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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Continuous Fever, Body Pain, Nausea And Headaches With Pain And Tenderness In Stomach. Elevated SGOT, SGPT. What To Do ?

Hello doctor. I am a teenager who has been having continous fever for the last 12 days. I have body pain, weakness, slight nausea and headaches along with pain and tenderness in the stomach. I recently did a liver function test which said i had extremely high levels of SGPT and SGOT. also my liver and spleen is enlarged. The widal test came out negative. But my doc said it cud still be typhoid. What do you say?
Also i have the urge to urinate frequently and a urine routine said i have epithelial and pus cells in my urine.
Sat, 13 Apr 2013
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Gastroenterologist, Surgical,  's  Response
Hi,
Thanks for writing in HCM.
The features which you have described are strongly suggestive of typhoid fever .Continuous fever with headache is typical of typhoid. Many a times it takes time for the Widal to come positive. No time should be wasted in starting treatment . I would suggest that you should start treatment for typhoid at the earliest before complications supervene. The other tests that should be done are viral markers for hepatitis just to be on the safer side.
I hope this answers your querry.
Regards
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General & Family Physician,  Dr. Muhammad Ishfaq Habib's  Response
Hi
Welcome to HCM

The description you have provided is not of typhoid but more likely of the liver disease. The raised SGPT is showing that the liver cells known as hepatocytes are in continuous damage which might be due to hepatitis, cirrhosis or hepatoma. There for it is recommended to have an ultrasound of the liver along with screening for hepatitis profiles.

Thanks
Regards
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Continuous Fever, Body Pain, Nausea And Headaches With Pain And Tenderness In Stomach. Elevated SGOT, SGPT. What To Do ?

Hi, Thanks for writing in HCM. The features which you have described are strongly suggestive of typhoid fever .Continuous fever with headache is typical of typhoid. Many a times it takes time for the Widal to come positive. No time should be wasted in starting treatment . I would suggest that you should start treatment for typhoid at the earliest before complications supervene. The other tests that should be done are viral markers for hepatitis just to be on the safer side. I hope this answers your querry. Regards