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Typhoid Fever Diet Tips

All About Typhoid Fever!

Dr. Vikram Gidwani 92% (63 ratings)
General Physician, Chittorgarh

What is typhoid fever?
Typhoid fever or enteric fever is a digestive tract infection in which there is fever, headache, and abdominal pain or discomfort. It is very common in developing countries like india.

What are the causes and risk factors?
Typhoid fever is caused by a bacterium called salmonella typhi which is transmitted through contaminated water or food (feco-oral or urine-oral route).

Risk factors include:

  • Travelling to areas where typhoid fever is a common disease.
  • Being in a profession where contamination with bacteria is likely. Like those working in laboratories.
  • Coming in close contact with a person suffering from typhoid.
  • Drinking/ eating contaminated water or food.

How will you know if you have typhoid fever?
Signs and symptoms develop gradually over the period of 10-14 days after exposure to the bacteria.
Signs and symptoms include an irregular fever that can go up to 104.9 ˚f (40.5 ˚c), headache, pain in abdomen, tiredness, muscle pain, loss of appetite, nausea, constipation or diarrhoea, skin rash.

How is typhoid fever diagnosed?
Your doctor will do a physical examination and carry out some tests.
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).

Investigations include:

  • Blood tests: typhidot test igm and igg antibodies, blood culture to test for salmonella typhi.
  • Stool and urine analysis
  • Bone marrow culture: it is the most sensitive test, but it is rarely required except in patients who have already received antibiotics and not getting any better.
  • Widal antigen test: this test can be done, but there is a longer waiting phase of about 10 days till results can be seen, it is time-consuming and could give false positive results.

What is the treatment for typhoid fever?

What are the complications of typhoid fever?
If not treated and sometimes even after treatment, there can be serious complications due to typhoid like pneumonia, meningitis (inflammation of meninges of brain), infection in bones (osteomyelitis), intestinal perforation and intestinal haemorrhage.

A doctor needs to be consulted if a person starts developing the symptoms few days after travelling to a place where typhoid is prevalent.

How can typhoid fever be prevented?

  • Typhoid fever can be prevented by improving sanitation facilities and drinking clean drinking water.
  • Always wash your hands with soap and warm water after using restrooms, before eating or cooking food.
  • Maintaining optimum personal hygiene is the key to preventing this disease.
  • Travellers should not drink untreated water; avoid adding ice to their drinks and should not eat ice creams or milk products or street foods that are a rich source of the infection.
  • Vaccines are available that give partial protection. Vaccines usually are reserved for those who may be exposed to the disease or are travelling to areas where typhoid fever is common.
17 people found this helpful

Typhoid - Signs You Are Suffering From It!

MBBS, Diploma in Tuberculosis and Chest Diseases (DTCD), MD - General Medicine
General Physician, Delhi
Typhoid - Signs You Are Suffering From It!

Typhoid is as an acute illness commonly characterized by high fever and an impaired digestive system. This illness is caused by the bacterium ‘Salmonella Typhi’ and generally spreads from one person to another by means of food or water.

Causes of typhoid

  • Salmonella Typhi, the bacterium responsible for typhoid, primarily spreads on consumption of unhygienic street food and water.
  • Typhoid can also occur as a result of a poor sanitation system. In these cases, the bacterium spreads through fecal matters and the contaminated urine of the infected person.
  • Typhoid can also spread if you share the same food and water consumed by the infected person.

The symptoms generally appear within 1-3 weeks, after coming in contact with the already infected individual. The ensuing fever and discomfort remains for about 3-4 weeks. The symptoms are:

However, in most of the cases, the symptoms tend to improve from the third week itself.

The following treatments can be implemented in order to cure typhoid fever:

  • Doctors generally recommend a prescribed dosage of antibiotics in order to deal with the disease. 
  • Along with the prescribed dosage of antibiotics, the doctors recommend balanced consumption of various fluids such as natural fruit juices and water to restore hydration. A healthy diet packed with all the essential nutrients is another necessity that has to complement the dosage of antibiotics.
  • Choice of antibiotics should be Ceftriaxone, Cefixime, Azithromycin and Ciprofloxacin.


