It’s Been 2 Weeks Of Typhus And It Doesn’t Heal?

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Sorry, would like to consult. I experience symptoms of high fever, headache, stomach aches such as being twisted, bloated and ringing but still have an appetite. And hair loss due to prolonged fever. Based on laboratory results on the widal test, I developed typhoid fever. With the value of S. Typhi O 1/320, Typhi H 1/320, Typhi A 1/160, Typhi B 1/320. I did an outpatient treatment at home by taking antibiotics Cefixime, Thiamphenicol, Vermint, and stomach medications such as Omeprazole, Sucralfat and some additional vitamins. After 10 days of treatment, the fever slowly disappears. But abdominal pain and bloating does not go away. Is this a recovery stage. And sometimes I experience very severe dizziness, because my hemoglobin is low at 11.0. MCH, MCHC, and MCV values ​​are below normal. Am I accompanied by anemia? What kind of anemia do I have? Because I already consume blood booster tablets and hemoglobin doesn’t go up. Thank you very much. Sorry too many questions.

1 Answer:

Hello!

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Typoid is a disease caused by infection by Salmonella typhi bacteria. This bacterium is contagious from contaminated food and poor hygiene.

Typoid suspicion must be based on symptoms found and physical examination and supporting examination carried out. Typoid fever is generally preceded by a minimum of 7 days of fever. Other symptoms that accompany such as abdominal pain, diarrhea or constipation (Difficulty defecating), nausea and vomiting, stomach discomfort, and other digestive tract symptoms.
Ideally Investigations such as blood cultures, feces, urine or other body fluids are useful to assess the presence or absence of these germs that can cause disease. Examinations such as the widal or tubex test can also be done, but the examination is more to assess the trace of germs, so it is not certain that someone has typoid fever even though the results are positive.

Based on your information, the examination towards typoid fever showed positive results. But perku remember, that the examination can mean germ infections in the past alias only shows traces of germs, or it can also mean infections that are happening at this time. Of course your clinical conditions such as symptoms and complaints that are felt are very meaningful in determining the diagnosis in the direction of the disease.

A decrease in fever, increased appetite and reduced other symptoms indicate a process of improvement. Fever is the body's response to get rid of germs that cause infections. Along with the use of antibiotics and other treatments, germs will disappear so that the fever will decrease. But still need to be careful, because when the fever starts to decrease, if the infection is not handled properly, serious complications can occur. It takes about 2-4 weeks to restore the normal condition of the digestive tract after being infected by Salmonella bacteria. These germs cause inflammation in the lining of the digestive tract such as the intestine, causing a decrease in function. This is what underlies complaints of abdominal pain and a sensation that is less comfortable in the stomach as you feel now. Along with the recovery phase, the complaint will gradually disappear.

Associated with decreased levels of HB, MCV, MCH and MCHC, it shows that you have hypochromic microcytic anemia which is often caused by iron deficiency (Iron Deficiency Anemia). In women, the most common cause is bleeding that is experienced every month (menstruation) and without accompanied by adequate nutritional intake of iron. It also can be caused by the inhibition of the process of absorption of iron in the body. The headache that you feel can be related to the disease you are experiencing and the effects of anemia.

To help reduce your complaint, do the following tips:

Compress with warm water if the fever is sufficient Rest Consumption of healthy and nutritious food, prioritize delicate / soft food as long as complaints are felt Sufficient fluid needs Consumption of fever relievers such as Paracetamol according to the recommended dosage and other drugs based on a prescription from your doctor Avoid consuming foods that are less hygienic Washing hands before and after eating Expand to consume foods that contain iron Try to consume iron supplements along with vitamin C because it can support absorption in the intestine. Avoid milk, tea, and fatty foods when consuming iron because it can inhibit its absorption Always consult and control directly with the doctor who treated you before.
Typoid infections that are not given appropriate treatment will be at risk of causing serious complications.
So much information that I can convey, hopefully it helps

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