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Fever for last 8 days
Fever for last 8 Days, only fever other Symptoms,2 times fever in Day,
Microcef cv 200 first 5day
Then pulmocef cv 500 just start
But no improvement
No dengue ,malaria Symptoms
Answers (51)
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Tab.Dolo 650mg (1-0-1) for 5days
Tab.Amoxiclav 625mg (1-0-1) for 5 days
Tab.pan40mg (1-0-0) before Breakfast for 5 days
Stay hydrated.
Consult me on practo for further details.
Next Steps
Get CBC done
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As i can sse ur widal test for typhoid is positive
U need to change ur antibiotics
But i need more detailed history
So plz consult
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Hi . Take also tab. Dolo 650 mg twice a day after meal.
With tab. Pulmocef cv 500 twice a day after meal.
Tab. Deflazit 6 mg
1 once a day after meal
X 5 days.
Take plenty of water .
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Need a detailed history examination and investigations
These tests are not enough
Now he has to be investigated and treated accordingly
Don’t self medicate
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Hello , Kindly consider having a Tele-Consultation with me on PRACTO App since adequate patient history is required for proper treatment and further follow up . Thank You
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You need to visit clinic for clinical examination
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Kindly consult me on practo or whatsapp on 773 six two 7 six 4 six 2
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Asap visit nearby GP
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Based on your test reports, I can see that your Widal test shows positive results for Salmonella typhi antibodies (both O and H antigens at 1:80 dilution), which indicates that you are suffering from Typhoid Fever. This explains why you have not improved with the cephalosporin antibiotics (Microcef cv 200 and Pulmocef cv 500) that you have been taking, as these are not the first-line treatment for typhoid fever.
The fact that your malaria parasite test is negative and there are no typical dengue or malaria symptoms further supports the diagnosis of enteric fever (typhoid).
Typhoid fever typically presents with:
- Sustained high fever (usually higher in the evening)
- Fever lasting more than 5-7 days
- Relative bradycardia (pulse rate lower than expected for the fever)
- Headache, body aches
- Loss of appetite
- Abdominal discomfort
Your CRP level of 6 mcg/ml indicates mild inflammation, which is consistent with the infection.
Next Steps
You need to immediately consult your doctor for proper typhoid fever treatment. Here are the recommended steps: 1. ANTIBIOTIC CHANGE: Stop the current cephalosporin antibiotics. You need to start appropriate anti-typhoid antibiotics such as: - Azithromycin (500 mg once daily for 7 days) OR - Ceftriaxone injection (2-4 grams daily for 7-10 days) OR - Ciprofloxacin (if sensitivity is confirmed) 2. FEVER MANAGEMENT: Continue paracetamol 650mg every 6-8 hours for fever control. Apply cold water sponging if fever goes above 102°F. 3. HYDRATION: Drink plenty of fluids (at least 3-4 liters per day) - ORS, coconut water, fruit juices, and soups to prevent dehydration. 4. DIET: Take soft, easily digestible food. Avoid spicy, oily, and high-fiber foods. Take small frequent meals. 5. REST: Complete bed rest is essential for recovery. 6. FOLLOW-UP TESTS: After completing the antibiotic course, you may need repeat blood tests to confirm clearance of infection. 7. URGENT CONSULTATION: If you develop severe abdominal pain, vomiting, bleeding in stools, or confusion, seek immediate medical attention.
Health Tips
IMPORTANT PRECAUTIONS: 1. DO NOT self-medicate or continue the current antibiotics without proper medical consultation, as incomplete or wrong treatment can lead to complications like intestinal perforation or hemorrhage. 2. Typhoid is a communicable disease - maintain strict hand hygiene, use separate utensils, and ensure proper sanitation to prevent spreading infection to family members. 3. Do NOT consume outside food, street food, or raw vegetables during treatment. Drink only boiled and cooled water or bottled water. 4. Complete the full course of antibiotics even if you feel better, to prevent relapse and development of antibiotic resistance. 5. Watch for warning signs: severe abdominal pain, altered consciousness, blood in stools, persistent vomiting - these require immediate emergency care. 6. Your Widal test titers are relatively low (1:80), which is why proper clinical correlation and appropriate treatment are essential. 7. Family members should also be monitored for symptoms, and if needed, they should get tested as well. Note: This is an educational response. Please consult your doctor in person for prescription of appropriate antibiotics and proper management of typhoid fever.
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If you are fever for more than a week you should go to a nearby general physician n get all investigations done along with proper medications.
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Get CBP
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Get a CBC done...Repeat Widal by tube..if titres rise they are significant
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Dr. Rajkumar Doriya
Consult Now
Ayurvedic Endocrinologist & Internal Medicine Specialist
1 yrs exp
Jaipur
Report suggests typhoid positive
Next Steps
either you go for oral or iv treatment
1.cefexime 200mg for 10 to 14 days
or 2.iv ceftriaxone 1-2gm iv for 7-14 days
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Is there any dificulty in micturation or not ?
Is there a problem in frequency , urgency in urination ? If yes kindly consult me
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Please don't do self medication for fever of 8 days duration. You should consult a General Physician in your area for a physical examination, a few investigations and further management
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Need a detailed history along with reports done
Next Steps
Can contacted with reports and history, will be reviewed
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More details needed for proper treatment. Consult me on 8250six1six996
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Consult your physician again
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Hey this is dr sankar here ,
From the clinical picture that you have mentioned
I would state that you have typhoid
This explains all the symptoms that you are facing as of now and i would suggest that you start the treatment as this disease has a capacity of making yourself a carrier and spreading it to others
Next Steps
I would advise a change in the antibiotics to be taken
Kindly do consult me for a prescription
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You need a proper prescription with follow up you can contact me on practo happy to help .
