Dear Doctor,
Approximately 15 days before I am suffering from slight fever and pain right side front and back area below shoulder. Before 13 days I have consulted MBBS consultant, he prescribed me FDC of Diclofenac + PCM and Omeprazole for 3 days considering suspected cause of viral infection. I felt better during course of treatment. But after completion of treatment, I was suffering from same symptoms. Again I have consulted to MBBS consultant 8 days prior, he prescribed me FDC of Diclofenac + PCM; Omeprazole and Levofloxacin for 5 days. I felt better during course of treatment. But after completion of treatment, I was suffering from same symptoms. Hence yesterday I consulted MD Physician and he suggested for CBC, Urine, ESR, Widal test along with X-Ray and Sonography. Today morning I gone for all examinations and following results were obtained.
LABORATORY INVESTIGATIONAL
RBC, WBC, Platelet Count and Urine Examination found normal. But Salmonella typhi 'O' and “H” positive and ESR rate is 14 mm.
WIDAL SLIDE TEST
Salmonella typhi 'O' Positive 1:80 or More (Significant Titre)
Salmonella typhi 'H' Positive 1:80 or More (Significant Titre)
Salmonella paratyphi A 'H' Negative 1:80 or More (Significant Titre)
Salmonella paratyphi B 'H 'Negative 1:80 or More (Significant Titre)
Erythrocyte Sedimentation Rate:-
After 1 hour : 14 mm [M: 1 - 7 / F: 3 - 12]
USG ABDOMEN
Mild Splenomegaly with very minimal Ascites. Rest of the USG abdomen appears normal.
X-RAY CHEST PA View:
No pleural effusion seen on either side.
May I request you to give answer of following questions?
Can I conclude that I am suffering from “typhoid”? Stage of typhoid?
Is this a serious matter?
What will be a line of treatment?
What type of food intake I have to take?
How much time it will take to recover and get free from symptoms like fever and pain?
Should I continue my job along with treatment or I have to take complete bed rest. I do not do any hard work at my job place, I have to give my work via computer only.
Thanks for your time and support.