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Preventive measures for typhoid in a 21 month old - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   u there
Doctor :   hi
User :   anyone here
Doctor :   Dr. XXXXXXXX here
User :   yep
User :   hi Dr.
Doctor :   please proceed with your health query
User :   my son is 21 months old n he has beeb diagnoised with typhoit fever
User :   we went to a paediatrician
Doctor :   ok
Doctor :   when was the diagnosis made?
Doctor :   what medications is he on at present?
User :   he has given fever syrup ad and some other bitter medicine for typhoid
Doctor :   is he at home or in hospital?
User :   ibugesic plus 5 ml every 6 hours
Doctor :   ok
User :   and
User :   cepodem 100mg/5ml
Doctor :   ok
User :   5ml morning and night
Doctor :   when was the diagnosis made? what were the tests done? what symptoms is the child having at present?
User :   last saturday
User :   and we went to doc on sunday
Doctor :   what were the tests done? what symptoms is the child having at present?
User :   we did trst for degue malaria and widal test
User :   all came negative but widal test
User :   he is having an on off fever
User :   and his food intake is almost nil
User :   he takes some raw cherries and a pastrie with mothers milk
Doctor :   avoid giving him oily or fatty stuff
User :   like
Doctor :   keep him on mothers milk and give him simple foods like XXXXXXXX or khichdi
User :   ok
Doctor :   keep giving him plenty of fluids
User :   like
Doctor :   yu can give him diluted fruit juice (fresh)
User :   dr XXX can u ne specific pls
Doctor :   and water with electrolytes
Doctor :   for a detailed advise you can take help from our nutritionist. you have to give him simple and easily digestible foods, and plenty of water and fresh fruit juices
Doctor :   avoid oily/spicy/fatty foods. avoid giving non veg
User :   ok
User :   anything specific in fruits
User :   /
User :   /
User :   ?
Doctor :   you can give him all fruits. there is nothing specific
User :   some say banana,grapes and oranges to be avoided
Doctor :   no, you can give him all fruits
Doctor :   they shul dbe digestible easily, if the child is tolerating simple juices well, you can slowly start on fruits
User :   how long the fever would stay
Doctor :   continue to give him simple home made foods like broken wheat AAAAAAA rice kanji, mashed rice and potatoes, khichdi
Doctor :   typhoid fever can take almost a month for complete recovery and about 3 months rest in total to avoid associated complications
User :   but here fever comes back every 6 hours
Doctor :   it happens in early infection
User :   i meant to ask about this and he is active as soon as the fever fades...
Doctor :   it will take 3-4 days to get fever under control
User :   he was any way on paracetamol since last tuesday
Doctor :   if the fever keeps coming back, then you can give teh ibugesic syrup about 3-4 times a day as needed
Doctor :   once it is controled, you can come back to dose of 2 times a day
User :   okay
Doctor :   but do not let the child move around much even though he feels fine
User :   is that all i have to do
Doctor :   he should be on complete rest
User :   sure
Doctor :   to avoid further complications of typhoid fever
Doctor :   if the situation worsens or you notice any other symptoms, report to his doctor immediately
User :   i shall do so
User :   but apart from his food intake i dont see anything else...
User :   his food intake worries me
Doctor :   it will be less, you have to compensate in form of juices and easily digested foods
Doctor :   it should be fine once he feels better
User :   i guess vaccines did nothing to prevet this fever
Doctor :   did you give him typhoid vaccine? if yes when was it given?
User :   i did not
User :   and i dont plan to
User :   coz they never proved better till now
Doctor :   vaccines are different for different causes
Doctor :   what vaccines has your child received till now?
Doctor :   each vaccine is specific to certain illness
User :   i dont remember those, but all what is required
Doctor :   typhoid vaccine is a differenet one, it does not come under list of common vaccines,
Doctor :   make sure of what was given to him
Doctor :   and then see if the additional vaccines like typhoid, chicken pox, hepatitis are given or not
User :   i know i have gone too faar and given hin prevenR and rotaviruss too
Doctor :   ok
Doctor :   as of now focus on his care and fast recovery with proper food and medications on time along with rest
User :   but they really have no role in avoiding thse diseases, my nephew was given all vaccines even for typhoid but he still got it..
Doctor :   once he is fine review his vaccination status
User :   that will be my top priority till he recovers
Doctor :   typhoid vaccine has effect only for 2 years, a booster dose is needed every 2 years to avoid typhoid. it is not a one time vaccine
User :   got it
Doctor :   is there anything else I can help you with?
User :   that all dr.XXX
User :   thaks for your time
Doctor :   thanks for consulting me. bye for now
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