Stay in contact with your doctor and report any changes you may experience as you recover from dengue fever, or if symptoms recur or worsen. Your doctor will know how to intervene should your condition deteriorate into either dengue hemorrhagic fever or dengue shock syndrome. If symptoms persist beyond seven days, involve problems with continued vomiting, vomiting up blood, severe abdominal pain, difficulty breathing, purplish areas under the skin similar to bruises, and continued problems with nosebleeds or bleeding gums, then you should seek immediate medical attention.  You may be developing dengue hemorrhagic fever, which is a serious and life-threatening medical condition.  If you develop those symptoms, then you are in a 24 to 48 hour window where your capillaries, which are the tiniest blood vessels in your body, become more permeable, or leak.  The leaky capillaries allow fluid to leak from your blood vessels and accumulate in your chest and abdominal cavity, causing conditions medically termed as ascites and pleural effusions.  Your body is experiencing circulatory system failure which leads to shock. If not immediately reversed, death is likely. If you are showing any signs of dengue hemorrhagic fever or dengue shock syndrome, then you need immediate hospitalization and medical attention. This condition is life-threatening.  Call 911 or get medical help the fastest way possible. This is a medical emergency. Dengue shock syndrome is recognized by early symptoms that include a decrease in appetite, continued fever, continued vomiting, and persistent symptoms associated with dengue fever. The maximum risk of shock is between the third and seventh day of illness. If left untreated, internal hemorrhaging will continue. Symptoms of hemorrhaging include bleeding under the skin, persistent bruising and purplish rashes, worsening of symptoms, abnormal bleeding, cold and clammy arms and legs, and sweating. Symptoms like this indicate the person is in, or will quickly be in, a state of medical shock. Dengue...

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