9 Things Every Parent Must Know,When to Take Your Febrile Child Immediately to a Doctor.

Dengue is rising again taking few more innocent lives. And also a huge debate has created in current Sri Lankan community due to a child death at a leading private hospital. Although prevention of dengue spread is the mainstay of management, still the identifying at risk patients is very important.

So parents must be advised to return immediately for review if any of the following occur on or beyond 3rd day of the fever:

1. Clinical deterioration with settling of fever- Usually with the settling of fever child becomes active
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2. Child is unable to tolerate oral fluid- he vomits whatever fluid given to him orally- water, fruit juice, tea etc.

3. Child refuses to eat or drink

4. Feeling extremely thirsty- Child may vomit all the time. But still child may complain of feeling thirsty always.

5. Severe abdominal pain/ vomiting

6. Cold and clammy extremities- if you touch your child’s legs or hands you will feel unusual cold like in a dead person. Be careful, please take him immediately.

7. Girl
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   who attained puberty may not consider much about her menstrual bleeding. Mothers, always question your young daughter. She may not having bleeding from nose, gums or in urine. But she may be bleeding between her periods or may be bleeding excessively. Whatever bleeding (bleeding from nose, gums, in urine, with feces, with sputum) it is important to be careful.

8. Not passing urine for more than 6 hours. This means that there is no adequate fluid to filter at the kidneys. Take immediately to the doctor.
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9. Child behaves abnormally. He may be confused. He may be restless. He may be lethargy. Or he may be irritabe.