Abdominal Pain on the 5th Day of Dengue Fever: Is It Serious?

Question
Hello, doctor,
I’ve been diagnosed with dengue fever, and today is the 5th day. Currently, my fever has subsided, and I can eat again. However, after eating, I experienced severe abdominal pain. Doctor, I’d like to ask if abdominal pain on the 5th day of dengue fever is a cause for concern? Thank you for your help.
Anonymous Patient

Answer
Answered by Dr. Mang Thi Phuong Mai, Department of General Medicine and Internal Medicine, Vinmec Nha Trang International General Hospital.
Hello,
To answer your question, “Is abdominal pain on the 5th day of dengue fever serious?” I would like to provide the following explanation:
Dengue fever is an acute infectious disease caused by the Dengue virus, transmitted from person to person through mosquito bites. The disease is characterized by fever, hemorrhage, and plasma leakage, which can lead to shock and death if not treated promptly and correctly.
The symptoms of dengue fever typically appear 4–7 days after being bitten by a mosquito carrying the virus and can last for 5–7 days. Symptoms vary depending on the patient and the severity of the disease, and they may include:

  • Fever, often high, ranging from 39–40°C, and appears suddenly.
  • Headache, pain behind the eyes and muscle aches.
  • Fatigue.
  • Flushed skin.
  • Hemorrhagic manifestations: These may include subcutaneous bleeding in the form of small spots or patches, or mucosal bleeding such as nosebleeds, prolonged menstruation, or early menstruation. In severe cases, gastrointestinal bleeding or cerebral hemorrhage may occur, which can be life-threatening.
  • Plasma leakage manifestations: These include fluid accumulation in body cavities such as the pleural and abdominal cavities. In severe cases, it may lead to shock, with symptoms such as extreme fatigue, lethargy, cold extremities, and low blood pressure.

If you experience abdominal pain on the 5th day of dengue fever, you should visit a medical facility immediately, as this may be a warning sign of severe dengue fever.
If you have further questions about abdominal pain on the 5th day of dengue fever, you can visit a hospital in the Vinmec Health System for examination and further consultation. Thank you for trusting Vinmec with your question. Wishing you good health.
Sincerely!

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