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Fever, enlarged spleen post typhoid treatment - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hello,i have an enlarged spleen of 14.4 cm....
and having fever since 1.5 mnths....befrore that i was sufring from typhiod....can tell me the cure for enlarged spleen+diet chart.....
Doctor :   Hi
User :   hi
Doctor :   I am Dr.XXX here
Doctor :   Let me read your query
User :   okay fine
Doctor :   Ok
Doctor :   May I know your age, height and weight?
User :   age-17
User :   weight 70kg
Doctor :   Ok
User :   height-5-7
Doctor :   Have you been cleared of typhoid infection?
User :   ya
Doctor :   So, there is no fever as of now
User :   no today also m having fever 101f
Doctor :   Ok
User :   continuess fever since month
Doctor :   Has the Widal test been done?
User :   ya
Doctor :   Was the titre negative after treatment for typhoid?
User :   ya it was negitve after the treatment
Doctor :   Ok
User :   but tlc was low
Doctor :   Do you remember the value of the Widal titre?
User :   there are 4 values
User :   1:80
Doctor :   Ok
User :  
User :  
User :  
Doctor :   Ok
User :   and TLC was 3.70
Doctor :   Are you on any medications right now?
User :   ya
User :   privious weak i took lerigo
Doctor :   Could you give in the details of your current and also the medications in the recent past?
User :   ya when i was having typhio i took calpol+nice+antibiotic+vigilac
Doctor :   Ok
User :   after it was cured
Doctor :   for how long did you take the antibiotic?
User :   7 days
Doctor :   and what was the antibiotic?
User :   i didnt rember
Doctor :   Ok
Doctor :   and after that
User :   after it was cured after 5-7 days i agin got continuess fever
User :   then i got ultrasound
Doctor :   ok
User :   it showed enlarged spleen
User :   and frm then till today i am having continuess faever
Doctor :   Ok
User :   i took lerigo for 5days
User :   and day befor yesterday i took
User :   riziz
Doctor :   ok
User :   2 tablets in a single dose....
Doctor :   ok
User :   and alser were also there
Doctor :   ok
User :   before both the fever i got alser
Doctor :   Was an endoscopy done to detect the ulcer?
User :   no
User :   mouth alsers
Doctor :   Ok
Doctor :   fine
Doctor :   Was a malaria test done?
User :   they got cured
User :   ya malri test was dn
Doctor :   ok
User :   No Mp seen in smears examined
Doctor :   Ok
Doctor :   How about QBC test?
User :   and TLC 3.70
Doctor :   TLC is low because of increased spleen size
User :   ohk
User :   no QBC test
User :   dn
Doctor :   Ok
Doctor :   After the antimalarial treatment, have you found any improvement in your condition?
User :   no
Doctor :   Ok
User :   after that fever is more sever
Doctor :   Did you report back to your treating doctor?
User :   ya
User :   they told u wont get fever agin
Doctor :   ok
User :   and today i got it
Doctor :   Do you have any other symptoms other than fever?
User :   body ache+head ache
Doctor :   Ok
Doctor :   that is common in fever
User :   nothing else
Doctor :   any problems while passing urine
Doctor :   or motions
User :   no nothing
Doctor :   Ok
User :   so whats the cure for it?
Doctor :   Were you advised by your doctor to stop the antibiotics after 7 days?
Doctor :   during treatment for Typhoid
User :   yes
User :   yes
Doctor :   Ok
Doctor :   Usually in typhoid, antibiotics are given for 14 days
User :   so now what's the cure
Doctor :   First the diagnosis has to be made
User :   What is that?
Doctor :   for now, I would recommend you to repeat a Widal test
Doctor :   again
Doctor :   to monitor the titre
User :   ohk
User :   then
Doctor :   that is important for now
User :   10 days befor i got dot typhiod test
Doctor :   as there can be a relapse of typhoid fever as well
User :   with TLC
Doctor :   Ok, but repetition would be necessary
User :   it was negitive
Doctor :   Ok
User :   and cure for spleen
Doctor :   Spleen enlargement is a complication of an underlying infection or immune disorder
Doctor :   so once that is take care of
Doctor :   spleen size shall reduce
User :   if there is no typhoid in the widal test then
Doctor :   the other possible causes are
Doctor :   hidden infection like an abscess in certain organs
Doctor :   immune disorders
Doctor :   Have you had similar problems previously anytime?
User :   no
Doctor :   Ok
Doctor :   So if the Widal comes back as negative
User :   then
Doctor :   you should report to a General Physician in person
Doctor :   for further evaluation
Doctor :   May I know which city you are chatting from?
User :   Delhi
Doctor :   Ok
User :   SO no cure for spleen
Doctor :   First you should take a second opinion from a General Physician
Doctor :   for which a complete physical examination shall be reuqired
User :   okay
User :   and any diet chart
Doctor :   I repeat, increased spleen size is not a disease by itself
User :   shud i follow
Doctor :   it is a sign of an underlying disease rather
Doctor :   Diet chart, is not of significance right now
Doctor :   you should have hygienic foods
Doctor :   to prevent any further infection
User :   okay
Doctor :   like have well cooked foods
User :   any medicen u can recomend me...
Doctor :   and drinking clean potable water
Doctor :   You shall need certain medications after being evaluated
User :   ohk
Doctor :   just over the counter medications shall not be of any help
User :   k
Doctor :   Do you have any other questions?
User :   m having fever
User :   since 6 AM morning
Doctor :   For that you can take paracetamol
User :   101
Doctor :   like Dolo 650
Doctor :   after taking some food
User :   okay
Doctor :   Good amount of bed rest is helpful in addition
Doctor :   Get a second opinion from General Physician(Internal Medicine Specialist)
Doctor :   without delay
User :   ya i have taken full bed rest in my summer vactions
Doctor :   Ok
Doctor :   but since you are having fever, even now you do need rest
User :   now on friday my school reopens so shud i go or not
Doctor :   Not till this problem is settled
User :   ohk
Doctor :   that shall be commented after further evaluation
Doctor :   by your treating doctor
User :   okay after widal shud i contact u agin
Doctor :   If it is positive or negative, irrespective of that
Doctor :   you should report to the Physician
User :   okay
Doctor :   for further management
Doctor :   as physical examination and prescription shall be required
User :   i get moth alsuser with every 15days
Doctor :   which I cannot do it over live chat
Doctor :   Ok
Doctor :   that is because of the medication usage, fever, infection, etc
User :   ohk as 10 days before it was very difficult for me to control the pain in mouth
Doctor :   Ok
Doctor :   You can use Dologel if the pain is unbearable
Doctor :   apply it on the ulcers
User :   i have taken folic acid+kena kort 0.1 %,candid
Doctor :   pain shall be minimized with it
User :   ohk
Doctor :   Do you have any other doubts?
User :   no,just any other precations...
Doctor :   As of now, that should be fine
Doctor :   I wish you speedy recovery
Doctor :   Thanks for consulting, bye for now
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