My son 20 year old and he is suffering from typhoid. Treatment started. Cough come down after three days but on forth day started again high though temperature level reduces from 104 to 101? What is the reason sir. Is that bacteria responding to monocef antibiotic? And dosage is 2g per day. Need to be increased?

Dr. Udaya Nath SahooGeneral Physician49yrs exp

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Hello, Thanks for your query on Lybrate "As" per your clinical history is concerned please follow like this - 1) Do take medication as per your treating Doctor's advice and the dose is good no need to increase it further. 2) Drink plenty of fluids ORS to prevent dehydration 3) Do take nonbulky, high-calorie meals for easy digestions Do follow lifestyle modifications like this - 1) Wash your hands. Frequent hand-washing is the best way to control infection. Wash your hands thoroughly with hot, soapy water, especially before eating or preparing food and after using the toilet. Carry an alcohol-based hand sanitizer for times when water isn't available. 2) Avoid drinking untreated water. Contaminated drinking water is a particular problem in areas where typhoid is endemic. For that reason, drink only bottled water or canned or bottled carbonated beverages, Wipe the outside of all bottles and cans before you open them. Ask for drinks without ice. Use bottled water to brush your teeth, and try not to swallow water in the shower. 3) Avoid raw fruits and vegetables. Because raw fruits may have been washed in unsafe water, avoid fruits and vegetables that you can't peel, 4) Choose hot foods. Avoid food that's stored or served at room temperature. Steaming hot foods are best. And although there's no guarantee that meals served at the finest restaurants are safe, it's best to avoid food from street vendors it's more likely to be contaminated. 5) Clean household items daily. 6) Avoid handling food. Avoid preparing food for others until your doctor says you're no longer contagious. If you work in the food service industry or a health care facility, you won't be allowed to return to work until tests show that you're no longer shedding typhoid bacteria. 7) Keep personal items separate. Set aside towels, bed linen and utensils for your own use and wash them frequently in hot, soapy water. 8) Discuss with your Doctor about vaccinations Hope that helps.  

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