Fever in the monsoon: sorting a simple viral from something that needs testing

Between June and October, most fevers in this region are still ordinary viral illness that settles in three to five days. But this is also the season for dengue, malaria and typhoid, and those need a test rather than a guess.

Get tested if

The fever has lasted more than three days; it keeps returning with chills and sweating; there is severe body ache or pain behind the eyes; there are red spots on the skin, or bleeding from the gums or nose; there is vomiting that stops you keeping fluids down; or there is severe abdominal pain.

Warning signs that need same-day attention

Drowsiness or confusion, very little urine over several hours, cold and clammy hands and feet, breathlessness, or any fever in an infant under three months. These are not wait-and-watch situations.

Care at home for a simple fever

Fluids matter more than anything else - water, ORS, nimbu-paani, dal water, coconut water. Paracetamol at the dose your doctor advised is the usual choice for fever and body ache. Avoid starting painkillers such as ibuprofen or diclofenac on your own during dengue season, since they can add to bleeding risk. Rest, and eat whatever you can keep down.

Prevention is unglamorous but works

Empty and dry water containers, coolers and flower pots every week, since dengue mosquitoes breed in clean standing water. Use a mosquito net or repellent, especially for children during the daytime. Drink water that has been boiled or properly filtered.

This article is general information and not a substitute for examination by a doctor.