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Admission to the hospital becomes necessary if patients have frequent vomiting, dehydration, reduction in urine production, severe abdominal pain, or deteriorating symptoms
Doctors also recommend simple remedies: adequate rest for fever control, hydration and paracetamol. (Pixboy image for representation)
In Delhi-NCR and other parts of the country, hospital fever cases are reported to be a rapid increase, making OPD and emergency rooms heavy. Doctors say that about half of all the patients currently running are being presented with complaints related to fever. Spike is being attributed to mixing seasonal viral infections, mosquito-borne diseases such as dengue, malaria, and chikungunia as well as diarrhea, typhoid, and cholera.
Top symptoms for most patients are accompanied by severe body pain, headache and fatigue with high -class fever, while anything also develops cough, sore throat, rashes, or abdominal pain. While most of the comfort, hydration, and paracetamol are cured within a few days, experts take care that in complex cases – especially dengue – hospitalization with low platelets, malaria, or severe diarrhea is required to be hospitalized.
With the previous and rapid-growing cases compared to previous years, News18 spoke to about a dozen doctors across India, who urged the public not to ignore the fever continuously, avoid self-medication, and seek timely medical care to prevent serious complications.
Fever cases do spikes in hospitals
Outpatting Department (OPD) and emergency rooms are filled with fever cases. “About 50-60 percent walk-in patients are reporting fever or related symptoms,” Dr. Dr, Senior Advisor of Internal Medicine at Apollo Spectra Hospital in Chirag Enclave. Sanchen Roy said.
In Amrita Hospital in Faridabad, the trend is even more. “On an average day, about 6-7 in every 10 patients walk with complaints related to fever,” Dr. Mohit Sharma, Senior Advisor, Internal Medicine said.
Fortis Shalimar Bagh is watching a similar bounce. “Currently, about 50 percent of the patients who fall in OPD or emergency are fever,” Dr. Pawan Kumar Goyal, Senior Director, Internal Medicine said.
Not only in Delhi-NCR, doctors echoed a similar tendency in Mumbai and Bangalore. Chief Intensive at Fortis Hospital in Kalyan, Maharashtra, Dr. Sandeep Patil said that every 10 patients visiting emergency and outpatient departments have been said, 2-3 patients are present with acute fever related diseases.
Similarly, Dr. Dr, Principal Advisor at Spars Hospital, Hennur Road, Bangalore. Manohar KN said that in the last weeks, he has seen a sudden increase in patients appearing with fever, especially in the emergency and OPD. “On average, about 4-5 of every 10 patients are coming up with complaints related to fever.”
Viral, vector-public and water-borne infection drive surge
Doctors credits seasonal spikes for many overlapping infections.
In cases of disease, the boom is largely responsible for the water-borne and vector-borne diseases prevalent during this period, such as malaria, dengue, chikungunia, typhoid, diarrhea, influenza and leptospirosis. The monsoon creates a favorable position for the spread of these infections through stable water and mosquito increases breeding.
“If you look at the main infections, there are diseases like an influenza … some patients have a viral disease, followed by severe muscle pain, tingling, burning, numbness, and joint pain.
He shared an incident where there was a recent patient in the hospital who was in consciousness due to severe diarrhea, requiring dialysis due to kidney failure. “Initially, she was in change consciousness, and when we saw her, and she is still going through dialysis.”
Dr. of infectious Disease Department at Paras Health in Gurugram. Akashnail Bhattacharya highlighted a trend.
“Unlike previous years, when platelet count is usually dropped after dengue fever exemption, this year we are seeing a worrying trend where platelets are falling below dangerous levels such as fever as fever.”
“This may be due to possible mutation in the dengue virus. Therefore, I strongly recommend people not to wait for 2-3 days, but to test for dengue on the first day of high class fever.”
Bhattacharya said that in the last seven days, every third patient who comes with fever symptoms has conducted a positive test for dengue in his OPD. About 85–90 percent of fever cases are being diagnosed in the form of dengue, which reflects commonly seen seasonal growth during monsoon. This year, however, compared to the previous years, in high proportion of dengue cases, lies in a short time. ,
Common symptoms reported
Doctors report that most patients are present with high-grade fever, severe body pain, headache and fatigue. Anything also shows respiratory complaints. Admission to the hospital becomes necessary if patients have frequent vomiting, dehydration, decrease in urine production, severe abdominal pain or deteriorating symptoms. Patients with dengue and malaria may be present with additional cold, or less platelet count.
