Dengue, Typhoid Or Viral Fever: When to See a General Physician

In India, the arrival of the monsoon season often brings a surge in infectious diseases. Among the most common are dengue, typhoid, and viral fever. These illnesses frequently begin with similar symptoms such as fever, body aches, fatigue, and reduced appetite, making it difficult to identify the exact cause without proper medical evaluation. However, if diagnosis and treatment are delayed, the consequences can be severe. Renowned general physician in Pune, Dr. Sarang Barbind, has observed that many patients postpone seeking medical help, assuming their condition is ‘just viral.’ This delay can lead to serious complications. In this blog, we’ll explore how to differentiate between dengue, typhoid, and viral fever and more importantly, understand which symptoms signal the need for immediate consultation with a general physician.


Why Do Dengue, Typhoid, and Viral Fevers Get Confused?
Most of these illnesses start with a sudden fever, body aches, a headache, and fatigue. The immune response your body shows to any infection will have overlapping symptoms like chills, weakness, and loss of appetite. So, telling them apart without tests is tricky. However, each illness has certain clues you shouldn’t ignore.

Understanding Viral Fever:
Viral fever is caused by common viruses, leading to mild-to-moderate symptoms such as:

Low to moderate fever (99–102°F)
Headache
Sore throat
Body pain and fatigue
Sometimes mild cough, cold, or diarrhoea
Most viral fevers are self-limiting and resolve within 3-5 days with adequate hydration, rest, a light diet, and paracetamol if needed. However, persistent high fever or worsening symptoms need evaluation to rule out other infections.

Dengue Fever - A Serious Mosquito-Borne Disease:
Dengue is caused by the dengue virus, transmitted by Aedes mosquitoes. It often presents with:

High-grade fever (up to 104°F)
Severe headache (especially behind the eyes)
Joint and muscle pain (hence called ‘breakbone fever’)
Skin rash appearing after 2–5 days
Nausea, vomiting, or abdominal pain
Low platelet count leading to easy bruising or bleeding gums
Dengue can become life-threatening if it progresses to Dengue Hemorrhagic Fever or Dengue Shock Syndrome, causing bleeding, low blood pressure, and organ failure.

When to See a Doctor Immediately for Suspected Dengue?
Fever not reducing after 2-3 days
Severe abdominal pain or continuous vomiting
Sudden bleeding from the nose or gums, or blood in vomit/stool
Sudden drop in blood pressure, dizziness, or fainting
Reduced urination or severe weakness
If you notice these warning symptoms, visit a general physician in Wakad, Pune, immediately for blood tests (CBC, platelet count, and NS1 antigen) and further management.

Typhoid Fever - A Serious Bacterial Infection:
Typhoid is caused by Salmonella typhi bacteria, transmitted through contaminated food and water. Unlike dengue or viral fever, typhoid often has a more gradual onset with:

Persistent high fever (often increasing in a stepwise manner)
Headache
Abdominal pain or discomfort
Loss of appetite
Diarrhoea or constipation
Coated tongue
Sometimes, skin rashes called “rose spots”
Typhoid needs antibiotic treatment and, if untreated, can lead to serious complications such as intestinal perforation, internal bleeding, or encephalopathy.

When to See a Doctor Immediately for Suspected Typhoid?
Fever persisting beyond 3-4 days without improvement
Intense abdominal pain or bloating
Symptoms of dehydration (dry mouth, reduced urination)
Altered consciousness or confusion
Persistent vomiting or inability to tolerate fluids
A general physician will advise blood tests like Widal, Typhidot, or blood culture to confirm typhoid and start appropriate antibiotics.

Why Waiting Too Long Can Be Dangerous:
Delaying infection treatment in diseases like dengue or typhoid can lead to serious complications. For example, a low platelet count in dengue can induce internal bleeding. Typhoid, if untreated, can lead to intestinal perforation and widespread infection in the blood (sepsis). Moreover, over-the-counter medication misuse is common. For instance, taking ibuprofen in suspected dengue is risky because it can worsen bleeding. Only a doctor can guide you on which medicines are safe.

When Should You See a General Physician Immediately?
While benign fevers can be managed at home for a day or two, the following red flags need immediate medical attention:

High-grade fever for more than 48 hours
Severe headache and pain behind the eyes
Sudden rash or unusual bleeding
Intense abdominal pain
Persistent vomiting or diarrhea causing dehydration
Confusion or drowsiness
Difficulty breathing or chest pain
If you have recently traveled to an area with a dengue outbreak or consumed food from an unhygienic source, don’t wait. Early diagnosis through a blood test (like CBC, dengue NS1, or Widal for typhoid) can help catch the condition in time.

How a General Physician Helps?
At Leela Superspeciality Hospital, we take a thorough history and physical exam. If required, we order simple blood tests to check for infection, platelet count, liver function, and more. Based on the diagnosis, we start targeted treatment—whether it’s hydration and monitoring for dengue, antibiotics for typhoid, or symptomatic care for viral fever. Early medical care can:

Prevent complications
Reduce unnecessary suffering
Shorten recovery time
Stop the misuse of antibiotics (which don’t help with viral fever)
Take Simple Precautions:
Prevention is always better than a cure.

Use mosquito repellents, wear full sleeves, and avoid stagnant water to prevent dengue.
Drink boiled or filtered water and eat home-cooked food to avoid typhoid.
Wash hands frequently and keep good hygiene.
Conclusion:
Fever is your body’s way of notifying you that something is wrong. Never ignore a persistent high fever, unusual bleeding, or severe weakness. If you or your loved one has any doubt, don’t self-diagnose. Visit a general physician in Wakad, Pune, to be sure. At Leela Superspeciality Hospital, we are always ready to help you with timely diagnosis and safe treatment. If you or anyone you know has concerning symptoms, don’t hesitate to book an appointment with me. Stay informed. Stay protected. Your health always comes first.