PETALING JAYA: It has been the norm for doctors to check dengue patients for leakage of blood plasma out of their capillaries to determine if they should be admitted to hospital for treatment.
However, a Hospital Kuala Lumpur spokesman said the hospital had observed in the past year that patients with four other symptoms should also be given medical attention as soon as possible for them to be better managed.
The signs were abdominal pains which did not improve even after defecating, bleeding from the nose or gums or blood in the stool, vomiting three times or more within 24 hours, including retching, and young patients feeling extraordinarily weak or lethargic, he said.
“If the patients have these symptoms, they need to see a doctor and get a blood test immediately. These are symptoms doctors must be alert to and consider admission,” he said.
In recent times, HKL doctors have begun to intervene even before the fever subsided, especially among patients who exhibit such symptoms.
“If the patient is treated early, the dengue shock syndrome may be avoided,” the spokesman said.
In the past, the medical fraternity used to think dengue patients go into the critical phase (a window period when the patients are at a higher risk of getting into dengue shock syndrome) only when the patients’ fever drops, said the spokesman.