Hi,I am Dr. Subhankar Chakraborty (Gastroenterologist). I will be looking into your question and guiding you through the process. Please write your question below.
Recurring Fever, Continuous Headache, Dark Urine, Green Stools With Mucus, Weakness, Body Soreness. Typhoid?
Hi i am living in the philippines for 4 months now but for the last 10 days have been feeling very bad. It all started with servere direah for 3 to 4 days (just pure liquid for 3 - 4 days) then back to more normal direah. No energy and just sore from head to toe (cant even touch my head lightely it hurts too much dont want to be touched at all). I could not eat for about 3 or 4 days and now im not eating very much at all for me I have very very dark urine despite drinking a litre to 2 litres of gatoraid a day + water and have almost fluro green poop with mucus surrounding it. For about 5 days feeling sick after eating going to bed in 30 degree heat feeling cold with fever and waking up at 330am in a sweat. Fever happens evey night with constant headace all day and night. I was ok yesterdy for 1 day but I feel its coming back tonight. What do you think I have ? Malaria Typoid ?
thanks for ur query
ur illness started with watary diarrhoea
it seems to me u r suffering from viral gastroenteritis
and if its the case illness may be prolonged but self remission ll be there
in malaria diarrhoea cannot occur
in typhoid it may occur
u should have to also exclude the bacterial dysentries and probably u have inadequate treatment
take plenty of water and oral rehydration salt
dont cut of calorie intake
u have to take adequate calorie though food should be a bland one may be less in amount more in frequency
u need to heve -
1. stool r/e, stool culture and sensitivity
2. if possible viral cell culture
3. widal test
4. blood culture
5. complete hemogram
6. ECG
7. USG whole abdomen
8. ELISA to exclude amebiasis
start an antibiotic ofloxacin and ornidazole with diloxanide furoate
u ll be benefitted
thank u
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Internal Medicine Specialist, Dr. Sudhir's Response
Hello.This doesn't sound like malaria.But typhoid can be a possibility.Ideally you should get a stool examination done to determine the cause of infection.along with this routine blood investigations and urine analysis can be undertaken.Thank you.
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Recurring Fever, Continuous Headache, Dark Urine, Green Stools With Mucus, Weakness, Body Soreness. Typhoid?
thanks for ur query ur illness started with watary diarrhoea it seems to me u r suffering from viral gastroenteritis and if its the case illness may be prolonged but self remission ll be there in malaria diarrhoea cannot occur in typhoid it may occur u should have to also exclude the bacterial dysentries and probably u have inadequate treatment take plenty of water and oral rehydration salt dont cut of calorie intake u have to take adequate calorie though food should be a bland one may be less in amount more in frequency u need to heve - 1. stool r/e, stool culture and sensitivity 2. if possible viral cell culture 3. widal test 4. blood culture 5. complete hemogram 6. ECG 7. USG whole abdomen 8. ELISA to exclude amebiasis start an antibiotic ofloxacin and ornidazole with diloxanide furoate u ll be benefitted thank u