  1. The two most common complications are haemorrhage (including disseminated intravascular coagulation) and perforation of the bowel. Before antibiotics, perforation had a mortality of around 75%.
  2. Jaundice may be due to hepatitis, cholangitis, cholecystitis, or haemolysis.
  3. Pancreatitis with acute kidney injury and hepatitis with hepatomegaly are rare.
  4. Toxic myocarditis occurs in 1-5% of patients (ECG changes may be present). It is a significant cause of death in endemic areas.
  5. Toxic confusional states and other neurological and psychiatric disturbances have been reported.

Needs and Indications for Hospitalization-

Hospital admission is usually recommended if you have severe symptoms of typhoid fever, such as persistent vomiting, severe diarrhoea or a swollen stomach. As a precaution, young children who develop typhoid fever may be admitted to hospital. In hospital, you'll have antibiotic injections and you may also be given fluids and nutrients directly into a vein through an intravenous drip. Surgery may be needed if you develop life-threatening complications of typhoid fever, such as internal bleeding or a section of your digestive system splitting. However, this is very rare in people being treated with antibiotics. Most people respond well to hospital treatment and improve within three to five days. However, it may be several weeks until you're well enough to leave hospital.


Two types of vaccines are available

  • Injected
  • Oral 

The injected vaccine is more commonly used and  is also known as inactivated typhoid shot . It is injected in one single shot an it can easily provide protection against typhoid. This type is widely prevalent in cases where one has to travel to a typhoid infected place. However, one must be careful and should keep a tab as to what they eat or drink at the time of travelling. Also, this type of vaccine should not be administered on kids below 2 years old.

If you wish to discuss about any specific problem, you can consult a doctor.

7009 people found this helpful

Typhoid Fever - Follow These Steps and Prevent It!

Dr. Ayusmati Thakur 91% (235 ratings)
MBBS, DNB (General Medicine), Certified in Evidence Based Diabetes Management, MNAMS, MRCP (UK)
Internal Medicine Specialist, Kolkata
Typhoid Fever - Follow These Steps and Prevent It!

Typhoid is an infectious bacterial fever with an eruption of red spots on the chest and abdomen and severe intestinal irritation, brought about by the Salmonella typhi bacteria. It can also be brought about by Salmonella paratyphi, a related bacterium that generally causes a less extreme sickness. The bacteria are stored in water or in the food by a human carrier and are then spread to other individuals around them.

There are many ways to avoid typhoid fever:

  1. VaccinationTake one dose of the vaccine one week before travelling. The other is given orally in four cases, with one container to be taken every alternate day. Neither one of the vaccines is 100% effective. Both require repetitive immunisation since the effect of vaccines diminishes over time.
  2. Washing your hands: Frequently washing your hands in hot, soapy water is the most ideal approach to control contamination. Wash before eating or cooking food and after using the toilet. Use a hand sanitiser in cases where water isn't accessible.
  3. Drinking clean water: There are a few ways in which you can avoid getting typhoid fever spread by contaminated water.
    • Abstain from drinking untreated water.
    • Contaminated drinking water is a specific issue in areas where typhoid fever is endemic. Thus, drink only boiled or filtered water, or canned or packaged carbonated drinks.
    • Carbonated filtered water is more secure than non-carbonated filtered water.
    • Request drinks without ice.
    • Use filtered water to brush your teeth and try not to swallow water in the shower.
    • Clean water can get contaminated again in case it is not put away securely.
    • Store the clean drinking water in a container with a little opening and use it within four hours.
  4. Staying away from raw fruits and vegetables: Maintain a strategic distance from crude foods grown in the ground. Since crude produce may have been washed away in water, maintain distance from products of the soil that you cannot peel, particularly lettuce. To be totally protected, you might need to stay away from street food completely.
  5. Cooking: Pick hot foods. Keep away from food that is put away or served at room temperature. Steaming hot nourishments are ideal. Also, in spite of all precautions, there is no assurance that the food served at the finest restaurants is safe for your health. It is best to stay away from foods served by street side vendors. Completely cook all meats, fish and vegetables. Eat them while they are still hot.
  6. Washing: Wash your dishes and utensils with proper dish washing soap and water. Wash your cutting board particularly well with a cleanser and water.
  7. Peeling: Peeling fruits and vegetables protects you from typhoid. Eat natural products that have been freshly washed and peeled, for example, oranges and bananas. If you wish to discuss about any specific problem, you can ask a free question.
3677 people found this helpful

