Signs Of Typhus That Must Be Hospitalized?
I have typhus for 3 months. My widal blood test is typhi O 1/320 and H 1/120. But I was not treated. But every week I must be cold and hot. And almost past a month I was hot and cold 3 days. I check again typhi O 1/320 and typhi H 1/320. Do I have to be hospitalized or not? Because sometimes the upper abdomen in the middle likes really sore and feet and hands become cold.
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Typhoid fever is a digestive tract infection caused by Salmonella Typhii bacteria. Symptoms can be: fever, especially in the evening and slightly decreased / improved in the morning, abdominal pain, digestive disorders such as nausea, vomiting, diarrhea (frequent and watery bowel movements) or sometimes constipation (difficult bowel movements), and additional symptoms, such as dizziness, weakness, the tips of the fingers feel cold. However, because there are several diseases that have similar symptoms, such as dengue hemorrhagic fever, gastroenteritis, or viral infections, so as to diagnose a typhoid fever, it is not enough just for these symptoms, but also accompanied by physical examination by a doctor, and supporting examinations ( laboratory).
Widal test is one of the tests that is often used to detect typhoid fever, but this test has a low sensitivity level so it is often misunderstood by patients. A positive widal test (generally said to be positive if the value is 1/160, 1/320, or smaller) does not indicate the presence of Salmonella Typhii germs in the body, but rather means detected antibodies to the germ. Our bodies form antibodies to fight germs, and are formed from the first exposure, and remain in the blood for several weeks afterwards. This is what causes your test results to remain positive even though it has passed several weeks or months, and even this is the underlying so the widal test is not used by doctors to state the patient's recovery. Some other tests that are considered more sensitive for diagnosing typhoid fever are IgM - IgG Salmonella typhii, or Tubex inspection.
Keep in mind that typhoid fever often reappears (recurrence) even though the patient has recovered, especially when the patient's immune system is not in good condition. Therefore, one of the indications for hospitalization of patients with typhoid is that the patient can get a total bed rest, so as not to start strenuous activities before he is completely cured. In addition, you need to ensure the correct use of drugs (especially antibiotics), that is, with the appropriate dosage and usage rules, and to be consumed thoroughly.
Things you can do right now are:
Adequate rest Ensure that your nutritional and fluid needs are met. Take antipyretic drugs (fever medicines), such as paracetamol at the dosage listed in the Antibiotic consumption brochure according to doctor's advice. If you have a fever for more than 1 week or even a few weeks, I strongly recommend to see a general practitioner or a specialist in internal medicine, so that a more complete examination and treatment that suits your condition.
Thus my information, hopefully can help.