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What Does My Blood Test Report Indicate?
My daughter is recovering from typhoid after a course of Monocef, Azithromycin and Taxim O. She has developed pain in her toes and ankle and unable walk properly. Mild temperature up to 99.5 has been recorded. A blood test was done two days back. Her Haemoglobin was 11.2, ESR at 22 and CRP at 3.6. Her appetite is gone. What further treatment is needed ? How do i get improve her appetite ?
Fri, 18 Jan 2019
Hello,
in my view, pain in small joints of her lower limb is likely due to generalized weakness post typhoid and anaemia.
In addition, the use of antibiotics from cephalosporin class can cause joint pain, which usually resolves without any particular treatment in a few days of stopping the antibiotic.
Typhoid causes inflammation in the intestine, so it children tend to lose their appetite.
Moreover, it is best to avoid oily, spicy or heavy food for a typhoid patient in the recovery phase, because chances of the inflamed intestine to perforate are high.
To deal with fever, Paracetamol or Ibuprofen should be given every 8th hourly, along with tepid water sponging when fever is high.
In addition, once the fever is treated, the iron supplement must be started to increase the haemoglobin levels to normal range.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Ayesha Shareef, General & Family Physician
in my view, pain in small joints of her lower limb is likely due to generalized weakness post typhoid and anaemia.
In addition, the use of antibiotics from cephalosporin class can cause joint pain, which usually resolves without any particular treatment in a few days of stopping the antibiotic.
Typhoid causes inflammation in the intestine, so it children tend to lose their appetite.
Moreover, it is best to avoid oily, spicy or heavy food for a typhoid patient in the recovery phase, because chances of the inflamed intestine to perforate are high.
To deal with fever, Paracetamol or Ibuprofen should be given every 8th hourly, along with tepid water sponging when fever is high.
In addition, once the fever is treated, the iron supplement must be started to increase the haemoglobin levels to normal range.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Ayesha Shareef, General & Family Physician
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