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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever And Lower Abdominal Pain When Suffering From Typhoid?

Hello, My mother 58, diabetic for last 12 yrs, developed typhoid, initial stage(widal test). complains of fever & pain in lower left side of abdomen in the night. fever relapses after a interval of 4-6 hrs since last 4-5 days.Also her fasting sugar=300+ & P.P =335 despite insulin injection started couple of days back to manage high blood sugar. pls suggest diet & course of action.
Mon, 22 Dec 2014
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Infectious Diseases Specialist,  's  Response
Thanks for your query at HCM!
The patient who suffer from typhoid develop ulcers in the intestines which causes lower abdominal pain.
What was the titre of Widal? Kindly repeat the test after 2 weeks to see the rise in titres.
Was blood culture done?
Also get complete haemogram , smear/card test for malarial parasite also done.
What antibiotics she was on?
How much units of insulin she is taking?
Is she on any other anti-diabetic drug?
She need to avoid oily and spicy food. Eat green leafy vegetables, curd, nuts and fruits.
Short frequent meals to be taken.
Low carbohydrate diet.
Follow up with investigations and visit a local physician.
Take care!
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What Causes Fever And Lower Abdominal Pain When Suffering From Typhoid?

Thanks for your query at HCM! The patient who suffer from typhoid develop ulcers in the intestines which causes lower abdominal pain. What was the titre of Widal? Kindly repeat the test after 2 weeks to see the rise in titres. Was blood culture done? Also get complete haemogram , smear/card test for malarial parasite also done. What antibiotics she was on? How much units of insulin she is taking? Is she on any other anti-diabetic drug? She need to avoid oily and spicy food. Eat green leafy vegetables, curd, nuts and fruits. Short frequent meals to be taken. Low carbohydrate diet. Follow up with investigations and visit a local physician. Take care!