omicron:
Hi,

This is a Widal Test.

The result above is insignificant, or negative.

Significant result is when the titre is up to 1:160, or when there is a 4-fold rise in each titre when the test is repeated over the weeks.

Note that you cannot base a diagnosis of typhoid fever on this test alone, in an endemic community like ours, as the test will even pick up past cured infections or cross-react with other common disease-causing agents, eg Malaria. This is why, according to Widal test, and those who interprete it without these considerations and without clinical features, almost everybody has typhoid fever almost every time.

Diagnosis of typhoid fever is first clinical. The Widal test at best only supports a clinical diagnosis.

All the best.

omicron:
Hi,

For the widal test, please refer to my response above.

Your PCV, or your blood level, is normal if you are male. It is high if you are female.

The WBC Total is low.

There is lymphocytosis, meaning that the lymphocyte is higher than it should.

The WBC count result is abnormal. It is likely a lab error. You may repeat at another lab to comfirm.

However, commom causes of the picture above are viral infections.

With your symptoms and signs, your doctor will be able to know if you have any such infections.

udoomama:
Heloo dr, May God bless ur good works, pls what does it mean, when a Tvs result says Both ovaries are hyperplastic with numerous tiny follicles seen arranged peripherally around a dense stroma. No follicular maturation. Thanks

rohilicious:
Tnks a lot doctor for ur help. Pls I ve been bleeding (not heavy) for d past 5 days n I saw my period almost 2 weeks ago. I'm rily worried. Wat do I do?

ginababy:
Pls Dr's omicron help interpret dis test result.
Time produced = 11am
Time received = 11:13am
Abstinence =?
Mode of collection = maturation
Volume = 2.4ml
Colour = pale
Viscosity = normal
Odour = faint

Viable count. After 1hr
Active ones. 80%
Sluggish ones. 10%
Dead ones. 10%

Viable count. After 2hrs later
Active ones. 60%
Sluggish ones. 10%
Dead ones. 30%

Forward progression => 50%
Total spermatozoa = 20 * 10 race to power 6ml (42-150)
Morphology = > 95%
Microscopy = nil Rbc pc+

Doctor's writing is not very readable 2 me.

mubzay:
Good evening doc omicron, am actively ttcing n in my 2ww. For d past 4days bn aving constant lower back pain (d region btw d buttocks n d back). Went to d hosp n was given dolo meta b bd for 7days. AF is due on sun (hoping for a bfp sha) can I use d drug or wait n see if AF shows den use it. Am scared if in case am preg hope it won't affect d foetus? Thank u in advance

omicron:
Good evening,

Dolometa B contains Diclofenac. This drug is avoided in pregnancy, and indeed all drugs except folic acid are avoided in very early pregnancy.

Unless when the benefit of using the drug outweighs the risks of using same.

I would advise you hold on till you rule out pregnancy, just in case. A blood pregnancy test could be positive tomorrow (if conception had occured) since your period is expected in 3 days' time.

mubzay:
God bless u. Will wait n rule out pregnancy b4 using it. Though did urine pt 3 days ago n came out neg. Will try d bld pt as suggested. What can I use to relieve it for d main tym. I am massaging it wit a balm ointment.

sannies:

Thank you very much doc. But then what is the meaning of the test result

omicron:
The sperm count of 20 million is borderline -the lowest limit of normal.

All other aspects of the sperm are very fine: motility, activity, morphology, are all well within the normal range.

Not a bad result.

omicron:
Your own test result is negative, meaning you do not have significant evidence of having typhoid fever.

omicron:
It implies that the ovaries are of increased sizes or volumes (hyperplastic) and contain many developing eggs (follicles) none of which is mature.

What cylce day was the scan, and what symptoms informed the TVS? Are you seeing a gynaecologist?

ginababy:
I've bn having dis weird feeling since yesterday. Lower abdominal pain n waist pain. I'm currently in my cd24 n dis night I'm noticing a discharge lyk egg white bt wt some brownish or bloody missed up. I try 2 use a handkerchief 2 wipe n discovered dat d colour is brownish.
Could dis b an unfertilized egg or implantation?
Dis is d forth tym I'm experiencing dis wtout pregnancy.
Sorry 4 bordering u guys dis much bt d week is seriously unfolding tinz

ginababy:


Tnx Doc. Bt is dey need 4 him 2 take n drug n wat could b recommended? Secondly, does it mean he is infertile?

ginababy:
I've bn having dis weird feeling since yesterday. Lower abdominal pain n waist pain. I'm currently in my cd24 n dis night I'm noticing a discharge lyk egg white bt wt some brownish or bloody missed up. I try 2 use a handkerchief 2 wipe n discovered dat d colour is brownish.
Could dis b an unfertilized egg or implantation?
Dis is d forth tym I'm experiencing dis wtout pregnancy.
Sorry 4 bordering u guys dis much bt d week is seriously unfolding tinz

udoomama:
I did the scan on CD17, have been having absent/ irregular periods after the birth of my first baby, and she is 2yrs and 4mnths now. Am thinking of changing hospt,I decided on my own to do the TVS, my dr was just precribing clomid for me without finding out the cause of my problem , I attached d complete report below.

omicron:
Nope not infertile. The result is actually ok, just that the sperm count could be improved upon.

omicron:
It is not unfertilized egg. If it is implantation bleed, PT will be positive or you miss the next period.

The feeling could pass for Premenstrual Syndrome.

The brownish discharge is not abnormal close to a period.

All the best

omicron:
Ok.

But these are trade (marketting) names, rather than the generic (medical) names. I don't know these trade names.

The generic names are written in smaller fonts right below the trade names.

omicron:
Have you done a pregnancy test? Has this happened before? Do you have a primary condition you are treating?

Caringpro:
hello dr omicron. plz help me interpret ths resuly. i beg u in the name of God. it is urgent.
sperm count 2.0x10 rise to power of 6
active 50%
sluggish 30%
dead 20%
morphology
normal 70%
gant head 20%
double head 10%
viabilty 40%..
plz help me sir. and there is heavy growth of sstaph

kpofkpof:
Hi Doctor

I had myomectomy precisely a year ago. Before then, I went for hsg and was told I had 'Bilateral tubal blockage'

Fast forward to now, a repeat hsg result states "Fallopian tubes were demonstrated bilaterally with spills but with perifimbrial contrast loculations.

please explain

Thanks

Immaangel:

Flutin-combination of fluconazole and tinidazole.
Gyno-daktarin - miconazole nitrate
Floxavid- ofloxacin.
Pls rate them