Typhoid Fever in Hindi - टाइफाइड क्या है | टाइफाइड फीवर

Dt. Radhika 93% (473 ratings)
MBBS, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Typhoid Fever in Hindi - टाइफाइड क्या है | टाइफाइड फीवर

टाइफाइड साल्मोनेला बैक्टीरिया से फैलने वाली खतरनाक बीमारी है। इसे मियादी बुखार भी कहते हैं। टाइफाइड फीवर पाचन तंत्र और ब्लटस्ट्रीम में बैक्टीरिया के इंफेक्शन की वजह से होता है। गंदे पानी,संक्रमित जूस या पेय के साथ साल्मोनेला बैक्टीरिया हमारे शरीर के अंदर प्रवेश कर जाता है। टायफायड की संभावना किसी संक्रमित व्यक्ति के जूठे खाद्य-पदार्थ के खाने-पीने से भी हो सकती है। वहीं दूषित खाद्य पदार्थ के सेवन से भी ये संक्रमण हो जाता है। पाचन तंत्र में पहुंचकर इन बैक्टीरिया की संख्या बढ़ जाती है। शरीर के अंदर ही ये बैक्टीर‌िया एक अंग से दूसरे अंग में पहुंचते हैं। टाइफाइड के इलाज में जरा भी लापरवाही नहीं बरतनी चाह‌िए। दवाओं का कोर्स पूरा न किया जाए तो इसके वापस आने की भी संभावना रहती है।

क्या है टाइफाइड
टाइफाइड के बैक्टीरिया इंसानों के शरीर में ही पाया जाता है। इससे संक्रमित लोगों के मल से सप्लाई का पानी दूषित हो जाता है। ये पानी खाद्य पदार्थों में भी पहुंच सकता है। बैक्टीरिया पानी और सूखे मल में हफ्तों तक ‌जिंदा रहता है। इस तरह ये दूषित पानी और खाद्य पदार्थों के जरिए शरीर में पहुंचकर संक्रमण पहुंचाता है। संक्रमण बहुत अधिक हो जाने पर 3 से 5 फीसदी लोग इस बीमारी के कैरियर हो जाते हैं। जहां कुछ लोगों को हल्की से परेशानी होती है, जिसके लक्षण पहचान में भी नहीं आते वहीं कैरियर लंबे समय के लिए इस बीमारी से ग्रसित रहते हैं। उनमें भी ये लक्षण दिखाई नहीं देते लेकिन कई सालों तक इनसे टाइफाइड का संक्रमण हो सकता है।

संक्रमित पानी या खाना खाने के बाद साल्मोनेला छोटी आंत के जरिए ब्लड स्ट्रीम में मिल जाता है। लिवर, स्प्लीन और बोनमैरो की श्वेत रुधिर क‌णिकाओं के जरिए इनकी संख्या बढ़ती रहती है और ये रक्त धारा में फिर से पहुंच जाते हैं। बुखार टाइफाइड का प्रमुख लक्षण है। इसके बाद संक्रमण बढ़ने के साथ भूख कम होना, सिरदर्द, शरीर में दर्द होना, तेज बुखार, ठंड लगना, दस्त लगना, सुस्ती, कमजोरी और उल्टी  जैसे लक्षण दिखाई देते हैं। आंतों के संक्रमण के कारण शरीर के हर भाग में संक्रमण हो सकता है, जिससे कई अन्य संक्रमित बीमारियां होने का खतरा भी बढ़ जाता है।

