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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Typhoid?

Hello, m having typhoid fever from last 3 months dr gave me first 2 week medicine buy after that widal test is still positive, dr gave my again cibrobay 500mg for 3 weeks but widal test is still positive and salmonella typhi O is 1:160 , I dont have fever, stomach upset nothing, just having mild pain in left hand and back side of head, blood culture is not available in salalah Oman, what should I do , kindly advice me.
Mon, 17 Feb 2014
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Infectious Diseases Specialist 's  Response
Hello,
Welcome to HCM,
typhoid fever is known to have convalescent Carrier (Sheds typhoid
bacilli for 3 or more months after onset illness) and Chronic Carrier( Sheds typhoid bacilli for more than 12 months after onset of illness).
As you are having typhoid for last 3 months you have become a potentially long-term carrier of the typhoid infection, and you may need to have a further 28-day course of antibiotics to remove all the bacteria.
Until test results show that you are free of bacteria, avoid handling or preparing food. It is also very important that you wash your hands thoroughly after going to the toilet.
Thank you.
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General & Family Physician Dr. Pawan Kalani's  Response
Hi, I have read your query and according to me you should take light diet as liquid diet, banana ,water melon for three day and after this you should take oat and khichari up to seventh day.you should also take cefexime 400mg & levofloxacin 500mg for 14-21 days.after this treatment you should don't take any medicine till one month.after one month you should get quantitative widal with elisa test.
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How To Treat Typhoid?

Hello, Welcome to HCM, typhoid fever is known to have convalescent Carrier (Sheds typhoid bacilli for 3 or more months after onset illness) and Chronic Carrier( Sheds typhoid bacilli for more than 12 months after onset of illness). As you are having typhoid for last 3 months you have become a potentially long-term carrier of the typhoid infection, and you may need to have a further 28-day course of antibiotics to remove all the bacteria. Until test results show that you are free of bacteria, avoid handling or preparing food. It is also very important that you wash your hands thoroughly after going to the toilet. Thank you.