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Cured from typhoid. Evening temperature raises by 1 degree F. Medications?

hello sir, i am MANISH My grandfather is sufferd from thyphoid, and after the treatment he is almost cured. but i have to check his daily temprature routine,after 3 days of treatment i see that in evening the temprature rises by 1 degree F. now there is some medicines with an 3rd generation antibiotic is given regularly. is thyphoid cured?
Asked On : Tue, 26 Mar 2013
Answers:  2 Views:  30
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General Surgeon 's  Response
Typhoid will be cured.In some,it takes 2-3 weeks.
As there is evening rise of temperature,Tuberculosis has to be excluded.
Please continue Typhoid treatment and get advanced PCR test for Tuberculosis.
If you come back with the results,i can clarify further.
Wish him good health
Answered: Wed, 27 Mar 2013
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General & Family Physician Dr. Nannika Pradhan's  Response
Hi Manish!!!Typhoid fever(enteric fever) is a treatable disease and can often be cured with a full course of antibiotics,like the 3rd generation of cephalosporins given to your grandpa.In some cases which are severe, treatment may require rehydration with intravenous fluids and electrolyte replacement therapy and I am sure that your grandpa is in much better state than this.

With proper and complete treatment, symptoms typically improve within two to four weeks. Symptoms(fever>102,headache,joint pains etc) may return if your grandpa does not completele the course of antibiotics prescribed to him and since he has been just few days on the antibiotics you need not worry even if he is raising a temperature in the evening. To cure typhoid fever, you must ensure that you grandpa take your antibiotics for as long as prescribed and follow up with your health care provider for a series of blood and stool tests to ensure you are no longer contagious.

Apply cold compress to head of you grandpa if temperature rises above 103 degree Fahrenheit.

Till date, that there is NO benchmark that will allow you to be certain that your body will be completely free of or will not get another typhoid infection in the future.Few patients do recover after treatment but the typhoid bacteria remain and hide in the gallbladder, often associated with gallstones. Such persons appear clinically well but can infect others. Often another typhoid infection may be caused by a different form ("strain") of the typhoid bacterium.

Nutritive and proper hygiene can alone help you in curing of typhoid as below:

Drink boiled and properly filtered water,clean your feet and hands thoroughly,keep food covered always,have steamed/boiled food only,avoid eating outside,avoid- tea, spicy food, coffee, alcohol and soft drinks.

There are some few home remedies which can be followed simultaneously with the medication:

Boil five cloves in 1-2 liter of water, reduce the water to half the quantity, strain it. The patient should take it frequently every day for some time.It is said that drinking hot water mixed with a spoon of Honey is helpful during typhoid(as honey helps in digestion).

Last of all you can get your grandpa vaccinated with Vi antigen Vaccine(injectable) or Oral ty21a vaccine and you can obtain its details of itsavailability from good medical stores.

Best Wishes,


Dr.Nannika Pradhan.

Answered: Wed, 27 Mar 2013
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