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General Medicine
Consultation #18691
1 year ago
1,450

Rabies - #18691

Alexander
FREE

A few days ago, my younger brother was bitten by a stray dog while playing outside. The wound was not very deep, but it was bleeding. We immediately washed it with soap and water, but I started worrying about rabies because I have heard that even a small bite can be dangerous. I took him to the hospital, and the doctor suggested rabies vaccination. He has already received the first dose, but I am unsure about the complete vaccination schedule. How many doses are required, and what happens if a dose is missed? Can rabies develop even after getting vaccinated? I have read that rabies is a deadly disease with no cure once symptoms appear. How long does it take for symptoms to develop if someone is infected? Are there any early signs to watch for? My brother is behaving normally, but I am scared because I have heard that rabies can remain dormant for months before showing symptoms. Apart from dog bites, can rabies spread through scratches or saliva? My neighbor told me that even if a rabid animal licks an open wound, the virus can enter the body. Is this true? Also, is it possible to get rabies from cats, monkeys, or other animals? Some people say that Ayurvedic or home remedies can help treat rabies if taken immediately after a bite. Is there any truth to this? Are there any natural methods to prevent rabies, or is vaccination the only option? Additionally, I want to understand if there are any tests to detect rabies before symptoms appear. If someone is bitten by an unknown animal, is there a way to check if they have been infected? What is the best course of action if the animal that bit someone runs away and cannot be observed? Finally, I would like to know whether there are any side effects of the rabies vaccine. My brother had a slight fever after the injection, but I don’t know if it was because of the vaccine or something else. Are there any precautions to take after getting the vaccine? Please provide guidance on what precautions to take after an animal bite and whether additional treatments or immune globulin injections are necessary. Also, if someone was bitten by a stray animal years ago but never showed symptoms, does that mean they are completely safe?

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Doctors' responses

Dr. Narendrakumar V Mishra
Bachelor of Ayurvedic Medicine and Surgery
1 year ago
5

I’m truly sorry to hear about your brother’s experience; such incidents can be concerning. It’s good that you acted quickly and took him to the hospital. Regarding the rabies vaccination schedule, typically for post-exposure prophylaxis (PEP), the series includes four doses of the rabies vaccine given on days 0, 3, 7, and 14 after the first dose, which is given on the same day as the rabies immunoglobulin (if indicated). It’s crucial to follow the complete regimen as missing a dose could reduce the vaccine’s efficacy, and if a dose is missed, you should consult his healthcare provider for necessary guidance. Rabies could still develop despite vaccination, but it’s extremely rare when the full course of treatment is completed promptly. Symptoms of rabies can manifest anywhere from a few weeks to several months after exposure, with early signs including fever, headache, and malaise, often followed by neurological symptoms.

Rabies can indeed be transmitted through saliva, so a bite or scratch from an infected animal, or even exposure of an open wound to the saliva of a rabid animal, poses a risk. This applies to various animals, including cats and monkeys. Ayurvedic or home remedies are not effective treatments for rabies after exposure; vaccination is the only scientifically proven method to prevent the disease.

Currently, there are no definitive tests to diagnose rabies in individuals before symptoms appear, and observing an animal that has bitten someone can provide useful information for determining risk. If the animal cannot be observed or identified, the recommended course is to proceed with vaccination and follow up with a healthcare provider. As for the side effects of the rabies vaccine, mild reactions like fever are common, but if they persist or worsen, it’s advisable to seek medical advice. After receiving the rabies vaccine, monitoring for side effects and ensuring hydration is important.

Finally, if someone was bitten years ago and has shown no symptoms, they are generally considered safe. Consistent and careful observation and timely vaccinations remain the best approaches for animal bites. If you have further concerns regarding specific symptoms or situations, please consult with a healthcare professional who can provide personalized guidance.

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10 days ago
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