Typhoid fever is a bacterial disease caused by a bacteria Salmonella typhi. It spreads through consuming food or water that has been contaminated by stool of an infected person. The bacteria spread rapidly through your blood and causes a range of ailments.

It can cause bleeding in the intestine and perforations. This results in stomach pains, nausea, vomiting, and sepsis. Repair of intestinal damage may require surgery. In less frequent cases, typhoid can result in inflammation of muscles, linings, and valves of the heart. It can also cause pneumonia, meningitis, kidney infection, bladder infection, and inflammation of the pancreas. It may also result in delirium.



Symptoms-

The symptoms of typhoid infection start appearing within 1 to 3 weeks depending upon the virulence of the infection. The common symptoms are-

  High fever
  A headache
  Weakness
  Confusion
  Agitation
  Loss of appetite
  Red spotting on skin

Vaccination-

Vaccination is the most effective measure to prevent typhoid. There are two methods of vaccination- inactivated typhoid vaccine shot and an oral dose of live typhoid vaccine. One dose of inactivated typhoid vaccine is enough to protect you against the infection. A booster dose may be required every 2 years. You must consume four doses of live vaccine every alternate day. The capsule must be consumed orally, at least one hour before a meal. A booster may be required every 5 years.

What to know before immunisation-

  The inactivated vaccine should not be used in children below 2 years. The live vaccine is not recommended for use in children below 6 years.
  You should wait to get live typhoid vaccine if you are suffering from a pre-existing fever or infection. If you are on antibiotics, you must not take the oral vaccine until 3 days of discontinuing the medicine.
  People with immunodeficiency diseases such as AIDS should take inactivated typhoid vaccine shots instead of the live vaccine.
  Anti-malarial medicines should not be used until 10 days of a typhoid shot.
  Extremely serious side effects resulting from typhoid fever vaccine are very rare. It is generally safe for use.
  The inactivated vaccine may cause fever in 1 person in 100. It can also cause a mild headache, stomach pain, rashes in a person. Although serious allergic reactions are extremely rare, notify the doctor as soon as possible.

Typhoid affects 21 million people worldwide and causes 2,20,000 deaths annually. It can be fatal if it goes untreated. Therefore, it is crucial for people living in a typhoid prone zone to be immunised.

Typhoid Fever Vaccine - All You Should Be Aware Of!

The fever itself isn t a disease but a symptom of a disease. It is generally caused when the immune system heats itself to fight the infections that enter our body. One of the most common reasons a person catches a fever is due to Influenza or the common cold.

Though fever is a common symptom, it can aggravate very quickly if not taken care of properly. This article will educate patients how to take care of themselves if they have a fever. The first and foremost step of taking care is to go to a doctor and get a proper diagnosis.

Upon a proper diagnosis, one can determine the kind of fever they are having. If someone has a fever due to diseases like Malaria then the course of action will be quite different. However, following are the common steps for most of the fevers:

Do s: While Having a Fever

  The first step is to keep a proper check of the temperature every 2 hours. For that, it is advisable to keep a thermometer handy. For better accuracy, it is better to carry a digital one.
  The next step is to keep the patient hydrated as fever usually leads to loss of appetite. This can cause dehydration and loss of nutrients.
  Drinking water isn t enough to battle dehydration, which is why the patient will need to take the ORS solution every 15 minutes.
  If the temperature rises, one should soak a cloth in cool water and put it on the forehead for a few minutes.
  If the temperature keeps rising, the patient should take Paracetamol only.
  Get a blood check by calling a local pathology technician and subsequently send the report to the doctor to get a proper diagnosis.

Don'ts: While Having a Fever

  Don t take an Antibiotic unless the doctor prescribes it.
  The fever may cause temporary body pain and stiffness; don t take Ibuprofen and other painkillers to get rid of it.
  Don t take any kind of NSAIDS without doctor s supervision.
  Don t take any kind of dairy products or junk food.
  Don t starve because of the loss of appetite.
  Don t agitate by doing any kind of household work or exercise.
  Don t sleep with the air conditioning on.
  Avoid drinking and smoking while having a fever.
  If the doctor prescribed antibiotics, don t quit halfway. It is important that one must complete the course of antibiotics.
  Don t take a bath while having a fever; it is better to clean the body with a soaked cloth or sponge.

