I am writing this for my close relative. A local doctor diagnosed her with typhoid. She also has a throat infection. I am attaching herewith the reports for your reference. Please confirm and advise the medicine for the same.
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The first report (attachment removed to protect patient identity) that you have provided is a complete blood count, and that does not say anything about typhoid. However, the second report shows the Widal test results, which confirms the presence of active Salmonella typhi infection. Typhoid fever diagnosis is more of a clinical diagnosis than a lab one. In the presenting complaint, you have mentioned throat infection, but nothing about fever, abdominal pain, diarrhea, and any other symptoms. To prescribe the right medicine for her, I need a more detailed history. Onset and duration of the complaints also.
Thank you, doctor, for the reply.
She says that she does not have a fever or any abdominal pain. She had loose motion only once in the last ten days. She does feel drowsy during the day and has a dry cough. Please advise and possibly prescribe medicine as she has joined a new job and cannot afford to stay home.
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Thanks for the information. Whatever details you have provided and test reports, I can gather that she may be having a very mild infection. Since it has been more than ten days and has just a few symptoms, she may be already recovering from the illness. Her drowsiness and lethargy could be partly due to low hemoglobin levels. I would advise getting hemoglobin levels checked again after she recovers completely.
1. Tab Ciprofloxacin 500 mg twice daily (Every 12 hours) for five days.
2. Tab Pantoprazole 40 mg once daily on an empty stomach for five days.
3. Drink at least eight glasses of water per day.
4. Avoid fried and spicy food for the next two to three weeks.
Report back if there is any allergic reaction to the medication. Repeat CBC after one month.
CBC (complete blood count).
LFT (liver function test).
Repeat CBC after 2 monthsTreatment plan:
cap Haem up-1 cap per day with fruit /fruit juice
Cap Becosule-z 1 capsule per day for one month
Zytee RB gel for local application in mouth
Try to include more of pomegranate and beetroot in diet.
Follow up after 2 months with CBC report
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