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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Widal Test Result For Stomach Upset And Mild Fever Indicate?

My neighbor has this test result and they were advised to take typhoid tablet for 3 days. Now the test result is as below. O 1 : 80 H 1 : 80 Now they are facing digestion problem with some sought of upset in stomach and feeling light temperature . what should be done
Tue, 3 Oct 2017
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Gastroenterologist 's  Response
hii...widal test of titre 1:80 is not significant .moreover in typhoid fever it becomes positive only during 3rd week of illness. you should get done "typhi Dot IgM'" test that is more sensitive and easy test for quick diagnosis. blood culture is the gold standard test. fever,mild stomach upset might be there in some viral fevers or typhoid fever. empirical antibiotics (ceftriaxone) are given for10-14 days or azithromycin for 5 days; not 3 days as you are being advised. For this tempoary indigestion some PPI and digestive enzyme syrup will do.
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What Does This Widal Test Result For Stomach Upset And Mild Fever Indicate?

hii...widal test of titre 1:80 is not significant .moreover in typhoid fever it becomes positive only during 3rd week of illness. you should get done typhi Dot IgM test that is more sensitive and easy test for quick diagnosis. blood culture is the gold standard test. fever,mild stomach upset might be there in some viral fevers or typhoid fever. empirical antibiotics (ceftriaxone) are given for10-14 days or azithromycin for 5 days; not 3 days as you are being advised. For this tempoary indigestion some PPI and digestive enzyme syrup will do.