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Question
Hello doctor, I would like to ask for advice on what to eat for children with dengue fever to increase platelets. My son had dengue fever on the fourth day, he showed signs of continuous vomiting, hematuria, lethargy, fatigue... I took him to the doctor and was diagnosed with thrombocytopenia. I would like to be advised more clearly why dengue fever has low platelet count, how much and what should I give my child to increase platelet count? Thank you!
Nguyen Bich Ngoc ( 35 years old )
Reply
Hi there. Dengue fever in children can cause serious complications, including thrombocytopenia. Thrombocytopenic purpura is an immunological disease. Anti-platelet antibodies cause platelets to be destroyed in the spleen, resulting in a decrease in the number of platelets in the blood, the body will easily bleed with a slight impact. Please answer your questions as follows:
How much does the platelet count decrease? According to WHO, Thrombocytopenia is defined as a rapid decrease in platelet count or platelet count below 150,000/mm3 (<150 G/L). Thrombocytopenia is considered a criterion for assessing the severity of dengue fever.
Why does dengue fever reduce platelets? Dengue thrombocytopenia is due to the following reasons:
First, The platelet count in dengue decreases when it suppresses the bone marrow (which is the site of platelet production). Second, Platelet count in dengue fever decreases because the blood cells are affected by the virus that causes platelet damage. Third, the antibodies produced during this period destroy a large number of platelets during the period of dengue fever. Fourth: Due to the injury, increased vascular permeability, causing extravasation of blood cells into the intercellular space also reduces blood cells including platelets. Dengue fever eat to increase platelets?
Some fruits: dates, pomegranates, kiwis, papayas, guava Foods rich in vitamin C: Oranges, spinach, broccoli,... Folate-rich foods: asparagus, whole grains, oranges and spinach . Foods rich in vitamin A: pumpkin, carrots, sweet potatoes,.. Foods rich in vitamin B12: salmon, beef, chicken, tuna, turkey... Foods rich in omega-3 fatty acids: seeds flax, walnuts, fish and spinach... Foods rich in antioxidants: raspberries, cranberries, strawberries, walnuts,... Foods rich in anti-inflammatory substances: vegetables, whole grains whole grains, organic beans,... Whole grains Vitamin K rich foods: liver, kale...
Consulted by Resident Doctor of Pediatrics - Neonatology - Department of Pediatrics - Neonatology, Disease Vinmec Institute of International Standards Hai Phong
