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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Fever And Rashes

Hi my husband is having fever since a week ... N we went to a hospital n they suggested to do the tests for typoid n the results were widal test reports were salmonella Typi I and h are postive and para typi is negative ..... Doctor prescribed taxim o and oflocacin and dolo 650 we used it fr 3 days ... N later observed a rash kind but not sure abt the rash ... So got the test fr dengue .... N the results were postive fr the antigen n negative fr the ig G and ig M antibodies ... Don t know Wht to do ?
Wed, 29 Oct 2014
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General & Family Physician 's  Response
Hi'
Thanks for contecting HCM team
First i would like to say don't worry about Dengue. my explanation will help you

Dengue viruses are the causative agents of dengue fever (DF) and dengue hemorrhagic fever, mosquito-borne flavi viruses and are the causative agents of dengue fever. There is two types of test for dengue is widely used
1 Dengue NS 1 antigen test - dengue antigen test were able to detect dengue virus infection from Days 1 to 8 .Detection of NS1 during the febrile phase of a primary infection may be greater than 90% sensitive however is only 60–80% in subsequent infections. It early detection test and his test is positive.
2. Dengue antibodies Ig G & Ig M are specific test but can be perform after 7 days of onset of disease because antibodies are produce after 5 - 7 days.IgG, b remains detectable for over 60 years and, in the absence of symptoms, is a useful indicator of past infection.
Dengue is detected early in your husband's case so it is positive in NS1 and negative in antibody test.
Watch upon Vitals Blood presure, Pulse regularly thrice minimum in a day.
observed upon his Platelet count and PCV( hematocrite) TWICE on daily basis if platelet count Falls below 40,000 immediate contact to your treating Physician
OBSERVED upon bleeding from gum nasal or any site.

TREATMENT DENGUE
Dengue is viral fever and NO SPECIFIC ANTI VIRAL FOR IT only platelet transfusion is option to correct platelet
Those who are able to drink, are passing urine, have no "warning signs" and are otherwise healthy can be managed at home with daily follow up and oral rehydration therapy.Those who have other health problems, have "warning signs" or who cannot manage regular follow up should be cared for in hospital.
Oral rehydration therapy means take WHO recommended ORS . Panalty of Oral fluid. Some natural therapy like Fresh Coconut water ( Not in concentrated or Juice Form) will help to increased self immune system
When Platelet count falls bellow 20,000 needs platelet transfusion and prefer Single Donor apheresis platelet ( will helps 30,000to 70000 platelet in single transfusion.
Use mouth wash no brush to prevent Gum bleeding.
KEEP REGULAR CONTACT WITH YOUR DOCTOR
Take complete bed rest
DOLO 650 IS OK TO PREVENT FEVER AVOID PAIN KILLER AND TAKE MEDICINE ONLY EXPERT ADVISE BY PHYSICIAN
I need your salmonella typhi titers count , which will help me for diagnosis of typhoid.
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Suggest Remedy For Fever And Rashes

Hi Thanks for contecting HCM team First i would like to say don t worry about Dengue. my explanation will help you Dengue viruses are the causative agents of dengue fever (DF) and dengue hemorrhagic fever, mosquito-borne flavi viruses and are the causative agents of dengue fever. There is two types of test for dengue is widely used 1 Dengue NS 1 antigen test - dengue antigen test were able to detect dengue virus infection from Days 1 to 8 .Detection of NS1 during the febrile phase of a primary infection may be greater than 90% sensitive however is only 60–80% in subsequent infections. It early detection test and his test is positive. 2. Dengue antibodies Ig G & Ig M are specific test but can be perform after 7 days of onset of disease because antibodies are produce after 5 - 7 days.IgG, b remains detectable for over 60 years and, in the absence of symptoms, is a useful indicator of past infection. Dengue is detected early in your husband s case so it is positive in NS1 and negative in antibody test. Watch upon Vitals Blood presure, Pulse regularly thrice minimum in a day. observed upon his Platelet count and PCV( hematocrite) TWICE on daily basis if platelet count Falls below 40,000 immediate contact to your treating Physician OBSERVED upon bleeding from gum nasal or any site. TREATMENT DENGUE Dengue is viral fever and NO SPECIFIC ANTI VIRAL FOR IT only platelet transfusion is option to correct platelet Those who are able to drink, are passing urine, have no warning signs and are otherwise healthy can be managed at home with daily follow up and oral rehydration therapy.Those who have other health problems, have warning signs or who cannot manage regular follow up should be cared for in hospital. Oral rehydration therapy means take WHO recommended ORS . Panalty of Oral fluid. Some natural therapy like Fresh Coconut water ( Not in concentrated or Juice Form) will help to increased self immune system When Platelet count falls bellow 20,000 needs platelet transfusion and prefer Single Donor apheresis platelet ( will helps 30,000to 70000 platelet in single transfusion. Use mouth wash no brush to prevent Gum bleeding. KEEP REGULAR CONTACT WITH YOUR DOCTOR Take complete bed rest DOLO 650 IS OK TO PREVENT FEVER AVOID PAIN KILLER AND TAKE MEDICINE ONLY EXPERT ADVISE BY PHYSICIAN I need your salmonella typhi titers count , which will help me for diagnosis of typhoid.