What should be checked today

• CBC with platelet count, hematocrit, and white-cell count
• Repeat CBC/hematocrit daily or as the clinician advises, especially around illness days 3 to 7
• Kidney function, liver tests, and electrolytes if unwell, vomiting, dehydrated, or if liver involvement is suspected
• Evaluation for another concurrent cause of fever if clinically indicated, such as malaria, urinary infection, or respiratory infection

Home care if she is alert, drinking, passing urine, and has no danger signs

• Use paracetamol/acetaminophen only for discomfort or high fever. Adults commonly use 500-650 mg every 6 hours as needed. Do not exceed the labeled maximum, and use a lower limit or medical advice if she has liver disease, low body weight, or uses alcohol regularly.
• Take frequent fluids: water, ORS, soup, coconut water, or other non-alcoholic fluids. Aim for regular urination with light-colored urine.
• Rest and monitor temperature, fluid intake, vomiting, urine output, bleeding, and abdominal pain.
• Do not use aspirin, ibuprofen, diclofenac, naproxen, or other NSAID painkillers, because they can increase bleeding risk in dengue.
• Do not start antibiotics, steroids, platelet transfusions, or IV fluids at home unless a clinician specifically directs this.

Go to an emergency department now if any of these occur

• Severe or persistent abdominal pain
• Repeated vomiting or inability to keep fluids down
• Bleeding from gums/nose, blood in vomit or stool, black stools, unusually heavy periods, or widespread bruising
• Drowsiness, confusion, marked weakness, restlessness, fainting, cold hands/feet
• Breathing difficulty
• Very little urine, dark urine, or no urine for 6 hours or more
• Severe headache with persistent vomiting, chest pain, or a rapidly worsening condition