सामान्यता टाइफाइड 1 महीने तक चलता है, लेकिन कमजोरी ज्यादा होने पर ज्यादा समय ले सकता है। इस दौरान शरीर में बहुत कमजोरी आ जाती है और जिससे रोगी को सामान्य होने में लंबा समय लग सकता है। 

टाइफाइड की जांच
शुरुआती स्टेज में रोगी के ब्लड सैंपल की जांच करके उसका इलाज शुरू किया जाता है। इसके अलावा रोगी का स्टूल टेस्ट करके उसके शरीर में टाइफाइड के बैक्टीरिया की मौजूदगी का पता लगाया जाता है। विडाल टेस्ट भी टाइफाइड के टेस्ट का प्रचलित तरीका है लेकि‌न कई बार टाइफाइड ठीक होने के बाद भी सालों-साल मरीज के ब्लड में विडाल टेस्ट पॉजिटिव आता रहता है। इसके लिए स्टूल और टा‌इफायड टेस्ट कराना बेहतर विकल्प है। कभी-कभी संक्रमण ज्यादा होने पर अगर मरीज को ज्यादा पेट दर्द या उल्टी हो तो सोनोग्राफी भी करनी पड़ सकती है।

टाइफाइड का इलाज एंटी बायोटिक दवाओं के जरिये किया जाता है। शुरुआती अवस्था का टाइफाइड एंटीबायोटिक गोलियों और इंजेक्शन की मदद से दो हफ्ते के अंदर ठीक हो जाता है। इसके साथ परहेज रखना बेहद जरूरी है।

ऐसे करें मरीज की देख-रेख
टाइफाइड के दौरान तेज बुखार आता है। ऐसे में किसी कपड़े को ठंडे पानी में भिगोकर शरीर को पोंछे। इसके अलावा ठंडे पानी की पट्टियां सिर पर रखने से भी शरीर का तापमान कम होता है। कपड़े को समय समय पर बदलते रहना चाहिए। ये ध्यान रखना बेहद जरूरी है कि पानी बर्फ का ना हो। पट्टी रखने के ल‌िए साधारण पानी का इस्तेमाल करें।

घरेलू उपचार

  1. तुलसी और सूरजमुखी के पत्तों का रस निकालकर पीने से टाइफाइड में राहत मिलती है।
  2. लहसुन की तासीर गर्म होती है और यह प्राकृतिक एंटीबायोटिक है। घी में 5 से 7 लहसुन की कलियां पीसकर तलें और सेंधा नमक मिलाकर खाएं। 
  3. सेब का जूस निकालकर इसमें अदरक का रस मिलाकर प‌िएं, इससे हर तरह के बुखार में राहत मिलती है।
  4. पके हुए केले को पीसकर इसमें एक चम्मच शहद मिलाकर दिन में दो बार खाएं।
  5. लौंग में टाइफाइड ठीक करने के गुण होते हैं। लौंग के तेल में एंटीबैक्टीरियल गुण होते हैं। आठ कप पानी में 5 से 7 लौंग डालकर उबाल लें। जब पानी आधा रह जाए इसे छान लें। इस पानी को पूरा दिन पीएं। इस उपचार को एक हफ्ते लगातार करें।
117 people found this helpful

Dengue Fever is Viral Fever

Dr. Anil D G 92% (71 ratings)
General Physician, Bangalore
Dengue Fever is Viral Fever

Dengue fever is a viral fever. This means like viral fever it is best treated with supportive medications liquid diet and soft bland diet. In fever beyond 1 week or more, close observations with hospitalisation will be required. Hence follow up with your general physician.

