Is this your symptom?
- Tropical diseases spread by mosquitoes
- Includes malaria, yellow fever, dengue fever, chikungunya fever and Zika virus
- You have no symptoms of tropical disease. If you have symptoms, use other guides. These diseases start with high fevers.
- Tropical diseases occur in people who travel to or live in high-risk countries. These mainly are developing countries near the equator. You may have traveled to a high-risk country recently.
How Tropical Mosquito-Borne Diseases are Detected by this Symptom Checker
- These diseases can't be diagnosed over the phone. But, they can be suspected based on their symptoms. They are then referred to a medical setting where a diagnosis can be made.
- Malaria will be picked up by the Fever guide. If you are feeling very ill or have prolonged fever and chills, you should be seen. The Headache or Leg Pain guides will also work. Reason: Malaria can also cause severe headache or muscle pain.
- Yellow fever will be picked up by the Fever guide. If you are feeling very ill or have prolonged fever and chills, you should be seen. The Headache or Leg Pain guides will also work. Reason: Yellow fever can also cause severe headache or muscle pains.
- Dengue fever will be picked up by the Fever guide. If you are feeling very ill or have prolonged fever and chills, you should be seen. The Headache or Leg Pain guides will also work. Reason: Dengue fever can also cause severe headache, joint pain or muscle pains.
- Chikungunya fever will be picked up by the Fever guide. If you are feeling very ill or have prolonged fever and chills, you should be seen. The Arm Pain or Leg Pain guides will also work. Reason: Joint pains in the hands and feet are common. So are muscle pains.
- Zika virus infection will be picked up by the Fever or Rash care guides.
- Travel to a high risk country should raise the concern. However, common diseases that cause fever (such as colds) also must be ruled out. They occur more commonly in these countries than the serious diseases. But, severe symptoms or symptoms that last too long make us think about these other diseases.
Tropical Countries
- Countries in the tropics are near the equator. They have hot and humid climates.
- The tropics are also defined as regions without a cold season.
- Many diseases in these countries are spread by an insect bite.
- In the tropics, insects never hibernate. They are present in large numbers year round.
- Other diseases here are spread by germs that multiply in warm water. The water in the tropics usually stays warm.
- Tropical diseases occur in people who live in or travel to high-risk countries.
- Climate change is a factor that has allowed these diseases to spread.
Preventing Mosquito Bites During Travel
- Wear long pants, a long-sleeved shirt and a hat.
- Avoid being outside when the bugs are most active. Mosquitoes are most active at dawn and dusk. Limit your child's outdoor play at these times. The mosquito that transmits Zika is also active during the day.
- Get rid of any standing water. Reason: it's where mosquitoes lay their eggs.
- Keep bugs out of the home by fixing any broken screens.
- If exposed to outside air, use bed nets to protect you during sleep.
- To prevent mosquito bites, use insect repellents that have DEET. These products work well to protect you from bites. Read the label before using.
Preventing Bites - Use DEET on Skin and Permethrin on Clothing
- DEET is a good mosquito repellent. It also repels ticks and other bugs.
- Use 30% DEET if you need 6 hours of protection. Use 10% DEET if you only need protection for 2 hours.
- Use only a small amount. A total of 3 or 4 drops can protect the whole body.
- Put on exposed areas of skin. Do not use near eyes or mouth. Don't use on skin that is covered by clothing. Don't put DEET on sunburns or rashes. Reason: DEET can be easily absorbed in these areas.
- Wash it off with soap and water when you come indoors.
- Caution: DEET can harm clothing made of man-made fibers. It can also harm plastics (eye glasses) and leather. DEET can be used on cotton clothing.
- Permethrin products can be applied to all types of clothing.
When to Call for Mosquito-borne Diseases from Travel
Call 911 Now
Call Doctor or Seek Care Now
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Contact Doctor Within 24 Hours
Contact Doctor During Office Hours
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Self Care at Home
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Call 911 Now
- You think you have a life-threatening emergency
Call Doctor or Seek Care Now
- Tropical disease suspected and fever present
- Tropical disease has been diagnosed and getting worse
- Tropical disease has been diagnosed and fever returns after gone for several days
- Tropical disease has been diagnosed and shaking chills return
- You feel weak or very sick
- You think you need to be seen, and the problem is urgent
Contact Doctor Within 24 Hours
- Tropical disease suspected, but no fever
- You think you need to be seen, but the problem is not urgent
Contact Doctor During Office Hours
- Pregnant and recently traveled to or lives in a place with a Zika outbreak
- You have other questions or concerns
Self Care at Home
- Questions about malaria
- Questions about yellow fever
- Questions about dengue fever
- Questions about Chikungunya fever
- Questions about Zika virus
Care Advice for Stomach Pain
What You Should Know About Stomach Pain:
- Mild stomach pain can be caused by something simple. It could be from gas pains or eating too much.
- Sometimes, stomach pain signals the start of a viral infection. This will lead to vomiting or loose stools.
- Watching your child for 2 hours will help tell you the cause.
- Here is some care advice that should help.
Lie Down:
- Have your child lie down and rest until feeling better.
Clear Fluids:
- Offer clear fluids only (such as water, flat soft drinks or half-strength Gatorade).
- For mild pain, offer a regular diet.
Prepare for Vomiting:
- Keep a vomiting pan handy.
- Younger children often talk about stomach pain when they have nausea. Nausea is the sick stomach feeling that comes before they throw up.
Pass a Stool:
- Have your child sit on the toilet and try to pass a stool.
- This may help if the pain is from constipation or diarrhea.
- Note: for constipation, moving a warm wet cotton ball on the anus may help.
Do Not Give Medicines:
- Any drug (like ibuprofen) could upset the stomach and make the pain worse.
- Do not give any pain medicines or laxatives for stomach cramps.
- For fever higher than 102° F (39° C), acetaminophen (such as Tylenol) can be given.
What to Expect:
- With harmless causes, the pain is most often better or gone in 2 hours.
- With stomach flu, belly cramps may happen before each bout of vomiting or diarrhea. These cramps may come and go for a few days.
- With serious causes (such as appendicitis), the pain worsens and becomes constant.
Call Your Doctor If:
- Pain becomes severe
- Constant pain lasts more than 2 hours
- Mild pain that comes and goes lasts more than 24 hours
- You think your child needs to be seen
- Your child becomes worse
Extra Help - Worried Stomach:
- Help your child talk about events that trigger the stomach pain. Talk to your child about how to cope with these the next time around.
- Help your child worry less about things she can't control.
- To treat the pain, help your child get very relaxed. Lying down in a quiet place and taking slow deep breaths may help. Make the belly go up and down with each breath. Then try to relax all the muscles in the body. Think about something pleasant. Listening to audios that teach how to relax might also help.
- Make sure your child gets enough sleep.
- Make sure that your child doesn't miss any school because of stomach pains. Stressed children tend to want to stay home when the going gets rough.
- Caution: your child should see her doctor for an exam. Do this before concluding frequent stomach pains are from worrying too much.

