Sir my name Is urvashi . I am undergoing very serious situation . I continuosly experience 99.2-99.4 fever due to typhoid . And the worst part is that no medicine relieved me from this and it never came down and my body feel the same fatigue before or after taking medicines . I got myself checked and reports shows typhidot test igm and igg both positive . Doctor prescribed me. Cefixime 250+ meftal forte .but they are not working well. And I continued to experience the same temp for the last 15-20 days . I am preparing for upsc and this fatigue hindering me to prepare actively. Sir plz suggest what kind of disease I am undergoing through
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I can definitely help you over this being a general physician
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Do cbp with ESR, urine microscopic, blood sugar, x ray chest done.
Try taking inj. Cefatrioxone 1gm. Morning and evening for 5 days I.V.
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Understanding the Diagnosis:
❗ 1. Typhidot test (IgM + IgG positive):
IgM → Recent infection
IgG → Past exposure or ongoing immune response
But: Typhidot alone is NOT 100% reliable. It can remain positive even after the infection has cleared, or give false positives.
To confirm typhoid and assess severity, better tests are:
Blood culture (most reliable if done early)
Widal test (if available with rising titers)
CRP, CBC, ESR – to check for inflammation
Liver function tests (LFT) – sometimes typhoid affects liver
Malaria, dengue, TB screening — to rule out other chronic infections
🚫 Why current treatment may not be enough:
Cefixime 250 mg is a low dose for typhoid, especially if resistant strains are involved.
Many cases now require higher doses or combination therapy, like:
Cefixime + Azithromycin
Or IV antibiotics in more severe cases
Duration is usually 10–14 days, not just a few days
Next Steps
✅ What You Should Do Now:
1. Get further evaluation — don’t delay
Visit a physician or infectious disease specialist and ask for:
CBC with differential
Blood culture
ESR, CRPLiver function tests
Repeat Widal or other typhoid confirmation
Screen for TB, dengue, typhus, brucellosis if needed
2. Review or change antibiotics
You may need a stronger or longer course, such as:
Cefixime 400 mg twice daily
Or Ceftriaxone injections if oral not effective
Add Azithromycin if needed (some resistant strains respond well)
Don’t self-medicate — only switch under doctor guidance.
3. Supportive care for fatigue
ORS, electrolyte water, easy-to-digest food
B-complex, Vitamin D, iron levels if not already checked
Proper sleep and rest (very important in recovery)
Health Tips
💬 Final Note
This doesn’t seem like a regular viral fever. With persistent symptoms and no relief in 2+ weeks, please consult a physician immediately for proper re-evaluation. A timely adjustment in diagnosis and treatment will get you back to your studies and strength.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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