengue fever concerns:

Immediate Action:

1. Hospitalize your sister if possible, especially with severe symptoms.
2. Consult the doctor who diagnosed her for guidance.

Temperature Management:

1. Continue Paracetamol (PCM) and Pan (anti-pyretic) as prescribed.
2. Monitor temperature closely.
3. Consider IV fluids and medication in a hospital setting.

Platelet Count (2lacs):

1. Closely monitor platelet count.
2. Transfusion may be necessary if count drops below 1 lac.

Dietary Advice:

1. Fluid-rich foods:

• Soups
• Broth
• Coconut water
• Fresh fruit juices

2. Easy-to-digest foods:

• Porridge
• Idlis (steamed rice cakes)
• Toast
• Plain rice

3. Avoid:

• Spicy foods
• Heavy meals
• Fried foods

Body Pain and Burning Sensation:

1. Follow doctor's advice on pain management.
2. Use cool compresses or wet towels to reduce fever.

Solo (Paracetamol) Dosage:

1. Consult the doctor before administering another dose.
2. Typically, 1 tablet every 4-6 hours, not exceeding 3 tablets in 24 hours.

Worry Signs:

1. Severe abdominal pain
2. Vomiting
3. Bleeding gumsnose
4. Difficulty breathing
5. Platelet count below 1 lac

Answered 04/07/2025