Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

126 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What casues severe rib pain while on typhoid treatment?

Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 16494 Questions

default
Posted on Thu, 21 Aug 2014 in Infections
Question: My wife was diagnosed with Typhoid few days back and her platelet count had fallen to 119000. She was prescribed 5 days medicine antibiotic and platelet boosting medication. She feels fine now except for a shooting pain in her ribs. It gets unbearable at times. She also vomited today. What could be the reason? What is suggested course of action?The medication prescribed to her for typhoid (5 day course) included an antibiotic called FIXX AZ (2 tablets twoce daily), Platboost to increase platelet count, pain killer, fever medication etc. While most symptoms are gone, ribs pain and voiting is there now. she did the complete 5 day course. We also checked platelet in between once and it had increased to 136000.
doctor
Answered by Dr. T Chandrakant 42 minutes later
Brief Answer:
Possibility of Costo-chondritis

Detailed Answer:
Hi.

The most probable cause for the shooting pain in the ribs may be costo-chondritis. This happens after viral fever and typhoid. There is affection of the Chondral area of the ribs to to toxemia or septicemia of typhoid. This has a precarious blood supply hence the edema comes fast but is not drained away causing the pains. One can elicit the pain on pressure where the patients is pointing at. You may please check yourself or ask the Doctor for this test.
She Needs the following treatment: Rest, hot fomentation, avoid exposure to cold and cloudy atmosphere, local rubrafacient creams like fast-relief, Anti-inflammatory Medicines with painkiller properties. Steroid - although the best - are best avoided in case typhoid.
I hope X-ray chest is normal, get it done if not yet done.

The vomiting could have been due to due to reflex of pain or the gastritis associated with typhoid and medicines. Domperidone and Ranitidine will take care of this.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
default
Follow up: Dr. T Chandrakant 44 minutes later
do we need to continue medication for typhoid if this is the case?
doctor
Answered by Dr. T Chandrakant 19 minutes later
Brief Answer:
14 days of cefixime or Amoxicillin

Detailed Answer:
FIXX AZ (2 tablets twice daily) for 5 days is sufficient. We do still recommend to continue with Fixx alone( no AZ) or Amoxicillin to complete the course of 14 days for a cure , to kill the bacteria in the gallbladder and liver and spleen. This helps to avoid recurrence unless one is getting contaminated food or beverages/ water.

Please discuss this with your Physician as the trends of typhoid infection, susceptibility to particular antibiotic/s, curative dose is area-dependent, so that the Physician in your area is more conversant for the situations in your area of residence.

This may not have a bearing on the pains she has.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
default
Follow up: Dr. T Chandrakant 5 minutes later
Last question - she has also developed boils near her mouth area. specifically above on her upper lip and below the nose. Is this due to medication or is it an infection too. If so is there any relation and how can that be cured? please see image.
doctor
Answered by Dr. T Chandrakant 26 minutes later
Brief Answer:
Herpes simplex- cold sores

Detailed Answer:
Thanks for the photograph.
This is herpes simplex and also called as cold sores. This appears due to reduced body resistance, and in this case due to typhoid. This is not due to medication and is due to virus infection. There is no cure for this. It will heal on its own.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Lab Tests

Recent questions on  Septicemia

doctor1 MD

12 days baby is suffering from hydronephrisis.. blood infection ,and a little juandice ..she was hospitalised for 4days and treatment us done.. now at home taxim125mg's 8 doses twice a day and alfakim 4 doses each a day has to be given but alfakim doses of 2 days are not given.. but taxim125mg doses are given properly... wat do i do

doctor1 MD

My sister has multiple organ failure, including blood poisoning caused by stent fitted 4weeks ago due to tunour growth over her bile duct, lungs (just develope pnemonia), liver failure kidney failure She has jaundice A new stent has fitted days ago and we were told yesterday that the blood poisoning had worsened would a blood transfusion help Can her blood be cleansed of excess bile? She is been sedated for over 2days continously and has oxygen pushed down her wind pipe would be possible to wake her from sedation? She is 49years old and obese

doctor1 MD

I have a kidney stent in for 6 months because I still have kidney stones that haven't moved and I have a tendency to develop blood poisoning when i have kidney stents if I don't have stents. Today I saw bright blood when I cleaned up after urinating. Should I be concerned?

doctor1 MD

My wife (46years old) is suffering form Intestine problem due to a surgery took place in the year 2003 on account of gangrenous into stomach resulting to discharge 9 of small intestine and join the same. She was also under treatment of Septicemia during that time. However she had been troubled in the month of Septembar 2013 from intestine blockage. she had been admitted into Hospital and was cure after under treatment. (Washing the blockage by Rice Tube). Now she is suffering from cronic constipency and as a result sometimes she had a severe pain in stomach. pls advice about the matter.

doctor1 MD

An employee of mine is in jail. He has had an infected tooth which was not treated properly and has been oozing pus out of the gum for 6 months, swelling in face and blackening his eye, basically an improperly treated abscessed tooth. Last week...

doctor1 MD

In my aunt - 52 year's urine test of a few days back,following were the parameters: Pus cells - WBC: 351 /uL 63.2 /hpf calculated Epithelial Cells: 74.3 /uL 13.4 /hpf calculated Rest of the parameters were normal. Her ESR is 20 Is this UTI? Is...

doctor1 MD

My son is 7 years old and recently he got a pimple in front of the teeth gums and he was adviced rct / pulpectomy. My main concern is the filling in the root canal which poses bio compatibility problems . I read recently about bio seal treatment...