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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Diet For Malaria & Typhoid Patients

Hello Dr my son is 13yrs old and has been diagnosed with widal test +ve and mp test -ve but our has advised to take medicines for both malaria and typhoid his platete count is 124000 and wbc is 3000 and his haemoglobin is 14.5 can u pls advise diet and proper medicine for him
Wed, 27 Jan 2016
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Dietitian & Nutritionist 's  Response
Hello Sir,
In the active stage of typhoid the body needs more calories even though appetite may be poor. Absolutely no fiber of any sort should be consumed during this period. A high calorie, high protein diet is needed in the range of 3000 calories per day. No spicy food at all.

Include glucose, honey, cane, and simple carbohydrates that set well on the stomach. High protein foods such as dairy, yogurt, curd, lean chicken with no skin (white meat), eggs, and keep fat intake low.

Fluids are very important, lime juice, coconut water, sugar cane juices, and fruit juice will provide carbohydrates and fluids. Water needs to be safe, boil if necessary.

Encourage small frequent intakes of nutrients. A review of literature shows a higher need for vitamins/nutrients so, if a chewable multivitamin can be tolerated, it may be wise to encourage the extra supplementation.

Sample Menu
am: orange or pear juice
mid-am: milk,yogurt,protein, raita
Lunch: sweet potato, no skin or ghee; dahi,mashed beets
mid-pm: Coconut Water, Apple Juice
Supper: Roasted chicken breast cut in small pieces or low-fat kebab if feeling well enough; porridge; Soup
Snack: Soulfi or hot skimmed milk with honey

Vegetable are encouraged, but fiber discouraged. So, choose easily digested vegetables such as potatoes with no skin, cucumbers, tomatoes (no skin), mashed cooked carrots or well-cooked soft carrots, etc.

Superfruits without skin or seeds should be consumed. High calorie,low fat desserts should be encouraged to increase calories.

Does this help? If you need more clarification or ideas or this doesn't address your question, please contact us again. Regards, Kathryn Shattler, MS,RDN
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Suggest Diet For Malaria & Typhoid Patients

Hello Sir, In the active stage of typhoid the body needs more calories even though appetite may be poor. Absolutely no fiber of any sort should be consumed during this period. A high calorie, high protein diet is needed in the range of 3000 calories per day. No spicy food at all. Include glucose, honey, cane, and simple carbohydrates that set well on the stomach. High protein foods such as dairy, yogurt, curd, lean chicken with no skin (white meat), eggs, and keep fat intake low. Fluids are very important, lime juice, coconut water, sugar cane juices, and fruit juice will provide carbohydrates and fluids. Water needs to be safe, boil if necessary. Encourage small frequent intakes of nutrients. A review of literature shows a higher need for vitamins/nutrients so, if a chewable multivitamin can be tolerated, it may be wise to encourage the extra supplementation. Sample Menu am: orange or pear juice mid-am: milk,yogurt,protein, raita Lunch: sweet potato, no skin or ghee; dahi,mashed beets mid-pm: Coconut Water, Apple Juice Supper: Roasted chicken breast cut in small pieces or low-fat kebab if feeling well enough; porridge; Soup Snack: Soulfi or hot skimmed milk with honey Vegetable are encouraged, but fiber discouraged. So, choose easily digested vegetables such as potatoes with no skin, cucumbers, tomatoes (no skin), mashed cooked carrots or well-cooked soft carrots, etc. Superfruits without skin or seeds should be consumed. High calorie,low fat desserts should be encouraged to increase calories. Does this help? If you need more clarification or ideas or this doesn t address your question, please contact us again. Regards, Kathryn Shattler, MS,RDN