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What Does My Pathology Tests Report Indicate?
Question: PLEASE FORWARD MY QUERY TO AN INDIAN DOCTOR , PRFERRABLY MD(Medicine)
R/s.. I have been suffering from Fever (Max tem 102.7F), cough, body ache and abdominal discomfort(heavy stomach though no losse motion) since 19.03.2014. I underwent certain pathological investigations on the said date and the findings are as under :
CBC : Hb%-14.6, Wbc-6800, Rbc-4.80, Platelets- 1 lakh 13 thousand
MP on Slide- Not Seen
LFT : Sr Bilirubin-0.85, Direct bilirubin-0.35, Indirect billirubin-0.55
Widal : S. Typhi "O" - Agglutination upto 1:80 dilution
S. typhi "H"- Agglutination upto 1:40 dilution
S. Paratyphi "AH"- no Agglutination
S. Paratyphi "BH"- No agglutination
Urine Routine and deposit : Clear
Further, I sought medical attention and am being treated with the following medicines :
1. Cefixime & Potassium clavulanate Tablets
2. Nimesulide & Paracetamol Tablets
3. Rabeprazole sodium and Domperidone Capsule
4. Tinindazole tablets
5.chlorpheniramine maleate wih codeine phospahte syrrup
Sir, I would request you to advise me on following issues :
1. Does the investigation report says that I am infected with salmonella typhi and i am suffering from Typhoid..Or is this infection minor in nature
2. is the line of treatment and the medicines stated above are rightly advised and are meant to cure this .
3. would you suggest any other medicine or any investigation to be carried out now.
4. can i take pomegranate and milk and other fruits..what are the food items that are to be avoided
Brief Answer:
Get Malarial Antigen test and Typhidot done
Detailed Answer:
Hi XXXX
Thanks for posting your query on this forum.
1. ALL tests are NORMAL.
2. Widal's Test does not suggest S. typhi infection (Typhoid fever). As such, S. typhi O titers become positive only after 6-7 days from the onset of infection. Also, Widal's is a non-specific test. TYPHIDOT is a more reliable test to diagnose or rule out Typhoid.
3. I cannot comment on the prescribed treatment without getting the following additional information :
- does the fever come up with chills and shaking and associated with headache,
which lasts only till the fever is there?
- How many hours does the fever last in a day?
- is the cough dry or have associated phlegm? do you have symptoms of
common cold?
4. Since you belong to an area which is endemic for malaria and viral fever, I suggest that you get Malarial Antigens test, which is more diagnostic than 'MP on slide'.
5. If you have intermittent fever (with chills and shivering) lasting for few hours in a day, associated with transient headache only during fever, it is malaria unless proved otherwise. In that case, I would therefore recommend that you take Tab FALCIGO 2 tablets twice a day on first day; followed by one tablet twice daily for next four days.
6. The other possibility is viral fever, which does not require any specific treatment except for Paracetamol 1000mg thrice a day + Levocetirizine 5mg twice daily + plenty of water daily and, bed rest.
Consult your doctor and apprise him of my opinion. I am certain that he will agree with me; order the recommended tests, and- based on the reports- will arrive at a certain diagnosis and prescribe suitable treatment as advised.
Hope I have addressed your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any.
Take care,
Col (Dr.) Rakesh Karanwal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
R/S ,thankyou for responding
Fever : no chilling or extreme shivering before arrival of the fever..though i feel my shoulders, back , arm, and leg muscles aching intensely when fever is about to come..Sir what i feel is these muscular pains start normally after 7-8 hours of intake of medicine. After medicine intake they decrease gradually. though since yestreday fever is off yet these muscular pains are there. I have experienced No Headche while in before or after fever.
cough : sir, initially it was dry but now the phlegm comes out while coughing
Cold : sir i feel my nostrils blocked during the night though the nose is not running
1.) why does these muscles ache start after 7-8 hours of medicine intake and decrease gradually after i retake the dose. does this show that fever is still there.
2.) Dr. has prescribed DeeCee Forte tablet along with said medications..what is this for and should i take this any longer.
3.) your view on if the current medications and line of treatment is rightly advised
4.) what food and fruits should I take..
Brief Answer:
It is most likely malaria
Detailed Answer:
OK.
The features are suggestive of malaria more than viral fever.
Muscle-pain recurs once the effect of Nimesulide + Paracetamol (pain killers) wanes off.
There is no further requirement of DeeCee, Nimesulide and Cefexime.
You should be all right with Falcigo and Paracetamol + cough syp as advised earlier.
There is NO restriction of foods. Take NORMAL meal.
Take care
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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