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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain In The Shoulder, Abdomen And Back

My typhidot igm was positive 4 days back,n i started ciprofloxacin today,ma symptoms r shoulder pain backace n abdominal pain and burning epigastric pain,which keep me awake whole night,i am a doctor have to perform ma duties as wel,kindly suggest hw can i rest n hw much time vil it take to get recover
Tue, 6 Sep 2016
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General & Family Physician 's  Response
Hello Dear. Though you are a doctor yourself, i hope you are taking treatment under another expert physician and not doing self medication. The practice of self medication is very risky.

Different practitioners have different modalities of treatment for typhoid. Some may put you on ciprofloxacin, while some may put you on ceftriaxone or cefixime. It depends on the judgement of the doctor regarding your condition.

You will need atleast 2 weeks of complete rest before you resume your duties. I will suggest you few dietary advises for your quick recovery

Generally during fever, a bland diet, which is smooth and soothing, is preferred. Though bland, the diet should be nutritionally adequate to meet daily calorie requirements of the body.

Progressive Diet Plan

A progressive diet from a liquid diet to a normal diet depending on the level of tolerance would help the person’s appetite.
Fluids in the form of tender coconut water, barley water, electrolyte fortified water, fresh fruit juice, vegetable soup, buttermilk and water should be consumed until body temperature comes back to normal.
To begin with, consume liquid diet for a few days and then gradually take fruits like bananas, cantaloupes, watermelons, grapes, peaches, and apricots. It is better if solid food is avoided unless the person feels very hungry.
As the person’s appetite gets better, semi-solid foods can be given. Boiled rice, baked potato, baked apple, yoghurt, vegetable soup can be given.

When you are free from the fever, fruits, boiled vegetables and unrefined foods like unpolished rice and white bread can be included.
A typhoid recovery diet plan should include yogurt, lentils, legumes and cottage cheese to meet the protein needs.

Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you.
All the best
With warm regards
Dr Sanjay Kini

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Suggest Treatment For Pain In The Shoulder, Abdomen And Back

Hello Dear. Though you are a doctor yourself, i hope you are taking treatment under another expert physician and not doing self medication. The practice of self medication is very risky. Different practitioners have different modalities of treatment for typhoid. Some may put you on ciprofloxacin, while some may put you on ceftriaxone or cefixime. It depends on the judgement of the doctor regarding your condition. You will need atleast 2 weeks of complete rest before you resume your duties. I will suggest you few dietary advises for your quick recovery Generally during fever, a bland diet, which is smooth and soothing, is preferred. Though bland, the diet should be nutritionally adequate to meet daily calorie requirements of the body. Progressive Diet Plan A progressive diet from a liquid diet to a normal diet depending on the level of tolerance would help the person’s appetite. Fluids in the form of tender coconut water, barley water, electrolyte fortified water, fresh fruit juice, vegetable soup, buttermilk and water should be consumed until body temperature comes back to normal. To begin with, consume liquid diet for a few days and then gradually take fruits like bananas, cantaloupes, watermelons, grapes, peaches, and apricots. It is better if solid food is avoided unless the person feels very hungry. As the person’s appetite gets better, semi-solid foods can be given. Boiled rice, baked potato, baked apple, yoghurt, vegetable soup can be given. When you are free from the fever, fruits, boiled vegetables and unrefined foods like unpolished rice and white bread can be included. A typhoid recovery diet plan should include yogurt, lentils, legumes and cottage cheese to meet the protein needs. Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you. All the best With warm regards Dr Sanjay Kini