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If you are a doctor, please answer the medical questions based on the patient's description.

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Greetings! I am happy to find that there is a free medical forum.Thanks to those who started this forum and all the doctors who joined. I am a LUPUS patient, age 31female My lupus was diagnosed in 2009 Lupus nephritis I am on remission and my medicine is 5mg prednisone taken twice a week(Tuesday and Friday) Vitamins(500mg calcium and 500mg vit C) ***My CBC one month before DengueFever is: HGB 125 RBC 4.38 WBC 4.2 PLT 233 Now I have Dengue Fever. I was diagnosed to have This fever on the 3rd day after having a high fever of 38.8 temp. DENGUE TEST used is IgG/IgM combo:result is anti IgG(+) Reactive/Positive 1st Day if fever: bed rest and no medicines taken for fever I just drank pure water 2nd Day: see a doctor and she prescribed *to Start drinking 500mg paracetamol every 4 hours *To drink fluids:oral rehydration salts( dissolved in 2 of pure water) and 1 liter pure water--I drink fluids and I urinate every 1 hour most of the time except at night when I am asleep,I wake up just to drink my fluids. I drink 1 liter of fluid oresol and 1 liter during the day but my 1 liter pure water I drink it for 24 hrs * To take Vitamin c twice a day * green colored stool but no diarrhea * I have profuse sweating Mild abdominal pain Mild joint pains(mild because I am used to the pains of arthritis in lupus) Feeling weak No appetite Feeling of wanting to vomit but I never vomit 3rd Day of fever: CBC result WBC 6.4 HGB 150 PLT 187 Mild abdominal pain Mild joint pains Feeling weak No appetite Feeling of wanting to vomit but I never vomit * I noticed that I have bloated stomach- I don t know if I have it already on the 1st or 2nd day * still have green colored stool 4rth Day of Dengue :CBC Result HGB 130 PLT 192 * my temp subsides to 37 degrees * At Night a muculopapular rash appears still weak but not much mild abdominal pain * with green colored stool and already wet like diarrhea - 3 times to defficate Now I am on my 5th day of dengue: *Temp is 35 degrees my doctor adviced me to continue drinking my paracetamol every 4 hours for 24 hours only * still have rashes * still bloated stomach and mild abdominal pain * with green colored wet stool 5 times to defficate - like diarrhea Why do I have bloated stomach and diarrhea ?is this dangerous specially that I have lupus? What is the effect of dengue on my lupus and will it affect my organs? Is the 5mg of prednisone still okay to take even if I have dengue?i already drank pred 5mg twice while having a dengue fever. Please advise me and kindly give me additional info on good dengue and lupus management and other advice if its okay. Thank you very much!!!

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Welcome to ChatDoctorGreetings of the dengue usually affects the platelet count. As dengue is caused by virus it does have some amount of upper Gastrointestinal symptoms like bloating of the stomach. There is no cause of concern. You can safely continue taking steroid for lupus state. Getting dengue does not usually worsen lupus state. Rest be assured everything is alright. Do get a platelet count repeated. Take disregards Chat Doctor. 