Widal Typhus Test Has Doubled Despite Treatment?
Good afternoon Doctor, I want to ask if I have to take another type of antibiotic, where I was treated for the first time on May 25, 2019, where I was given SPORETIC 200 contents of 10 tablets to be taken for 5 days, with the condition of Salmonella Typhi O = 1/320 Salmonella Typhi H = 1/640 with the condition of fever does not go down for 6 days, after treatment is cured but not yet Widal test, just the body does not have a fever and no longer dizzy. On June 22, 2019, I checked the Widal blood test the second time with the condition of not having a fever and not dizzy, just wanting to know the condition of my typhus. It turned out that my Salmonella Typhi O and H actually increased to 1/640 each … But I was still not given antibiotics. My questions 1. Do I have to change doctors to be given antibiotics, 2. or is antibiotics really not needed anymore? Only by keeping healthy, not tired, and maintaining enough food? With a note I was not treated in the hospital because I did not have a fever even though my Salmonella typhi was high. 3. How to kill Salmonella bacteria. Thank you Doctor, please enlighten me.
Good afternoon, thank you for asking at HealthReplies.com. Typhus fever is a condition caused by infection with the bacterium Salmonella typhii and is characterized by fever which characteristically fluctuates throughout the day. Those who increase their risk of this bacterial infection are those who consume food or drinks that are contaminated with bacteria, lack physical hygiene and have a low immune system. Because it is caused by a bacterial infection, the way to handle it is to give antibiotics.
Regarding your question, generally after treatment, the test results will be closer to normal values, and not get bigger. With this increased value, there are several possible causes. Among them are the calculation error or the presence of a contaminated sample, the treatment is not enough, the bacteria are already immune to the antibiotics or the body's specific response to certain conditions. Which one best represents you, or even beyond that, we can't explain it without doing a direct inspection.
Our advice, you should discuss this with the doctor who treated you so far, or you may also seek a second opinion on another internal medicine doctor, because who knows there are certain conditions that are not detected by your doctor now. Either way, the point is that the inspection must be carried out before determining the treatment. Later your doctor will determine whether you will undergo treatment again or not, whether the medicine remains the same or replaced and whether the dose is the same or added.
Meanwhile, of course you must maintain endurance by increasing the consumption of nutritious foods such as vegetables and fruit, adequate rest, multiply the consumption of water, avoid cigarettes and alcohol and immediately check yourself again. So, hopefully answering your question.