{"id":27799,"date":"2019-08-05T10:00:45","date_gmt":"2019-08-05T04:30:45","guid":{"rendered":"http:\/\/www.1mg.com\/articles\/?p=27799"},"modified":"2019-08-05T11:27:23","modified_gmt":"2019-08-05T05:57:23","slug":"typhoid-fever-symptoms-treatment-prevention","status":"publish","type":"post","link":"https:\/\/www.1mg.com\/articles\/typhoid-fever-symptoms-treatment-prevention\/","title":{"rendered":"Typhoid Fever: Symptoms, Treatment And Prevention"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-27800 size-full\" title=\"Typhoid Fever: Symptoms, Treatment And Prevention\" src=\"https:\/\/www.1mg.com\/articles\/wp-content\/uploads\/2017\/07\/rsz_shutterstock_420225541.jpg\" alt=\"Typhoid Fever: Symptoms, Treatment And Prevention\" width=\"630\" height=\"380\" \/><\/p>\n<p><span style=\"font-weight: 400;\">Typhoid is one of the most common enteric infections (disease of the intestine caused by an infection). In 2015, it is estimated that around 17 million cases of typhoid and paratyphoid fever occurred worldwide, with the highest number of cases in Southeast Asia. <\/span><span style=\"font-weight: 400;\">According to a 2018 study[1], the prevalence of typhoid cases in India is estimated to be 9.7%. Typhoid fever is believed to be responsible for an estimated 129,000\u2013161,000 deaths each year. Characterized by diarrhea, abdominal discomfort, nausea and vomiting, typhoid if left untreated can lead to death. Given that typhoid is quite common in India, it is important to know about the causes, symptoms, treatment, and prevention of the condition to be aware of typhoid before it strikes you and your family.<\/span><\/p>\n<p><b>What are the causes of Typhoid fever?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">As you might be aware of, typhoid fever or enteric fever is a <\/span><span style=\"font-weight: 400;\">serious bacterial infection which is<\/span><span style=\"font-weight: 400;\">\u00a0characterized by high fever, severe headache, and abdominal pain or discomfort. A very common condition in developing countries like India, typhoid fever is caused by a bacterium called <\/span><i><span style=\"font-weight: 400;\">Salmonella typhi<\/span><\/i><span style=\"font-weight: 400;\">. The bacteria is transmitted through contaminated water or food either through fecal-oral or urine-oral route.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are certain factors which can increase the risk of typhoid fever. These include:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Traveling to areas where typhoid fever is a common disease (endemic areas).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Being in a profession where contamination with bacteria is likely for example, those working in laboratories and hospitals.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Coming in close contact with a person suffering from typhoid.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Drinking contaminated water or eating contaminated food.<\/span><\/p>\n<p><b>What are the signs and symptoms of typhoid fever?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">As typhoid is an enteric infection, it affects the intestine and hence, the symptoms you might experience are related to digestion. Generally, the signs and symptoms of typhoid fever develop gradually over the period of 10-14 days after exposure to the bacteria. The typical signs and symptoms which indicate you might have the condition include<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Irregular fever that can go up to 104.9 \u02daF (40.5 \u02daC)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Headache<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Pain in the abdomen<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Tiredness and weakness<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Muscle pain<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Loss of appetite\/anorexia<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Nausea and vomiting<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Constipation or diarrhea<\/span><\/p>\n<p><a href=\"https:\/\/www.1mg.com\/categories\/-30?utm_source=articletrack&amp;utm_medium=Stomach-Care\"><strong>1mg Exclusively Brings Best Selling Products For Bad Stomach. Grab It Now..!!<\/strong><\/a><\/p>\n<p><b>How is typhoid fever diagnosed?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">If anyone in your family suffers from typhoid or if you experience any signs and symptoms of typhoid fever, it is wise to consult a doctor. Your doctor will do a physical examination and order a few tests to diagnose the condition. Physical findings in early stages include abdominal tenderness, enlarged spleen and liver, enlarged lymph nodes, and development of a rash (also known as rose spots because of their appearance). However, the clinical presentations may vary from person to person.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The laboratory investigations include:\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Blood tests include a test to detect IgM and IgG antibodies and blood culture test to detect the bacteria Salmonella typhi.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Stool and urine analysis to check for the presence of the bacteria.