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Dengue fever and typhoid
I was diagnosed with dengue and typhoid fever. Iam using antibiotics since last 5 days but my fever is not reducing. My body temperature is getting 99.5 from evening daily.Yesterday I did CBC my platelet count is 2,11000. My typhoid salmonela typhi o is 1:160; salmonella typhi H antigen is 1:80; salmonella paratyphi AH antigen is 1:40; salmonella paratyphi BH antigen is 1:40;
My dengue reports are Dengue Ns1 Ag & Ab : Negative, Dengue IgG: Negative;
Dengue IgM: Weak positive.My doctor gave augiprime 625 for fever yesterday when I went to checkup due to no fever drop he added cefimic 200.iam taking cefimic 200 since yesterday along with augiprime 625. How many days does it take to reduce my fever.
Answers (22)
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I can definitely help you over this being a general physician
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Could you pls share full lab reports
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If you need further consult
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Any one of the antibiotic to be continued..specifically cefixime 200 twice a day for 5 days
Fever will reduce as it is not high grade fever.maintain adequate hydration 2-3litres of water and do cbc after 2 days
In case of high grade fever 101and beyond not reducing on medicines you can visit casualty
Next Steps
Cbc after 2 days
Health Tips
Adequate hydration
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Your reports don’t strongly confirm dengue or typhoid. Fever can stay for 1–2 weeks after infections. Keep taking the prescribed medicines, drink plenty of fluids, eat light food, and rest well. Check temperature and repeat blood tests if fever rises, new symptoms appear, or it lasts more than 7–10 days
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From your reports it seems that you have only Typhoid and not Dengue.
You should consult a good General Physician in your area. Your treatment should be under one Doctor.
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Take a glass of milk daily.
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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1 day is too soon to see the response to antibiotic, it may take 2 to 3 days for response to begin.
Take paracetamol 500mg, every 6 to 8 hours, do some tepid sponging to bring down high fever.
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Add
Zerodol sp3 times a day after food for 3to5 days. Montek lc one at night for 3to5 days.
You need 7 to 10 days.
Diet is very important. Mainly liquid with semiliquid Khichdi porridge poha Upma.
Liquid lemonade electoral powder buttermilk.
Rest
Avoid sunlight.
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Take plenty of fluids and avoid food which are difficult to digest
Don't skip any medications..it will be resolved with in 1week
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It will settle within or before 1 week . Just dont skip the treatment.
Health Tips
Drink plenty of water be hydrated
Take proper rest and sleep , it will promote recovery
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Drink plenty of oral fluids ,as dengue is a viral fever need only supportive treatment and regular platelet monitoring is required....some times fever may take 5 to 7day to subside.
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Typically its take 4-5 days to improve
And full improvements ll take more than a week as you need more hydration and good diet
Next Steps
Take paracetamol 650 mg for fever twice a day ll help with fever spike
Health Tips
Lots of fluids like water fruit juice without sugar and good healthy diet
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Dr. Thresia Pereira
General Physician
37 yrs exp
Mumbai
Your Dengue is cured
But get treated properly for Typhoid
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Aswin Narain
Ayurvedic Endocrinologist & Internal Medicine Specialist
1 yrs exp
Chennai
By now your fever would’ve reduced , usually it takes 2-3 days for viral load to decrease after antibiotic intake ,
Next Steps
maintain proper hygiene and take easily digestible steamed food and probiotics for at least a month .
Health Tips
Please refer only to one general physician as opinion might vary since you were positive for two different clinical diseases.
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
High titres.
Needs to be evaluated
Do consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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