My close relative is diagnosed with typhoid, and she has a throat infection. Please help.

Hi,

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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.

Hi,

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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. I suggest you to take tablet Ciprofloxacin 500 mg twice daily (Every 12 hours) for five days, tablet Pantoprazole 40 mg once daily on an empty stomach for five days, try to drink at least eight glasses of water per day, 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. Thank you.

Hi, Welcome back to icliniq.com.

The ulcers in mouth and Throat could be due to two reasons. First is the recent abdominal infection that Sonam had. The second one beings, Anemia. The blood reports that are provided show anemia , which points towards iron deficiency anemia. Her LFT reports shows mild rise in ALP which is a common finding in typhoid and this resolves gradually on its own. Iron deficiency anemia most commonly results from decreased intake of iron or increased loss. Usually there are few more tests done to confirm the diagnosis but as of now I would ask her to take iron supplements for at least a couple of months before repeating the test. I suggest she can take Haem up capsule once daily for two months. It should preferably be taken with some juice or fruit. Also Capsules Becosules z (B-complex) once daily at night time after food. for one month. Zytee RB gel can be applied on oral ulcers for some pain relief twice a day. In case Haemup capsules are not available, other alternatives such as dexorange capsules can be taken. It is advised to repeat CBC after two months of taking oral iron supplements. If HB remains low then she will need further investigation These should help her. Thank you.