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What Causes Shoulder Muscle Pains?

Posted on Wed, 7 Jan 2015

Question: hello i was having a muscle shoulder aches and i take ceprolex but the aches is gone i tested salmonella typhi h 1/80 and salmonella typhi o is 1/40 after i take the medicine 2 tab left to finish am sneezing and is the test a good

Answered by Dr. Parin N. Parmar (1 hour later)

Brief Answer:
Titres very low, give more details, do not worry.

Detailed Answer:
Hello,

Thank you for asking at HCM.

I went through your history and would like to know more details about you as follows:

a. Did you have fever? If yes, since how many days?

b. What are your other symptoms?

c. What are the other tests apart from salmonella typhi h & o titres?

d. Is it Ceprolex or Cipralex?

Above details would help me to know your complaints better and therefore to make suggestions for you more specifically.

At present, I would suggest you as follows:

1. As per my knowledge, shoulder muscle pains have no relation with Salmonella typhi. It is done for investigating for enteric fever. So if you don't have fever, I would say the testing is not contributing to any diagnosis. In that case, I would suggest you to simply ignore the result and not to worry at all.

2. Salmonella typhi H & O titres - Widal test is useful only after 7 days of fever, in case of enteric fever. It is not useful before this period.

3. Overall, the titre H 1/80 & O 1/40 is very low and can be ignored, such result can also be seen in a normal person.

4. For sneezing, I would suggest you to take an antihistamine like cetirizine or levocetirizine for symptom relief.

Hope above information will be helpful to you.

Please provide more details regarding why the test was ordered, what were your other symptoms, what are the other investigations, etc. So that I can make suggestions for you more specifically.

At present, please do not worry.

Wish you the best of the health ahead.

Thank you & Regards,

Dr Parin N Parmar

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Parin N. Parmar (1 hour later)

yes i tested for malaria it was positive when i take amodaquine and went for the second test it was negative and with typhoid all was negative i this all started when i started training with running one day i came back from training that was the end i usually use 1 weeks to train but i use 3 days prefect since then i have been having muscle pain and bones pain

Answered by Dr. Parin N. Parmar (37 minutes later)

Brief Answer:
Malaria can cause such results..

Detailed Answer:
Hello,

Thank you for your follow-up.

Your details made the things more clear.

A recent infection of malaria can cause such results in Widal test - low titers of H & O for salmonella typhi.

So If you no longer have fever now and only muscle pains, I would suggest you to not to think about the report. Muscle pains do not have relation to Salmonella typhi report. They can be due to post-infection or physical injury or strain or such things.

If they do not improve, I would suggest you to consult an Orthopedic doctor to identify the possible cause. He may suggest you some investigations like X-ray of shoulder, etc. Some exercise under guidance of physiotherapist would also help you to improve faster.

At present, I would suggest you to take simple analgesics (pain killers) for muscle pain.

Hope above suggestions will be helpful to you.

Should you have any further query, please feel free to ask on follow-up. It will be my humble pleasure to help you with my best of knowledge and experience.

Wish you a quick recovery and a very good health ahead.

Thank you & Regards,

Dr Parin N Parmar

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Parin N. Parmar (1 hour later)

because it started when i started training i use 1 week to train in and out 10 kilometers but i use 3 days to go this is how is started sometimes my neck my toe my muscle sometimes i dont feel it at all

Answered by Dr. Parin N. Parmar (4 hours later)

Brief Answer:
Might be related...

Detailed Answer:
Hello,

Thank you for your follow-up.

I think it might be related to physical strain.

I would suggest you to consult an orthopedic doctor or a physiotherapist who will examine you in detail and may suggest some exercise.

Wish you a very good recovery.

Thank you & Regards,

Dr Parin N Parmar

Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Raju A.T