Get E-Book on COVID-19

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

Answered by
Dr. Manisha
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 10, 2020

Hi doctor,

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.



Welcome to

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.



Welcome back to

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.

Investigations to be done:

CBC (complete blood count).
LFT (liver function test).

As advised, we have got the CBC and LFT done and are attached herewith. She does complaint about boils in her mouth and feels difficulty in swallowing anything. A feeling that she may have boils there as well. Please advise the next course of action please.
# Hi, Welcome back to icliniq. 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. Sonam can take Haem up capsule once daily for 2 months. It should preferably be taken with some juice or fruit. Also Cap Becosules z 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.
Investigations to be done:

Repeat CBC after 2 months

Treatment 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.

Regarding follow up:

Follow up after 2 months with CBC report

Was this answer helpful?


Related Questions:
Will Sinarest help in throat infection?

If you feel ill after completion of course, then we will go for a chest x-ray and throat swab culture and sensitivity test for specific antibiotics to treat your infection ...   Read full

I have tickly dry cough and nasal congestion. Please suggest a medicine.

.. likely a viral infection of the throat and nose. At present, you should have betadine gargles four times a day and tablet Allegra (Fexofenadine) 120 mg once a day for three to four days for nasal congestion. For cough, you can have syrup Alex (...   Read full

My mother has got typhoid for the 12th time. How to proceed further?

.. would like to know how she was diagnosed with typhoid.¬†Since you know that culture is the gold standard I would be interested in seeing a blood, stool, bone marrow or any sort of culture which was done to diagnose her with Salmonella typhi. If th...   Read full

Also Read Answers From:

Also Read

COVID-19 Vaccines in India
Two vaccines, Covishield and Covaxin, have been granted emergency use authorization in India. Read about these vaccines'...  Read more»
Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»

Ask your health query to a doctor online?

Ask a General Practitioner Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.