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Bone marrow culture is also recommended but it is rarely required except in patients who have already received antibiotics and not getting any better. It is one of the most sensitive tests for typhoid fever.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Widal antigen test can also be done, but there is a longer waiting phase of about 10 days till results can be seen. <\/span><span style=\"font-weight: 400;\">The conventional Widal test detects antibodies to S.typhi from 2nd week of onset of symptoms.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Typhi dot tests can serve as a marker for recent infections. It can detect early rising antibodies that are predominantly IgM<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><b>What is the treatment for typhoid fever?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Antibiotics are the only effective treatment option for typhoid fever. Due to increased resistance to ciprofloxacin the new drugs of choice are azithromycin and ceftriaxone. In some cases, chloramphenicol, co-trimoxazole, and amoxicillin may also be effective. Fluid intake should be increased to prevent dehydration.<\/span><\/p>\n<p><a href=\"https:\/\/www.1mg.com\/online-consultation?utm_source=articletrack&amp;utm_medium=consultation\"><strong>**Consult India\u2019s best doctors here**<\/strong><\/a><\/p>\n<p><b>What are the complications of typhoid fever?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">If not treated and sometimes even after treatment, there can be serious complications due to typhoid such as pneumonia, meningitis (inflammation of the meninges of the brain), infection in bones (osteomyelitis), intestinal perforation and intestinal haemorrhage. A doctor needs to be consulted if a person starts developing the symptoms a few days after traveling to a place where typhoid is prevalent.<\/span><\/p>\n<p><b>How can typhoid fever be prevented?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Typhoid fever can be prevented by improving sanitation facilities and drinking clean drinking water as the primary mode of transmission is through food and water.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Always wash your hands with soap and warm water after using restrooms, before eating or cooking food.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Maintain optimum personal hygiene as it is the key to preventing this disease.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Travelers should not drink untreated water; avoid adding ice to their drinks and should not eat ice cream or milk products or street foods that are a rich source of the infection.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Vaccines are available that give partial protection. Vaccines usually are reserved for those who may be exposed to the disease or are traveling to areas where typhoid fever is common.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As typhoid is quite common during monsoon due to high chance of water and food contamination, is it advised to stay healthy and safe during this period. Also, if anyone in your family suffers from the condition, it is important to follow all the necessary hygiene and sanitation measures. Remember, following simple precautionary measures and knowing about the causes, symptoms, and treatment of typhoid fever can go a long way to treat it and prevent health complications. Stay healthy, stay protected.\u00a0<\/span><\/p>\n<p><strong><em>(The article is reviewed by <a href=\"https:\/\/www.1mg.com\/editorial-policy-processes\/dr.-swati-mishra-12\">Dr. Swati Mishra, Medical Editor<\/a>)<\/em><\/strong><\/p>\n<p><b>Recommended Reads:<\/b><\/p>\n<p><a href=\"https:\/\/www.1mg.com\/articles\/5-causes-of-fever-during-monsoons-and-tests-to-diagnose-them\/\"><strong>5 Causes Of Fever During Monsoons And Tests To Diagnose Them<\/strong><\/a><\/p>\n<p><a href=\"https:\/\/www.1mg.com\/articles\/vaccines-for-adults-why-and-what-vaccinations-are-needed-for-adults\/\"><strong>Vaccines For Adults: Why And What Vaccinations Are Needed For Adults?<\/strong><\/a><\/p>\n<p><b>References:<\/b><\/p>\n<p><span style=\"font-weight: 400;\">1. Balaji V, Kapil A, Shastri J, et al. Longitudinal Typhoid Fever Trends in India from 2000 to 2015. Am J Trop Med Hyg. 2018 Sep;99(3_Suppl):34-40.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-27800 size-full\" title=\"Typhoid Fever: Symptoms, Treatment And Prevention\" src=\"https:\/\/www.1mg.com\/articles\/wp-content\/uploads\/2017\/07\/rsz_shutterstock_420225541.jpg\" alt=\"Typhoid Fever: Symptoms, Treatment And Prevention\" width=\"630\" height=\"380\" \/><\/p>\n","protected":false},"author":50,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[27],"tags":[57,221,144,339,149,169,356,207],"class_list":["post-27799","post","type-post","status-publish","format-standard","hentry","category-health-a-z","tag-anti-infectives","tag-fever","tag-infectious-disorders","tag-men-care","tag-mens-health","tag-otc","tag-women-care","tag-womens-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.1 - 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