Dafresh:
my tongue is normal

. Ok

Dafresh:
Yesterday I want to general hospital to see a doctor, he recommended that I should run for test, because it was general hospital so I decided to go and do the test in private laboratory, the test lasted for an hour but going back to see the doctor, the hospital have closed, today being Tuesday I want to see the doctor but the nurses said he doesn't come on Tuesday and I'm seriously sick, doctors in the house please help me. Here is the test result

You didn't state your symptoms, so we can't help you, unfortunately. However, this result doesn't tell any story to a physician. Widal test of 1/80 titer won't bother you, besides that test (Widal) is quite redundant these days because of cross reactions of the reagent with other antigens. If a doctor suspects you of having typhoid, he either commences therapeutic trial or send you for stool or urine salmonella culture. The only labs that still run that test is the roadside labs cos they know the average Nigerian would always patronize them for it, meanwhile the test is as useful as money is to a dead man.

Dafresh:
I used to open my fridge in my shop to receive air without knowing I was harming my self it started with malaria I treated it then I started having cough. The only thing disturbing me now is cough
Can ulcer cause cough and catarrh

Nope

Oladimeji13:
Yes gastric ulcer causes blocked nose,dizziness and feeling feverish acid reflux causes cough u can go for ulcer test

No, it doesn't. If he has cough and catarrh only, its probably an URTI. Antibiotics like cefuroxime or amoxyclav would suffice

Mammangaddafi:
Labs still do Widal test?

Exactly what I was saying. A very useless tests but the roadside labs continue to run it cos Nigerians always request for it. So they exploit their ignorance.
Hospital labs don't run it

DrAda:
Do health care providers still order for widal test?

I doubt if that doc ordered for it. Dude probably went to a roadside and told them his symptoms and they ran those tests for him. Or he requested for them himself

DrAda:


Blood culture

Nah. Its not blood culture which isn't specific enough. You request for Salmonella culture of urine or stool

drimzsmoke:


We do stool culture over here, na the only thing wey the HMO people dey approve

Yup. Stool or urine(if the lab is choosy)
Blood culture media isn't specific for salmonella typhi or paratyphi

Dafresh:


I had fever then I took drugs for Malaria as usual but I got better after a week started having cough and catarrh sometimes I can cough till I will be week I cough from 10 am to 11 and I will get better in the night I don't cough at all I sleep well but once I catch cold or stay on the fan I will start coughing I have don HIV test 7 times and all are negative

You could have a lobar pneumonia. Do a sputum MCS and chest xray

jaephoenix:

Exactly what I was saying. A very useless tests but the roadside labs continue to run it cos Nigerians always request for it. So they exploit their ignorance.
Hospital labs don't run it

Very useless...

jaephoenix:

Nah. Its not blood culture which isn't specific enough. You request for Salmonella culture of urine or stool

Still blood culture for me

jaephoenix:

You didn't state your symptoms, so we can't help you, unfortunately. However, this result doesn't tell any story to a physician. Widal test of 1/80 titer won't bother you, besides that test (Widal) is quite redundant these days because of cross reactions of the reagent with other antigens. If a doctor suspects you of having typhoid, he either commences therapeutic trial or send you for stool or urine salmonella culture. The only labs that still run that test is the roadside labs cos they know the average Nigerian would always patronize them for it, meanwhile the test is as useful as money is to a dead man.

I'm only have cough, some times if cough hard I will be sweating seriously when I'm coughing I will feel Iike vomiting but last night I vomited. I blew my nose alot so my nose ridge will be paining me

medikend:
In normal countries, widal test is no longer used to diagnose typhoid fever. Blood, urine and stool cultures are preferred depending on the timing.

However, in developing countries like ours, a single widal test is of no use. Serial widal test ( more than 1) are done and compared to see the trend of the titre, suggesting typhoid infection.

Finally, it should be stated that other factors may affect the titre level aside salmonella.

Even serial Widal isn't feasible. You cant be watching a patient having symptoms and waiting for a serial Widal to make a diagnosis. Better do a therapeutic trial if you can't do the salmonella culture

DrAda:



Still blood culture for me

Lol. Do you think McConkey or cooked meat media can culture Salmonella? They won't! You'll just waste your time and your patient's money.
The best bet is culture with agar etc which picks up Salmonella

Dafresh:

I'm only have cough, some times if cough hard I will be sweating seriously when I'm coughing I will feel Iike vomiting but last night I vomited. I blew my nose alot so my nose ridge will be paining me

I requested some investigations earlier. Add gene xpert and or serum AFB. Also ESR and FBC would be neat

jaephoenix:

I requested some investigations earlier. Add gene xpert and or serum AFB. Also ESR and FBC would be neat

okay thanks

Dafresh:
I used to open my fridge in my shop to receive air without knowing I was harming my self it started with malaria I treated it then I started having cough. The only thing disturbing me now is cough
Can ulcer cause cough and catarrh

That's is the common cold you have.