Conclusion:

Though fever is a fairly common disease, the treatment can go haywire if the usage of certain medicines isn t done properly. Following the above instructions will help to take care of when someone has a fever and will help to get better. However, if the fever isn t going down after 2-3 days, one should see a doctor immediately.

What To Do When You Get A Fever?

Fever is not a disease! It's a known fact that normal human body temperature is 98.6 F (37 C). If temperature goes beyond that, then it's called fever. But one must not worry every time if there is a rise in the temperature. 

Why?
The reason is that immune system is designed to raise temperature as a defence mechanism, if there is any attack by a foreign body (such as bacteria). So body temperature may fluctuate between 97 and 100.4. But there is no need to worry.

When to Consider Checking?
Routine check up is unnecessary. You may consider to check when:
- You feel the warmth while you touch
- You feel very tired, dizzy and lose appetite
- You feel nauseated, see rashes on the body, experience loose motion, sore throat, muscle pain, headache, etc.

Is it Time to Worry?
Normally, fever is not dangerous. However, if you see the following conditions, then it's time to worry and call a doctor. 
- If the body temperature is more than 103 degree F 
-,If fever lasts for more than five days
- If you feel difficulty in breathing
- If there is severe vomiting or diarrhoea
- If you feel stiffness in the neck and have headache
- If you feel excessively sleepy and lethargic
- If you see redness in skin, rashes or blood in stool.

If the condition worsens, it is time to rush to a hospital. There could be following:

- Meningitis is life threatening and highly transmissible in case of bacterial infection. A combination of a fever, extreme headache and stiffness in the neck is an indication that you must rush to the emergency department of a hospital near you.

- Difficulty in breathing or chest pain along with fever should prompt you to call for emergency medical assistance.

- If someone has fever along with blood in stool, urine or mucus, it's one of the reasons to seek for emergency medical help.

- If one has fever and is quite disturbed or puzzled unnecessarily, then the person should be taken to the emergency department.

- A person with low immune responses (such as one who is suffering from cancer or AIDS) needs doctor's help in case of fever development.

- Hyperthermia: it's a condition of very high fever, i.e., more than 104 degree F. The person seems to be confused and may not respond to verbal stimuli or commands. It's time for medical emergency.

What should You Do?
For mild fever, even home remedies can help. Aspirin shouldn't be the first choice and an absolute no for individuals less than 18 years. Other drugs that people usually tend to consume are ibuprofen or acetaminophen. One should also drink plenty of water. In case of a heat stroke, body needs to be cooled.
Other severe causes such as viral infection should lead you to a doctor.

Fever - When To Check, When To Worry, What To Do

The rains almost always bring about a plethora of diseases with fevers of different kinds. Dengue, typhoid and chikungunya can be regarded as the top three tropical fevers and diagnosing them sometimes become quite tricky as all of them have similar symptoms and the laboratory tests are not always precise. The best you can do is be aware of the early symptoms and signs as successful treatment is heavily dependent on the detection of early symptoms of the fever you are suffering from.

Dengue

Causes: Dengue is considered as a serious viral ailment and is transmitted by the Aedes aegypti mosquito. This fever occurs in two varieties, uncomplicated fever and the more serious haemorrhagic fever. The latter is the second leading form of the viral disease, leading to bleeding and shock and in the most severe instances. It can also be fatal, especially for children.
Symptoms: The symptoms may vary as per the age and physical condition of the patient. If you are affected with a sudden onset of very high fever along with headaches, rashes and pain behind the eyes, with loss of appetite and vomiting tendencies, then you must consult a doctor. It can also cause weak pulses, difficulty in breathing, restlessness and bleeding from the nose or gums along with blotchiness under the skin.

Typhoid
Causes: Typhoid is a bacterial ailment and mainly occurs due to unhygienic toilet habits, impure drinking water, and it can be transmitted to others through flies, food, faeces, touch and fornication.
Symptoms: The most common symptoms of typhoid fever include high fever, rashes all over the skin, cough, headache and loss of appetite. You may also experience coated tongue, malaise and diarrhoea or constipation. In case you are experiencing any of these signs, then you must seek medical help.

