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Suggest Medical Test To Rule Out Salmonella Typhi

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Posted on Wed, 8 Jun 2016
Question: How do I Knw salmonella typhi is lodged in gall bladder even after taking typhoid medication
doctor
Answered by Dr. Pavan Kumar Gupta (4 hours later)
Brief answer...may be it is not typhoid
Detailed answer....
Hello,
Thanks for the query.
I have read your query and understand your concern.
First I will answer your present query and then dwell further on your fever.
Whether gall bladder is still having typhoid or not can be detected by stool culture.
Once the typhoid fever becmes normal,one should get his stool culture three times 48 hours apart.
If negative then it means,your gall bladder doesn't have infection.
Now coming to the fever, both widal and typhidot tests are routinely done to diagnose typhoid but the fact is that they are poor tests to diagnose typhoid and are highly unreliable.
The best tests for diagnosis of typhoid are blood culture and stool culture.
In nutshell,your present fever may not be even typhoid.
Better go for blood and stool culture.
I hope it helps,however you are most welcome to revert to me for any further query.
best of luck
Thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pavan Kumar Gupta (55 minutes later)
Yea after I got fever 4 days back I done both blood nd stool culture but result was steril. Only widal nd igm came plostive nd 1:80 ratio .. So i started antibiotics but yesday I gave blood again widal everything came as negative ... So shuld I continue antibiotics ?? Y titres are not showing second time ??
doctor
Answered by Dr. Pavan Kumar Gupta (1 hour later)
Hello,
That's why I told you that widal is an unreliable test.
Stop antibiotics.
You don't have typhoid.
Thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pavan Kumar Gupta (23 minutes later)
Thank you so much ...

But I have symptoms like head ache nd slight fever

Nd weakness ..
doctor
Answered by Dr. Pavan Kumar Gupta (10 hours later)
Hello,
It could be due to viral fever.
Just wit and watch and take paracetamol for fever or bodyache or headache.
You can take paracetamol every 6 hours,if needed.
Thanks
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Pavan Kumar Gupta

General & Family Physician

Practicing since :1978

Answered : 6704 Questions

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Suggest Medical Test To Rule Out Salmonella Typhi

Brief answer...may be it is not typhoid Detailed answer.... Hello, Thanks for the query. I have read your query and understand your concern. First I will answer your present query and then dwell further on your fever. Whether gall bladder is still having typhoid or not can be detected by stool culture. Once the typhoid fever becmes normal,one should get his stool culture three times 48 hours apart. If negative then it means,your gall bladder doesn't have infection. Now coming to the fever, both widal and typhidot tests are routinely done to diagnose typhoid but the fact is that they are poor tests to diagnose typhoid and are highly unreliable. The best tests for diagnosis of typhoid are blood culture and stool culture. In nutshell,your present fever may not be even typhoid. Better go for blood and stool culture. I hope it helps,however you are most welcome to revert to me for any further query. best of luck Thanks