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Avoid fried and spicy food
Water intake more
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Will need more details regarding your condition
Next Steps
Kindly consult in practo or connect with me in WhatsApp 808nine7nine4nine53
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Hello,
For consultation
1. Pay ( ₹ 500 only, 50 % off ) and consult by practo.
2. Or pay ( ₹ 500 only, 50 % off ) and send message by GPay. My mobile number is +91959508739nine.
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Take a glass of milk daily.
Thanks.
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Reports suggesting of typhoid
Get cbc, crp, lft
Continue pulmocef upto 7days
Take tab ciproflox 500mg 1-0-1 5days
Tab pan 40mg 1-0-1 5days
Health Tips
Keep hydrated
Maintain healthy diet
avoid oily spicy processed food
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Video consult me to get cured immediately
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Pls consult me in practo or wtsp nine zero seven two two zero seven zero nine three
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Tab Doxt sl 100 mg twice daily after food 5days
Tab acton OR.. twice daily after food 5days
Cap Ato Z gold once daily 10 days
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Tab macfast 650 two times daily
Glucon d 2 spoon twice daily in water
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Tab zerodol sp three times a day after food for 3to5 with antibiotics.
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Possible it's typhoid consult me through practo Or whatsApp nini nini nini 9 six six 6909
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Hello, I am Dr. Romain Rajan, General Physician.
Your case has been allotted to me.
I understand your concern. Persistent fever for more than a week without other symptoms can sometimes occur due to hidden infections or inflammation in the body that may not show clear signs early on.
1. Advices
Continue proper hydration and light diet. Avoid oily and heavy food.
Get enough rest and maintain body temperature chart every 6 hours.
Avoid taking multiple antibiotics without review. Sometimes fever persists due to viral or typhoid infection that needs a targeted approach.
2. What to Monitor
Any new symptoms such as cough, rash, abdominal pain, urinary burning, or weakness.
Duration and pattern of feverâwhether continuous, intermittent, or evening rise.
3. Management
You may take Paracetamol 650 mg tablet when temperature rises above 100°F. Continue Pulmocef CV 500 only after review. It is advisable to get few basic tests done nowâCBC, ESR, Typhidot, Urine Routine, LFT, and Chest X-ray if cough or chest heaviness appears. Please avoid self-medicating further as exact treatment depends on these reports.
4. When to Consult a Doctor Immediately
If fever persists beyond 10 days or temperature exceeds 102°F.
If you feel severe weakness, breathlessness, or abdominal pain.
If new rashes or jaundice appear.
Every patientâs situation is unique. For accurate diagnosis and lasting relief, itâs important to discuss your medical history and test results in detail.
ð You can reach out to me directly for this case, and also connect with me in future for any medical consultation.
I am available on Practo or on WhatsApp at 85271646 seven seven for a one-on-one consultation, where youâll receive:
⢠A personalized treatment plan
⢠Safe medicine adjustments (if required)
⢠Quick follow-ups to track your recovery
Take care, wishing you good health.
Best regards,
Dr. Romain Rajan
General Physician
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Hey, it's mild typhoid positive. Any other investigations? Kindly consult with me on 94 two six 86 seven eight 96.
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Why are you taking such strong antibiotics
It could just be viral fever
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Could you tell how many times you have to take paracetamol, what is the maximum temperature, any loose stools, pain abdomen, headache, joint pain, throat pain while swallowing food etc, also any other investigations besides urine routine microscopy and widal test.
For more guidance,I would advise to contact. me
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Need few more details
Kindly connect.
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get your lft done and usg W/A
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Kindly contact fever still persisting not normal,need proper evaluation
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You have mentioned only about fever and have already taken antibiotics with no improvement. also your CBC report is missing. I will need detailed history to determine further cause of fever.
Next Steps
I would recommend you to measure the fever using thermometer and get CBC done.
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Kinly do (cbc ) lab test
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U should do crp and widal test
Take
Next Steps
1-cap microdox lbx 100
mg bd for 5 days
2-tab pcm 650 mg tds for 2 days
3-planty of oral liquid
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Start zostum o
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Dr. Saurabh Agarwal
General Physician
3 yrs exp
Jaipur
First of all, try not to spread this typhoid by using the same towels or other belongings. You'll need great hydration so drink as much water as possible.
For antibiotics, either you need to see a doctor in person or consult any qualified physician over here.
Do not try anything random from the internet.
Get well soon.
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Dr. Jitendra Kumar
General Physician
45 yrs exp
Delhi
The patient needs further investigations for PUO such as Hemogram with ESR and peripheral smear and XRay chest PA view to rule out Pleural effusion or Pulmonay uberculosis or any blood related malignancy.
Meanwhile continue antibiotic and temperature charting.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated
Do consult
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Consult online
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Dr. Hiba Hameed
General Physician
3 yrs exp
Malappuram
You need proper clinical evaluation as well as repeat blood test
Next Steps
Consult a doctor
Take plenty of water
Monitor fever cycles
Check BP at regular intervals
Observe for any rashes on body
In case you feel dizzy, always stay with someone.
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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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Dr. Agnibin Kundu
General Physician
11 yrs exp
Kolkata
Please elaborate your presenting complain.
Any rash, bleeding and headache?
Cough and cold?
Next Steps
Plenty of ORS WATER
DO one complete blood CBC, LFT, xray
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