However, Goyal of Fortis said, people with simple high-grade fever and body pain can usually be managed at home with hydration, paracetamol and vitamin B complex.
“Most patients report persistent high-class fever, body pain, headache and fatigue. Others indicate sore throat, cough and cold,” said Tushar Tayal, advisor to CK Birla Hospital, Gurugram, said, who is watching 15-20 patients complaining about daily fever.
Similarly, Patil of Fortis Hospital, Kalyan said that “typical symptoms include chills, body pain, joints, rash and bleeding in some cases. For influenza, symptoms, usually include cough and cold.”
However, if the fever is prolonged or remains unexplained, doctors recommend further tests. “We recommend further investigation, including chest X-rays, and liver or kidney function tests, which help identify the exact cause,” Dr. Neha Sharma said, participating in the advisor at Fortis Hospital in Manesar.
Clinical test on increase
Doctors emphasize that early tests help avoid complications. Physicians usually calculate full blood – less platelet or white cell count may suggest viral fever or dengue. Rapid antigen tests are useful for dengue, malaria and influenza, as well as typhone-dot test for blood cultures and typhoid, and regular urine examination.
According to Shelli Mahajan, a noticeable utstic has been noted this year in laboratory director, Mahajan imaging and labs, flu and respiratory diseases, with high levels of patients with symptoms like flu. “Compared to previous monsoon seasons, viral fever, H3N2 influenza, and upper respiratory infections are not only coming first, but also affecting a broad section of the population – which includes children and the elderly.”
Mahajan told News18: “Vector-related diseases such as dengue, malaria, and chikungunia are spicing before normal, the case count is already crossing those seen during the same period last season.”
According to Aditya Kandoi, CEO and founder of Radcliffe Labs, last month has seen a sharp increase in fever -related diseases, which clearly reflects in increasing demand for diagnosis. “We have seen a 56 percent increase in fever test booking across India, which outlines the widespread impact of seasonal infections such as dengue, malaria and viral fever. Spike has been even more clear in Delhi NCR, where the demand has increased by about 80 percent, which indicates a fertile public health concern in the region.”
This trend is not limited to metros alone, data shows. “Many Tier -2 and Tier -3 cities have increased standing growth: Patna (110 percent), Varanasi (104 percent), Azamgarh (97 percent), Greater Noida (96 percent), Gorakhpur (94 percent), and Shragraj (90 percent),, indicating that there is a surge in fever,”
Recovery and hospitalization
Most patients are cured within a week when treated on time. Goyal of Fortis Hospitals said, “Most viral fever solve with simple treatment- parasatamol, hydration and vitamin supplements,”.
But for complex cases, hospitalization is inevitable. He said, “Admission to the hospital becomes necessary if patients have frequent vomiting, dehydration, urine production, or deteriorating symptoms, or worsening symptoms,” he said.
Patil of Fortis Kalyan said, “Most patients recover within 7 to 10 days. However, serious cases such as complex malaria, dengue with thrombocytopenia, dengue, leptospirosis, and influenza require progress for ARDS.”
In Amrita Hospital, about 10–15 percent of patients require admission. Sharma of Amrita Hospitals said, “Especially less platelets or severe dehydration and persistent high fever patients.”
Experts emphasize awareness and timely medical intervention. In addition, in epilepsy children or patients, immediate medical care is particularly important. Sharma advised, “If the fever does not settle within 48 hours or reduces vomiting, shortness of breath, or urine production, one should seek immediate medical help,” Sharma advised.
Manohar of Sparsh Hospital warns against antibiotic abuse: “Antibiotic misuse needs to be stopped. Education is paramount for the public.”
Doctors also recommend simple remedies: adequate rest for fever control, hydration and paracetamol.
In CNN News18, Associate Editor Himani Chandana, specializes in healthcare and pharmaceuticals. For the first time in India’s Kovid -19 battle, she brings an experienced perspective. He is particularly close …Read more
In CNN News18, Associate Editor Himani Chandana, specializes in healthcare and pharmaceuticals. For the first time in India’s Kovid -19 battle, she brings an experienced perspective. He is particularly close … Read more
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