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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can I Be Completely Cured From Typhoid?

Hi Doctor, I am Salini. 28,F,Single.

Since childhood I always used to drink boiled water and never had any

waterborne disease. But around 2.5 years back the entire family met with an

accident in U.P and I was forced to drink non boiled bottled water. As a

result I got typhoid and jaundice within some month's time. I was treated

with monocef injections for both the infection and was cured.



Now after almost 2 years after the first typhoid infection I got fever and

widal was tested positive. I was hospitalised and was treated with monocef

2gm injections. The course of 10 injection got over on yesterday.



Unlike last time when I was completely cured after course of antibiotics, I

still feel very weak and is having cough and headache even now. The blood

culture, LFT,and sonography results are normal as on last Saturday.



Medical History



As a child I was treated for primary complex but is not aware of much

details as I was really young at that time. I think the

tablet name was R-Cin. And I also remember that doctors used to give me

septran so often (I used to fall sick so frequently..say 3 times a month

in childhood).



I was treated with Augmentin (amoxicillin/clavulanate potassium) couple of

times in the last 3 years.(as I often don’t get cured by mild antibiotics).I

have been given many antibiotics since childhood and have developed

resistance to ones like ciproflaxin gradually. Last year when I got sinus

infection I didn’t respond to medicines for long and finally responded to

linezolid.



I have undergone laproscopic Cholecystectomy due to multiple stones. Though

I dont remember the names strong antibiotics where used then also.

I am worried right now as I am still feel sick after the completion of

monocef injections. I wonder whether I have developed a resistance for the

same. I am not sure whether it is common to get headaches and cough even

after completion of medicines. Please let me know your comments on the

following.



1. Am I getting resistant to antibiotics due to the increased use of the

same by doctors?



2. If so, Is there a way to get rid of the resistance.



3. My immunity seems to be very low. Since childhood I get infected very

soon. Even if someone in close contact (Dad, Mom or colleagues in office)

gets fever I gets infected. What can I do to increase immunity. (I am so

allergic to citric fruits. I get throat infection if I take them.)



4. How can I be completed cured from typhoid? How can I make sure that I

don’t come back again.



5. I do not take oily/spicy food and is a pure vegetarian. What can I add

to food habits so that I can be more healthy?





Fri, 15 Apr 2016
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  User's Response
Antibiotic resistance occurs slowly and as per your history, you have responded to the medicine well. There are different groups of antibiotics and you have had antibiotics from different groups at different times so the likelyhood of you developing a resistance is less. Monocef is pretty effective against Salmonella infection and having a course twice doesn't necessarily mean you will develop resistance. As far as the weakness is concerned, that lingers up to 6 months after an episode of typhoid. You must have a very nutritious diet and at the same time, it must be easily digestible. Boosting up the immunity is extremely important here to prevent infections. Have a well balanced meal. Protein like pulses , soya bean, green leafy vegetables, nuts, milk must be a part of your diet everyday. You've mentioned you're a pure vegetarian yet if it is possible, try including eggs in your diet. Another thing to be included is fruits, any seasonal fruit should be a part of your daily diet. Have a course of vitamin B complex for a month. To avoid recurrence of the infection, build up your immunity and avoid food and water which has even the remotest chance of being contaminated. Eat freshly cooked meals and ensure appropriate hand hygiene while handling food. And yes, avoid eating anything not prepared at home for at least a year.
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How Can I Be Completely Cured From Typhoid?

Antibiotic resistance occurs slowly and as per your history, you have responded to the medicine well. There are different groups of antibiotics and you have had antibiotics from different groups at different times so the likelyhood of you developing a resistance is less. Monocef is pretty effective against Salmonella infection and having a course twice doesn t necessarily mean you will develop resistance. As far as the weakness is concerned, that lingers up to 6 months after an episode of typhoid. You must have a very nutritious diet and at the same time, it must be easily digestible. Boosting up the immunity is extremely important here to prevent infections. Have a well balanced meal. Protein like pulses , soya bean, green leafy vegetables, nuts, milk must be a part of your diet everyday. You ve mentioned you re a pure vegetarian yet if it is possible, try including eggs in your diet. Another thing to be included is fruits, any seasonal fruit should be a part of your daily diet. Have a course of vitamin B complex for a month. To avoid recurrence of the infection, build up your immunity and avoid food and water which has even the remotest chance of being contaminated. Eat freshly cooked meals and ensure appropriate hand hygiene while handling food. And yes, avoid eating anything not prepared at home for at least a year.