6 people found this helpful

Dengue fever

Dr. Jitendra Vala 87% (172 ratings)
Diploma in Diet and Nutrition, BHMS
Homeopath, Mumbai
Dengue fever
Use homeopathic eupatorium 30 thrice a day as specific but for better result detail history is must.
Keep surrounding clean. Avoid stagnancy of water.
Keep hydrating your self with water and liquid diet
Do cbc, esr, h1n1 (dengue profile).
Good rest.
Good mind set no need for panic.
Regular investigation of platelet count.
Tab paracetamol for fever
No use of antibiotics unless prescribed
4 people found this helpful

Treatment of Fever!

Dr. Radhika A (Md) 92% (13 ratings)
MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Treatment of Fever!

Treatment of Fever

Homeopathic Treatment of Fever
Acupuncture & Acupressure Treatment of Fever
Psychotherapy Treatment of Fever
Conventional / Allopathic Treatment of Fever
Surgical Treatment of Fever
Dietary & Herbal Treatment of Fever
Other Treatment of Fever
What is Fever
Symptoms of Fever
Causes of Fever
Risk factors of Fever
Complications of Fever
Lab Investigations and Diagnosis of Fever
Precautions & Prevention of Fever
Treatment of Fever

Homeopathic Treatment of Fever

Homeopathic remedies can cure fever, speed recovery and will aid the body’s natural process of healing itself. It helps to reduce the burning of skin and eyes. Some of the homeopathic remedies for fever are:

Nux vomica
Rhus tox

 Acupuncture & Acupressure Treatment of Fever

In the acupuncture treatment of fever, the body is able to improve because of the restoration of qi, the flow of energy through your body. Both acupuncture and acupressure strengthen the immune system and helps to regulate the body’s immune response.

Conventional / Allopathic Treatment of Fever

Allopathic treatment of fever uses over-the-counter medication, such as Acetaminophen or ibuprofen. Aspirin is prescribed only for adults. If fever is the result of bacterial infection, such as pneumonia or strep throat, then antibiotics are prescribed. Viral infections are treated with antiviral drugs.

Dietary & Herbal Treatment of Fever

Take High fluid diet like juices, glucose water, soups etc.
Avoid fatty foods and spicy foods
Eat protein diet like milk, eggs & dhal

What is Fever?

A fever is a rise in internal body temperature to levels that are considered to be above normal. For an adult, a fever may be uncomfortable, but fever usually isn’t dangerous unless it reaches 103 F (39.4 C) or higher.

 Symptoms of Fever

Sweating and Shivering
Headache and Muscle aches
Loss of appetite
General weakness

Causes of Fever

A virus
A bacterial infection
Heat exhaustion
Extreme sunburn
Medicines such as antibiotics, narcotics, barbiturates, and antihistamines
A malignant tumor
Trauma or injury such as a heart attack, stroke, heatstroke, heat exhaustion, or burns
Some immunizations, such as the diphtheria, tetanus and acellular pertussis (DTaP) or pneumococcal vaccines

Complications of Fever

Severe dehydration
Brain damage
Fever-induced seizure (febrile seizure), in children ages 6 months to 5 years 

Diagnosis of Fever

Your doctor will diagnose the fever by doing physical exam and by asking question about your medical history. He look for an infection or noninfectious cause of your fever based on your other symptoms and a physical exam. Blood tests are needed to confirm a diagnosis.

Precautions & Prevention of Fever

Reduce your exposure to infectious diseases
Wash your hands before eating, after using the toilet and after petting animals
Cover your mouths when coughing and noses when sneezing 

19 people found this helpful

Seasonal Viral Fever, Cough And Cold - Watch Out!

MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Faridabad
Seasonal Viral Fever, Cough And Cold - Watch Out!

Viral fever is a cumulative term which refers to a group of viral infections and is characterised by high fever, headaches, body ache, burning in the eyes, nausea and vomiting. It usually comes in package with severe cough and cold.

It actually is not an ailment but is the result of an underlying cause, which is viral infection. This infection can occur in any part of the body such as lungs, intestines, air passage, etc., and the high fever is the sign of immune system of the body fighting against the invasion of viruses.