There's been a nasty cold going round these days. It's not malaria and typhoid.

DrFunmisticGlow:
That's is the common cold you have.

There's been a nasty cold going round these days. It's not malaria and typhoid.

you're right sir

Dafresh:
Yesterday I want to general hospital to see a doctor, he recommended that I should run for test, because it was general hospital so I decided to go and do the test in private laboratory, the test lasted for an hour but going back to see the doctor, the hospital have closed, today being Tuesday I want to see the doctor but the nurses said he doesn't come on Tuesday and I'm seriously sick, doctors in the house please help me. Here is the test result

It's stated there that no malaria parasite seen bit the question is why did you leave the hospital to run test in a private facility?

Dafresh:
Yesterday I want to general hospital to see a doctor, he recommended that I should run for test, because it was general hospital so I decided to go and do the test in private laboratory, the test lasted for an hour but going back to see the doctor, the hospital have closed, today being Tuesday I want to see the doctor but the nurses said he doesn't come on Tuesday and I'm seriously sick, doctors in the house please help me. Here is the test result

What are the symptoms you're experiencing?

DrDunamis:


It's stated there that no malaria parasite seen bit the question is why did you leave the hospital to run test in a private facility?

the doctor said I should do the test but I wanted the result quick so I hurriedly go to private laboratory

DrDunamis:


What are the symptoms you're experiencing?

Cough and catarrh but I took AZITHROMYCIN TABLETS since 5pm I haven't coughed again

DrFunmisticGlow:
That's is the common cold you have.

There's been a nasty cold going round these days. It's not malaria and typhoid.

Its a Covid variant. Some come with sore throat

Oladimeji13:
Bro no be typhoid Dey worry u.I was in ur shoes before dis result was exactly like mine then and I was running from one hospital to another and one day I met a doctor he told me it’s not typhoid because 1.80 is not enough to get me dis sick so he said I should go for full body check up which I did not knowing I’ve ulcer so dat how I was diagnosed with gastric ulcer since den I’ve been treating ulcer

What drugs do you treat the ulcer with and how is it responding to treatment?

Dafresh:
Yesterday I want to general hospital to see a doctor, he recommended that I should run for test, because it was general hospital so I decided to go and do the test in private laboratory, the test lasted for an hour but going back to see the doctor, the hospital have closed, today being Tuesday I want to see the doctor but the nurses said he doesn't come on Tuesday and I'm seriously sick, doctors in the house please help me. Here is the test result

Do H.pylori test

donhils:

What drugs do you treat the ulcer with and how is it responding to treatment?

I treat it with herbs cos all dos mistmag n co aren’t working

donhils:

What drugs do you treat the ulcer with and how is it responding to treatment?

I treat it with herbs and anytime I eat anything that will trigger d ulcer I’ll use tetracycline and dats how I v been treating my chronic gastric ulcer

[quote author=Authur729 post=125286670][/quote]bro ulcer na very bad sickness o,hmm u will think it’s spiritual problem lol is it d dizziness,palpitations,weakness,headache and nasal blockage hmmm I no pray make ulcer catch my enemy dere is dis leaf I use i don’t no if u b yoruba but I’ll check d name in English and get back to u bro

jaephoenix:

Its a Covid variant. Some come with sore throat

who knows really. It could be.

Augmentin is now 18500 naira. It is well.

Dafresh:

Cough and catarrh but I took AZITHROMYCIN TABLETS since 5pm I haven't coughed again

why?

Why are you using a bomb to kill a rat?

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jaephoenix:

Lol. Do you think McConkey or cooked meat media can culture Salmonella? They won't! You'll just waste your time and your patient's money.
The best bet is culture with agar etc which picks up Salmonella

I sincerely don't understand your fixation with this. Have you worked in a hospital before or are you just quoting off some textbook?

My job as a specialist is to fill out a form for blood culture, and note that i am trying to rule out Typhoid fever in my patient. A smart and resourceful medical microbiologist can figure out the rest.

Similarly if I suspect avascular necrosis of the left femoral neck secondary to some disease, my job is to request for an xray and trust that the radiologist will know what to do.

It is really that simple.

DrFunmisticGlow:
why?

Why are you using a bomb to kill a rat?

The rat na witch rat ee wan finish my bang of rice I be wan leave amm but ee no wan have mercy so I decided to bomb the hole and their community