Chikungunya
Causes: Chikungunya fever is a viral ailment that is transmitted to human beings by infected mosquito bites. It is the leading cause of human epidemics in some parts of the African and Asian continents and it has now recently moved to some parts of Europe.
Symptoms: The chikungunya virus infection leads to symptoms that may be debilitating for some people. Fever, rash, fatigue and headaches along with muscle and joint pains are some of the most common symptoms of chikungunya. Some patients have reported excruciating joint pain and arthritis that can last for a week or even months together.

If you are faced with any of these symptoms for over three to four days, then you should not ignore them and seek medical assistance without any delay.

3 Tropical Fevers - How to Differentiate Between Them?

Chikungunya is a viral disease transmitted to people by the bite of an infectious mosquito known as Aedes Aegypti. The chikungunya infection is most prevalent in Africa, Southeast Asia, the Indian subcontinent and Indian Ocean islands, where various incidents of these disease and certain outbreaks have occurred over the years.

Humans and different animals are the regular hosts for the chikungunya virus, which can turn out to be very painful if it is not treated on time with proper medical care and intervention. The virus is spread to people by the bite of a female mosquito called Aedes aegypti or Aedes Albopictus. These are the same tropical and sub-tropical mosquitoes that spread the dengue virus. They breed in or close to human habitations and want to feed on people during the daytime in shady zones. These are likely to bite you at during the early hours of the evening or at night. The hatching time frame (time from disease to sickness) can be anywhere between two to 12 days.

Symptoms: Chikungunya infection is characterised by the following symptoms:

1. High or blazing fever
2. Extreme joint pain for the most part in the arms and legs
3. Headache
4. Pain in the muscle
5. Pain in the back
6. Body ache
7. Rash (in about 50% of the infected people)

A vast majority begins to feel better following 7 to 10 days but a few people will go through longer term joint pain.

Treatment:

1. There is no particular medicine to prevent chikungunya. There is no antibiotic that can help in doing away with it - it usually abates on its own. Chikungunya treated on the basis of a patient's symptoms. However, there are some precautions and alternate medications that can be used as a cure.

2. Bed rest, liquids, and medication to soothe side effects of fever and hurting. Asprin should be avoided.

3. Personal protection and a hygienic environment is important to prevent the growth of the illness.

Since this virus does not have a vaccine or any particular medicine, one should try to stay away from mosquitos as much as possible. Covering yourself up while travelling, especially in the evening is the best approach to prevent it.

Preventive Tips and Treatment for Chikungunya

Dengue fever is a disease caused by mosquitoes which mostly occurs in tropical climates. Dengue hemorrhagic fever is a type of dengue fever that may lead to decrease in blood pressure and severe bleeding. Dengue may lead to death if the symptoms of this disease are not treated at the right time. The symptoms of this disease are high fever, muscle ache, pain in the eyes, pain in the abdomen and nausea. It may also lead to respiratory problems such as breathing difficulties. Presence of blood in the stool and blood spots around the skin are some other symptoms of dengue.

The symptoms of this disease start after 5 - 9 days after being bitten by the mosquito. The disease usually lasts about 7-8 days. In case the symptoms worsen, the disease may become life threatening. The various methods you can employ to protect yourself from dengue are:

Maintain cleanliness around your surroundings: Make sure you keep your surroundings clean so that mosquito infestations do not occur. Keep your surroundings clean and dry as mosquitoes thrive in moist and humid surroundings.
Mosquito repellants: Spray mosquito repellants to keep your home free from mosquitoes. Spray them keeping the room locked to make it more effective. There are multiple types of repellents available such as liquid or gas repellents.
Clothes: You should preferably wear full sleeved clothes so that your skin is not exposed. It provides additional protection from mosquito bites.
Mosquito nets: Use mosquito nets to protect yourself from mosquitoes when you go to sleep at night. They also provide protection from other insects that may cause infections. 
Don't store waste: Don't store your waste products for long durations as they may turn into a breeding ground for mosquitoes. Clean it regularly and make sure to keep the area dry.
Using natural remedies: You may use natural remedies such as burning camphor as it repels mosquitoes. Take camphor and burn it for 20 minutes in a closed room to get rid of the mosquitoes.

Dengue Fever - 6 Ways You Can Protect Yourself Against it

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