How does viral fever, cough and cold occur?

Just like its name, 'viral fever' travels from one person to another. Whenever an infected person yawns, coughs, sneezes or even talks, he/she releases tiny fluids in the environment, putting the nearby people at risk of suffering from the infection.

The infection may occur due to mosquito, tick bites or by coming in contact with the infected person’s blood or semen.


Symptoms:The symptoms of viral fever include:

  • High fever
  • Fatigue
  • Headache
  • Severe weakness
  • Muscle and body ache
  • Painful tonsils
  • Sore throat
  • Burning sensation in eyes
  • Skin rashes
  • Diarrhea
  • Nausea
  • Vomiting
  • Running nose
  • Cough


As the symptoms of the viral fever have too much resemblance to other diseases like dengue, malaria, chikungunya, typhoid, etc., it is better to consult a doctor before taking any random antibiotic. The doctors often recommend blood test to be sure about your disease before beginning with the treatment.


As there are no antibiotics for viral fever, the doctors prefer prescribing fever-reducing medicines. If a doctor is prescribing antibiotics, then it is to ensure that you do not get infected with any other viruses while being sick.

It is always very important to complete the full course of antibiotics recommended by the doctor. If you stop taking the medication midway, your body will create antibiotic-resistant bacteria and the same medicines will become ineffective.

How can we prevent viral fever?

Keeping ourselves and our daily activities clean and maintaining appropriate distance from infected people is the best prevention for the disease. Some prevention measures are as follows:

  • Wash hands properly before eating
  • Avoid eating outside in open areas
  • Always cover your mouth while coughing, sneezing or yawning
  • Drink as much water as you can

The doctors, however, do not give any dietary restrictions, but it is always good to follow a balanced diet and completing the course of prescribed medicines prescribed by the doctor.

13 people found this helpful

Tropical Fever - How To Categorised Them!

Dr. Satish Kumar Gadi (Lt Col) 93% (126 ratings)
MBBS, MBA - Health Care Administration
General Physician, Gurgaon
Tropical Fever - How To Categorised Them!

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.


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.

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.

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.

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Different types of fever and thier diagnosis

Dr. Yogesh Sehrawat 90% (578 ratings)
MD - General Medicine
General Physician, Delhi
Different types of fever and thier diagnosis

The nature of the type of the fever and the duration should be considered as there are many types which could help narrow down the differential diagnosis you are considering.

Continuous fever: Where the temperature remains above normal throughout a 24-hour period and does not fluctuate more than 1 degree Celsius in 24 hours. This type of fever occurs in lobar pneumonia, typhoid, urinary tract infection, infective endocarditis, brucellosis, and typhus.

Remittent fever: The temperature remains above normal throughout the day and fluctuates more than 2 degree Celsius in 24 hours. This type is seen in patients with typhoid fever and infective endocarditis.

Pel-Ebstein fever: There is a regular alternation of recurrent bouts of fever and febrile periods. The temperature may take 3 days to rise, remain high for 3 days and then remits over 3 days. The patient could then be apyrexial for 9 days.

Intermittent fever: In a 24 hour period the temperature is only present for some hours of the day and the rest of the time is normal. The spike can occur same time each day, every other day or every few days but is normally in a repetitive pattern. Examples of some diseases which have an intermittent fever are malaria, pyemia, and septicemia.

Septic fever: A very high temperature which doesn't improve with antipyretics can indicate a septic fever and the patient should be seen quickly and reviewed to prevent any further deterioration in their state of health.

Cyclical recurrent fevers or periodic fevers: These are recurrences of fever which last from a few days to a few weeks and are separated by symptom-free intervals. This pattern of fever can be caused by recurrent infection, malignancy or non-infectious inflammatory diseases. Attacks of fever which follow the same course normally have a non-infectious cause like Still's disease, Rheumatoid arthritis, Crohn's disease and Bechet's syndrome. A family history of periodic fever could indicate Familial Mediterranean Fever or Hyper-IgD syndrome.

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