What is Enteric fever?

 Enteric fever

Introduction:

Typhoid fever is caused by the germ salmonella typhoid and is spread by patients, carriers, food and water. It may also spread by flies. It is characterized by fever, feeble pulse eruptions and abdominal signs. It is primarily infection of intestines. The incubation period is 3-25 day.

Intestinal fever
Intestinal fever
Signs and symptoms:

The onset of disease is slow with headache, constipation and epitasis. Temperature rises during the 1st week in stepladder fashion. During the 2nd week it remains sustained' at about 101F to 103F and during the third and fourth weeks it gradually falls to normal. The pulse is relatively slow. The spleen is palpable. There may be abdominal pain and loose motions. Intestinal hemorrhage and perforation may occur during 3rd week.

Most common symptoms:

Yellow sulfa appear on first day of disease. 

Remittent fever is in first week. Loss of appetite, bed smell in urine & stool

Investigation:

- Blood complete picture

- Widely test or typhoid

- Urine and stool for culture.

Treatment:

Antibiotic, anti amebic and anti pyretic according to body weight.

Diet:

Recommended diet in enteric fever is light diet. If a patient violates the conditions about diet, intestinal perforation may occur as complication.

Light and high caloric diet in enteric fever is helps the patient to stability.

Complication:

- Intestinal perforation

- Pericardial effusion when typhoid repeated every year.

- Loss of memory for two or three days in condition of unmanaged high grade fever.

- Anemia 

Preventive measures:

 - T-A-B Vaccine

- In repeat typhoid, use ciprofloxacin for 21 day after Doctor Advice. 

Healthy tip:

If five gram of Tragacanth Gum dip in 250 ml water at evening then drink at fasting for 15 days. It is better for the health of intestine. It is a good remedy of irregular bowels which may helps salmonella to growth.

It provides to intestine good gut movement and prevent from spasm.

It is a tonic of anti appetite and anti anemia.For more articles click here

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