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Suggest Treatment For Typhoid, Vomiting, Sweating And Poor Appetite
Question: Hello Doctor,
My husband was suffering from typhoid since one month.At the initial stage we could not detect as typhoid.he was diagnoised at the second week.He is undergoing related medication from 12 days(monocef 200, oflaxacin 200,pantacid, becelac fork,and zofer).In the third week he began to lose blood in motions and other symptoms are:-fever for every 6 to 8 hrs,vomiting once a day, sweating and very bad appetite.
Please suggest us on how to proceed so that he can recover at the earliest.
My husband was suffering from typhoid since one month.At the initial stage we could not detect as typhoid.he was diagnoised at the second week.He is undergoing related medication from 12 days(monocef 200, oflaxacin 200,pantacid, becelac fork,and zofer).In the third week he began to lose blood in motions and other symptoms are:-fever for every 6 to 8 hrs,vomiting once a day, sweating and very bad appetite.
Please suggest us on how to proceed so that he can recover at the earliest.
Brief Answer:
Needs hospital admission, further evalution and work-up
Detailed Answer:
Hello madam.Thanks for your query.
I have throughly read your query and deeply understand your concern.Many thanks for sharing the reports.
According to me if your husband is currently having dysentry (blood in stools) and his symptoms are not subsiding/increasing day by day.Please be advised that the reports that have been attached donot have your test results suggestive of typhoid.
The lab report repeated on 25th suggests that his Hemoglobin is 9.1 (versus 14.8 on 20th) which means that he has had a significant blood loss over the past 5 days and thus there is a fall in hemoglobin by approximately 5mg/dl. This is highly significant assuming that these reports are from a good laboratory.I am glad that the cells counts have normalized.
I would recommend to get admission under a physician to one of the good hospitals close by since it is unlikely that he might respond to current medication and he needs further workup and evaluation.Please do consider this option as early as possible to prevent further deterioration of his health.Hope he has a medical insurance plan in place.
Please feel free to revert for further queries.
Regards
Dr.Praveen
Needs hospital admission, further evalution and work-up
Detailed Answer:
Hello madam.Thanks for your query.
I have throughly read your query and deeply understand your concern.Many thanks for sharing the reports.
According to me if your husband is currently having dysentry (blood in stools) and his symptoms are not subsiding/increasing day by day.Please be advised that the reports that have been attached donot have your test results suggestive of typhoid.
The lab report repeated on 25th suggests that his Hemoglobin is 9.1 (versus 14.8 on 20th) which means that he has had a significant blood loss over the past 5 days and thus there is a fall in hemoglobin by approximately 5mg/dl. This is highly significant assuming that these reports are from a good laboratory.I am glad that the cells counts have normalized.
I would recommend to get admission under a physician to one of the good hospitals close by since it is unlikely that he might respond to current medication and he needs further workup and evaluation.Please do consider this option as early as possible to prevent further deterioration of his health.Hope he has a medical insurance plan in place.
Please feel free to revert for further queries.
Regards
Dr.Praveen
Above answer was peer-reviewed by :
Dr. Shanthi.E
Hi, I have provided some attachments. Please review them.
Brief Answer:
Further tests are required
Detailed Answer:
Hi sir.Thanks for sharing the reports.
Stool analysis shows the presence of blood.
Dengue has been screened.Please check if the value is with the reference limits mentioned in the report.
There are no tests related to typhoid in the reports(widal, typhi dot).
Kindly consult a physician since you might require a further work-up such as-culture sensitivity report, correction of dehydration, change in antibiotic therapy etc.
Regards
Dr.Praveen
Further tests are required
Detailed Answer:
Hi sir.Thanks for sharing the reports.
Stool analysis shows the presence of blood.
Dengue has been screened.Please check if the value is with the reference limits mentioned in the report.
There are no tests related to typhoid in the reports(widal, typhi dot).
Kindly consult a physician since you might require a further work-up such as-culture sensitivity report, correction of dehydration, change in antibiotic therapy etc.
Regards
Dr.Praveen
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, I have provided some attachments. Please review them.
Brief Answer:
Consult physician as early as possible.You might require hospital admission
Detailed Answer:
Hi again.Thanks for sharing the reports.
Yes the widal test is positive and has high titres suggestive of Typhoid.
As discussed earlier since your symptoms are not subsiding consult a physician for further management.It is important to rule out further complications of typhoid especially when you see blood in stool and your hemoglobin is falling.
Thanks again!Get well soon.
Best,
Dr.Praveen
Consult physician as early as possible.You might require hospital admission
Detailed Answer:
Hi again.Thanks for sharing the reports.
Yes the widal test is positive and has high titres suggestive of Typhoid.
As discussed earlier since your symptoms are not subsiding consult a physician for further management.It is important to rule out further complications of typhoid especially when you see blood in stool and your hemoglobin is falling.
Thanks again!Get well soon.
Best,
Dr.Praveen
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
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