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3. Severe abdominal pain
Most patients will report non-specific severe pain in the abdomen. This is usually present around the 3rd or 4th day of the illness. The abdominal pain can be misdiagnosed for almost any other illness. However, the cause of the pain is very unique. Extreme retching and vomiting may result in injuries in the rectus sheath, an important layer in our abdominal wall. The rectus sheath can become either torn or individual artery and or their branches tear.
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The abdominal pain is the result of bleeding in the rectus sheath. This is also the reason for blood in stool. Patients who suffer from dengue fever also report bleeding from the anus and blood in their stools.