Typhoid is a bacterial infection caused by the bacteria Salmonella typhi, which is manifested by high-grade fever, vomiting, and diarrhea. It is spread through contaminated water and food, and is prevalent in regions with less handwashing. If left untreated, it can result in perforations and peritonitis. Antibiotics like Ceftriaxone and Ciprofloxacin help in treating typhoid along with rehydration.
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What is the treatment followed for dengue and typhoid?
Query: Hi doctor, My friend is suffering from dengue and typhoid. The test for dengue showed a positive result, and typhoid titer is 1:360. Initially, he was treated with Ceftriaxone injection BD and Paracetomal for five days. But the symptoms got worse. His platelets suddenly got reduced to 21000 platele... Read Full »
Answer: Hi, Welcome to icliniq.com. Your friend appears to have severe dengue. Kindly do blood cultures for typhoid fever. Blood culture helps us to identify the presence of salmonella, and it guides the choice of antibiotic therapy. The petechiae can occur due to low platelet count. The bluish lips or cy... Read Full »
Why did I get typhoid for the 12th time?
Query: Hi doctor, I am an MBBS student. My mother aged 47 years is suffering of typhoid which is a case of relapse and this is the 12th time. She is having a temperature around 38 - 39 °C. Three years before, she was given Ceftriaxone IV 2 g twice (BD) and after that she was given Ampicillin 500 mg thrice... Read Full »
Answer: Hello, Welcome to icliniq.com. First, I 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 this is a cultur... Read Full »
I have joint pains and leg cramps. Could it be typhoid?
Query: Hello doctor, I am 25 years old. I have a little long story of typhoid. In March, I tested positive for typhoid with widal test and the report shows TO - 1:80, TH - 1:40. My doctor prescribed me some antibiotics and I took them for eight days. I tested again and all titers were negative. I immedia... Read Full »
Answer: Hi, Welcome to icliniq.com. Widal test is a vague test which has limitations. It is done only to get an idea of which type of organism might be present. If you see the report again, you will not find any value for a zero level, means the level of a normal person can also not be zero. Anything les... Read Full »
Is it possible that typhoid will cure by itself if not associated with any complication?
Query: Hello doctor, I have typhoid, IgG and IgM are positive even after taking the antibiotic for 14 days. So, even now I have a got fever on and off. Can typhoid be cured on its own if there is no complication? Read Full »
Answer: Hi, Welcome to icliniq.com. I understand all your concerns. Typhoid fever is a common serious infection that requires specific treatment after diagnosis. The causative organisms are either salmonella typhi or paratyphi. The definitive diagnosis is through isolation of the organism by culture in th... Read Full »
Why is my platelet count decreasing?
Query: Hi Doctor, I am having fever since last 6 days with continuous headache. I am taking Paracetamol on regular intervals, but my fever temperature is not decreasing from 100 degree, sometimes it reaches to 103 degree as well. Because of the fever my appetite is also reducing day by day. I got it checke... Read Full »
Answer: Hi, Welcome to icliniq.com. Platelet count decreases in many other infections also, not only in dengue. If your fever temperature is not getting down with Paracetamol, then it means you had taken a very low dosage and many times it is not able to lower the temperature. You can take tablet ... Read Full »
Can Ceftum 500 be continued for high typhoid fever?
Query: Hi doctor, My wife is suffering from fever for past 11 days. On the first day, we got a Widal test done. It showed 1:40 S.typhi, but having a fever 103 to 104 degree Fahrenheit. Just three days back we confirmed 1:180 in Widal test. The doctor has advised Ceftum 500 mg twice daily. Now she is having... Read Full »
Answer: Hi, Welcome to icliniq.com. Typhoid should be treated with antibiotics for 14 days must. Otherwise, the bacteria remain in the gallbladder and cause recurrent infection. Now, if you feel that symptoms are not improving, she might require injectable antibiotics. It is better to get intravenous antibi... Read Full »
What causes fever and vomiting in my 8-year-old son?
Query: Hi doctor, This is regarding the treatment given to my son for viral fever. He is 8 years 3 months old. When we observed my son's fever, I gave him one teaspoon of P250 for three days. On the fourth day, I visited hospital due to continuous fever. As the blood report confirmed it as viral fever, he ... Read Full »
Answer: Hi,Welcome to icliniq.com.I went through your child's history as you have provided and also saw the blood test reports (attachment removed to protect patient identity).According to the details provided, your child's illness fits into a viral illness spectrum. I believe you are concerned about fallin... Read Full »
My father is suffering from fever and his widal test results is positive. Kindly help.
Query: Hi doctor, My father is about 58 years old and weighs 127 pounds. He has been suffering from a fever for 18 days. When I visited, the local doctor said to do the test of widal, total leucocyte count (TLC), and differential leucocyte count (DLC). The result came in, which widal was positive, and the... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concern. Your father is suffering from a urinary tract infection due to Klebsiella. You need to take antibiotics, according to culture reports. If your doctor prescribed you Septran, Ceftum, and Azithromycin, then they must be presc... Read Full »
My father has had a fever, body pain, and nausea. Why so?
Query: Hi doctor, My father has had frequent fevers and body pain and sometimes experiences nausea for six months. The doctor gave him medicine for typhoid and malaria, but it did not relieve him. What could be the problem? Please tell me. In reports, it showed that he had typhoid. Thank you. Read Full »
Answer: Hi, Welcome to icliniq.com. Please get a blood culture and drug sensitivity done. Reports are suggestive of typhoid fever. Please give him Tablet Cefixime 400 milligrams twice a day for 14 days. Tablet Rantac 150 milligrams (Ranitidin) twice a day before meals. Tablet Paracetamol thrice... Read Full »
Query: Hello doctor.I am a patient with CKD who has been on dialysis for the last two years. I just developed a fever two days before, which we assumed was due to a viral infection. When we went to get reports, it was discovered that I have typhoid, my platelet count is 72, and my TLC and DLC levels are hi... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern about low platelet counts and a fever. So, viral fever is at its pinnacle right now. Sometimes it appears to be dengue, but the report is negative. As a result, treat it as an acute viral fever with a low platelet count. Maintain hydration; i... Read Full »
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