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Stomachupset, on off low fever 10 days
I am feverish internally, measured temp normal. Body temp becomes hot for few minutes then goes normal, but continues to not feeling well for past 7 days. No cold, cough. Burning eyes Not red or teary. Upper stomach heaviness.
Mild rare cramps, mild. Malaise. No diarrhea. No vomit. Able to eat.
*Had street food once before this and also could be mosquito bites.
*Typhoid dot IgM test is negative. Cbc is normal with neutrophils 71. USG shows reactive mesenteric lymphadenopathy, other normal. No dengue malaria test done. Can typhoid b false neg in early stage?? Are my symptoms mosquito bites related
Tried home remedy.
Dr is unavailable to fup due Holiday. I don't know if it's viral or bacterial. I can't afford more tests. Is it safe to take cefexime 400 for 10 days, but no culture tests done?
"Please suggest any medicine from ur side or a safe gut medicine." (no diarrhea or vomit, firm stool, normal urine, on &off less than 100 feverish)🙏🏻
Answers (12)
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Your picture fits a post-food-poisoning / viral mesenteric lymphadenitis - normal CBC, no diarrhoea, temp under 100, and reactive mesenteric nodes on USG all point that way rather than typhoid. Typhoid dot is a poor test either way; a blood culture or CRP would settle it, but with a normal CBC I would not start cefixime blindly for 10 days - that only breeds resistance and upsets the gut more. Stick to plenty of fluids, light non-oily food, paracetamol when the temperature rises. Go to a hospital the same day if fever crosses 101 persistently, you get repeated vomiting, blood in stool, or the abdominal pain becomes sharp and localised.
Next Steps
Get a CRP and repeat CBC, and a urine routine - cheap tests that tell viral from bacterial. Book a Practo consult with me with these reports and I will tell you clearly whether an antibiotic is needed at all.
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A low grade fever that lingers over a week, along with a reactive lymph node on your scan, needs a proper in-person review even though your typhoid test came back negative. Early typhoid tests can sometimes miss the infection.
Next Steps
Please see a physician for a blood culture, and a dengue or malaria test if not done yet, before starting any antibiotic on your own.
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