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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever And Stomach Pain?

I have hade fever and stomach pain starting 4 weeks ago.

a doctor asked me to do widal test the results shown psitive 'O&H titres' of 1:80 & 1:160 respectively.



I was asked to take 'Cipromax- Ciprofloxacine 500 mg' for seven days and didn't get imropved and again the tires was increasing 'O&H titres' of 1:160 & 1:320 respectively.



again i was asked to repeat the widal test and the results were 'O&H titres' of 1:1200 & 1:1200 respectively.



i have been taking the 'ciprofloxacine 500 mg and azithromycin 500 mg' together for seven days and the results for the 'complete blood picture' are showing high 'monocytes 8.5%' and high 'eosinophils 7.4%' and I'm still having stomach pain but I have not repeated the widal test yet.



does that mean Im still infected with the typhoid?

any advise??



Regards



Tue, 10 Feb 2015
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General Surgeon 's  Response
Hi.
Thanks for your query and an elucidate history.

First of all Widal tests is done to confirm the diagnosis of typhoid and not as a test to follow up the results of medicines .

The only way to know whether these medicines are helping you or not are by the Clinical improvements, that yourself, relatives and the Doctor sees.
These are in the form of :
Reduction in fever or no fever for 2 days at least.
Improved facial appearance.
Gaining of power ,/ reduction in weakness.
Feeling better by you,
Reduction in the size of the liver and spleen.
Improvement in the pulse , blood pressure and other parameters .

Do not repeat Widal test as it may remain positive for 6 months even after you have been cured of Typhoid.
Ask your Doctor to give a course of 1 to 3 weeks of course of an antibiotic and supportive treatment.

Use boiled and cooled water and only home-made fresh food.
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What Causes Fever And Stomach Pain?

Hi. Thanks for your query and an elucidate history. First of all Widal tests is done to confirm the diagnosis of typhoid and not as a test to follow up the results of medicines . The only way to know whether these medicines are helping you or not are by the Clinical improvements, that yourself, relatives and the Doctor sees. These are in the form of : Reduction in fever or no fever for 2 days at least. Improved facial appearance. Gaining of power ,/ reduction in weakness. Feeling better by you, Reduction in the size of the liver and spleen. Improvement in the pulse , blood pressure and other parameters . Do not repeat Widal test as it may remain positive for 6 months even after you have been cured of Typhoid. Ask your Doctor to give a course of 1 to 3 weeks of course of an antibiotic and supportive treatment. Use boiled and cooled water and only home-made fresh food.