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Part 4: Keeping Your Child Healthy  >  The A-Z of Childhood Illnesses  >  Typhoid

TYPHOID

SYMPTOMS: Continuous fever (39C 40C) without symptoms of cold and cough, but with headache, loss of appetite, dullness, constipation, coated tongue, and delirium points towards typhoid. History of contact with a patient having typhoid at home further adds to the suspicion. Some patients may feel chilly and have a slight cough. The abdomen may be slightly bloated. Later in the disease, the child may develop loose motions. Your doctor will take note of the above features and would find an enlarged liver and spleen towards the end of the week.


Confirmation Of Diagnosis And Treatment

No antibiotic should be given before collecting a blood sample for culture. The hospital laboratory should be requested to observe the culture for one week as the organism may sometimes take time to grow. In case of a strong suspicion, your doctor may decide to start the appropriate antibiotic while waiting for the report. It may take 6 to 7 days before response to the antibiotics is noticed. If the blood grows typhoid organisms, the laboratory will test for the drugs to which the organisms are most sensitive. Then your doctor may decide to continue the same medicine or change over to a new one that may also take a couple of days to show a positive response. 

Before the culture report comes, a total white blood cell count of less than 4000/mm.3 may also be supportive of the diagnosis of typhoid. Another test commonly asked for is the Widal test. This becomes positive in the second week, but the result of this test loses its reliability if the antibiotics have been started too early in the course of the disease.

Paracetamol may be given for symptomatic relief of fever and headache. Sponging of the body with warm water can be done for lowering the temperature.

PREVENTION: The source of infection is contaminated water, ice, food (including canned foods) and milk. The patient continues to pass the germs of the illness in the stools for upto 3 months afterwards. Proper hand washing is essential. Water must be boiled and cooled before being consumed. Do not listen to those who say that on some occasion you may have to take unboiled water outside, and so it is useless to take boiled water at home. You must note that a large number of typhoid germs would need to be swallowed to start the disease process. So we should always aim at cutting down the bacterial load as much as possible.

Read the chapter on IMMUNISATION for vaccination against typhoid.




7 March, 2016

 
Part 4
The A-Z of Childhood Illnesses

Abdominal Pain
Abrasions or Scratches
Acute Glomerulonephritis
Acute Nephritis
Acute Watery Diarrhoea
Addictions
Adenoids
AIDS
Allergies
Anaemia
Anorexia (Poor Appetite)
Asthma
ADHD
Autism
Backache
Bed-Wetting (Enuresis)
Birth Deformities
Bites and Stings
Bleeding
Bone, Joint and Muscle Injuries
Bowlegs and Knock-Knees
Breathlessness
Bronchiolitis
Burns
Calcium Deficiency
Cancer
Cardiac Pulmonary Resuscitation
Cerebral Palsy (CP)
Chickenpox
Choking
Circumcision
Cleft Lip and Palate
Common Cold
Congenital Heart Disease
Constipation
Convulsions or Fits or Seizures
Cough
Croup
Crying
Cuts
Dengue Fever
Diabetes Mellitus
Diarrhoea, Dysentery ...
Diphtheria
Down's Syndrome
Earache, Ear Infections ...
Electric Shock
Encephalitis
Eye Problems
Fears
Foot Problems
German Measles (Rubella)
Glands in the Neck ...
Headache
Head Injury
Hepatitis
Hydrocephalus
Hypertension
Hypospadias
Influenza (Flu)
Jaundice
Joint Disorders
Kala-Azar
Leptospirosis
Limp and Pain in the Legs
Malaria
Malnutrition (Undernutrition)
Measles
Meningitis
Meningomyelocele
Menstrual Problems
Mental Retardation (MR)
Mouth To Mouth Breathing
Mumps
Nephrotic Syndrome
Nose-Related Problems
Obesity
Pneumonia
Poisoning
Poliomyelitis
Premature Baby
Prolapse of the Rectum
Rabies
Rheumatic Fever
Rheumatoid Arthritis
Rickets
Short Child
Skin Conditions
Sleep and Sleep Problems
Sore Throat (Pharyngitis)
Splinters
Stammering
Stridor (Noisy Breathing)
Teething and Care of Teeth
Tetanus (Lock Jaw)
Thrush
Thumb-Sucking
Tics
Torticollis
Tracheoesophageal Fistula
Tropical Eosinophilia
Tuberculosis (TB)
Typhoid
Umbilical Problems
Undescended Testis
Urinary Infection
Vaginal Discharge
Vomiting
Wheezing
Whooping Cough (Pertusis)



Part 4
Keeping Your Child Healthy
Choosing A Paediatrician
Proper Use of Medicines
Home Remedies
A First Aid Kit
The A-Z of Childhood Illnesses
Psychological Concerns
Managing A Hospital Stay
Emergencies
Prayer And Your Child's Health
The Role of Nature Cure
Homoeopathy
Ayurveda and Child Care
Congenital Heart Disease FAQ
 
Guide to Child Care
Home
Introduction
1 Pregnancy, Childbirth ...
2 The Growing Years
3 Feeding Infants, ...
4 Keeping Your Child Healthy
5 Keeping Your Child Happy
About Dr. R. K. Anand
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