Fever Accompanied By Nausea And Abdominal Pain When Positive For Typhus?

Illustration of Fever Accompanied By Nausea And Abdominal Pain When Positive For Typhus?
Illustration: Fever Accompanied By Nausea And Abdominal Pain When Positive For Typhus? antimicrobe.org

Regards,. I already felt fever, nausea, and abdominal pain (to diarrhea) for about two weeks, I thought my ulcer had recurred and had a common cold, finally because I could not bear to check and check the blood. Normal leukocyte and platelet test results, S. Typhi O 1/320, S. Typhi H. 1/160. The doctor who examined stated that I was positive for typhus and was recommended to be hospitalized, but for one reason or another I chose outpatient care and was asked to get a complete rest. R nAfter the drugs ran out (antibiotics, vitamins, stomach drugs, paracetamol) I checked again because there was no change . Still fever, nausea and constipation. He was treated at home, the infusion ran out of 4 bottles with 5 shots of antibiotics (about 2 injections of nausea medicine), after not experiencing fever and nausea, he finally got off the infusion. Given vitamins, paracetamol, and antibiotics, but just a day back fever, nausea, and dizziness sometimes feel weak. R nI plan to have another blood test, because the doctor’s advice if antibiotics run out and still showing symptoms should repeat blood tests. R n nIs there any indication that I am positive for typhoid fever?

1 Answer:

Hello Ningtyas, Thank you for the question.

Typhus, or typhoid fever, is an infection of the digestive tract caused by Salmonella typhi bacteria that enter the patient's body through contaminated food and drink. Typhus causes symptoms that include diarrhea or constipation, fever, nausea, vomiting, stomach pain, headaches, and decreased appetite. To diagnose typhus, your doctor will need to know your complaints, do a physical exam on you, and do blood tests. Blood tests are done to detect immune substances (antibodies) that form from this infection. The examination that is still widely carried out in Indonesia is the Widal examination (like the one you underwent). The results of this blood test must be interpreted more carefully because in endemic areas like Indonesia, everyone has been exposed to these bacteria so that the body has produced antibodies. Thus, the antibodies will definitely show positive results. Apart from Widal, there is another test that is more accurate for diagnosing typhus, namely the Tubex test. From the results of previous blood tests (Widal), you have typhus. After being diagnosed with typhus, the sufferer will be treated with antibiotics for a certain period of time. If you do not get better and still have symptoms, you are advised to go back to the doctor because you may have other medical conditions or the antibiotics you are taking are not able to treat your typhus because the bacteria is already resistant. Usually the doctor will perform another blood test and stool examination.

Please do the following suggestions:

increase the consumption of water to prevent dehydration, consume more nutritious foods, avoid the consumption of food and drinks that are not kept clean, get plenty of rest, avoid excessive physical activity until you recover, take paracetamol if you have a fever.

Dr. Aloisia

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