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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Underwent Widal Test. Feel Sick, Hungry Every Time. What Is The Treatment?

hi sir,
today i had undergone widal test and my reports are as under
STO--- 1:80
STH-- 1:320
SPAH--- 1:80
SPBH-- 1:40
I don;t have fever at all even not in previous days. but i feel air of fan cool and i feel like hungrey every time even after short time span of having my food. please suggest me in this regard and want to know how much typhoid i have and what measures to follow.
Thanks sir.
Fri, 10 May 2013
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Internal Medicine Specialist 's  Response
Hello
Welcome to HCM

Your Widal test reports show S. Typhi H titres to be significant i.e., 1:320 but other titres are borderline they can be elevated in other non specific fevers unrelated to Typhoid also (this is called Anamnestic Reaction). But to confirm Typhoid fever blood cultures are gold standard if taken within 2 wks of symptom onset preferably in first week. Regarding widal test you can increase the specificity of this test by getting a repeat test after atleast 1 week preferably 2 weeks. Rising titres are more reliable to diagnose typhoid rather than single titre value. Coming to treatment there good antibiotics are available now for oral therapy. Apart from antibiotic therapy, food, water hygiene have to be concentrated along with healthy diet, adequate rest. Please follow your treating physicians advice for Antibiotic therapy.

I hope you find this information Helpful

Wish a speedy recovery and good health.
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Underwent Widal Test. Feel Sick, Hungry Every Time. What Is The Treatment?

Hello Welcome to HCM Your Widal test reports show S. Typhi H titres to be significant i.e., 1:320 but other titres are borderline they can be elevated in other non specific fevers unrelated to Typhoid also (this is called Anamnestic Reaction). But to confirm Typhoid fever blood cultures are gold standard if taken within 2 wks of symptom onset preferably in first week. Regarding widal test you can increase the specificity of this test by getting a repeat test after atleast 1 week preferably 2 weeks. Rising titres are more reliable to diagnose typhoid rather than single titre value. Coming to treatment there good antibiotics are available now for oral therapy. Apart from antibiotic therapy, food, water hygiene have to be concentrated along with healthy diet, adequate rest. Please follow your treating physicians advice for Antibiotic therapy. I hope you find this information Helpful Wish a speedy recovery and good health.