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Typhoid detection results
Samonela typhoid O and H are coming reactive , upto titre 1.40 and 1.16 respectively in the lal lab test report should we start medicines , esr is also 48
Answers (18)
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A Widal at 1:40 and 1:160 is a weak result and in an endemic area it can stay positive from an old infection or even a vaccine. I do not start typhoid treatment on Widal alone. A raised ESR only says there is inflammation somewhere, it does not confirm typhoid. What decides it is whether she is actually running fever, and blood culture is the test that gives a real answer.
Next Steps
If she still has fever, get a blood culture plus CBC and CRP before any antibiotic is started. No fever, no symptoms means no treatment needed for this titre. Fever crossing a week, drowsiness, vomiting or abdominal pain means she should be seen the same day. Message me on Practo with the reports and I will tell you clearly whether medicines are needed.
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Required a proper assement and history. So connect on procto
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With this report you need not start treatment for Typhoid.
For details please consult with a General Physician in your area or on Practo.
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Kindly visit a hospital and get blood cultures and a cbc. You most probably wont need in patient admission. But based on your test results, the necessary medications can be prescribed to you
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
Will help you
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Please share your symptoms, because it is disease which is treated, based on symptoms, detailed history and Test results.
The report is suggestive of typhoid, but treatment in detail will be based on detailed history.
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Do typhi dot igm test
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Widal test is non specific. Get cbp with blood culture for confirmatory diagnosis before starting antibiotics.
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If 1:160 then positive.
Advice :-
1) Bland diet
2)Avoid tea coffee alcohol oily spicy junk food
3)If fever present:- Tab pcm 650mg twice daily after food.
4) Tab cefixime200mg - twice daily for 7 days.
5) Tab bifilac - twice daily for 5 days.
6) Drink plenty of water mostly ORS - 3 litres daily
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Attachment not available. 1:40 negative.
1:16???????? Or 1:160
Is POSITIVE.
TAB CEFEXIM O200 TWO TIMES A DAY AFTER FOOD FOR 7 DAYS.
ZERODOL SP THREE TIMES A DAY AFTER FOOD FOR FIVE DAYS. MONTEK LC ONE AT NIGHT AFTER DINNER FOR 5 DAYS.
REST.
PLENTY OF WATER N LIQUID LEMONADE ELECTORAL POWDER BUTTERMILK.
SEMILIQUID KHICHDI PORRIDGE POHA UPMA IN DIET.
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Consult general physician
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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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Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
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Sometimes widal test is non-specific. So treatment should be depends on symptoms.if you feel symptoms like fever,diarrhea then starts antibiotics.
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Sirf Widal report ke basis par typhoid confirm nahi hota. O 1:40 aur H 1:160 titres ko symptoms ke bina typhoid nahi maana ja sakta. ESR 48 bhi nonspecific hai aur apne aap antibiotic start karne ka reason nahi hai.
Next Steps
Agar patient ko persistent fever, headache, abdominal discomfort, loose motions/constipation ya weakness hai, to physician examination karwayein. Possible ho to blood culture with sensitivity, preferably antibiotic start karne se pehle, karwana better rahega.
Health Tips
Filhaal bina proper clinical evaluation ke anti-typhoid antibiotics start na karein. Adequate fluids aur light diet rakhein. Persistent/high fever, severe abdominal pain, vomiting, confusion ya marked weakness ho to promptly doctor ko dikhayein.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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