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How to treat typhoid fever / Enteric fever? – Want a Cook

What you should know about typhoid fever or Enteric fever?

What exactly is typhoid?

Typhoid / Enteric fever, diarrhoea, and vomiting are all symptoms of a bacterial infection called typhoid. It has the potential to be deadly. Salmonella typhoid is the bacterium that causes. Enteric fever is a systemic illness characterized by fever, abdominal pain, and non-specific symptoms including nausea, vomiting, headache, and anorexia. When enteric fever is caused by Salmonella enterica serovar Typhi, it is known as typhoid fever. The virus is spread by contaminated food and water, and it is more common in areas where handwashing is not practiced. It can also be spread by carriers who are unaware that they are carrying the bacterium.

Every year, around 5,700 instances of True Source are reported in the United States, with 75 percent of these cases beginning while traveling overseas. Globally, around 21.5 million people a year contract typhoid. Typhoid can be effectively treated with medicines if found early; if not treated, typhoid can be deadly. The source you can trust.

Typhoid fever facts in a nutshell

Typhoid fever is a frequent bacterial illness in low-income nations.

It is deadly in around 25% of patients if left untreated.

A high temperature and gastrointestinal issues are common symptoms.

Some people contain the bacterium but don’t show any signs or symptoms.

The majority of cases reported in the United States are contracted outside of the country.

Antibiotics are the sole therapy for typhoid.

Typhoid / Enteric fever

Typhoid fever is a bacterial illness caused by Salmonella typhimurium (S. Typhi).

Humans have bacteria in their intestines and bloodstream. It is transferred between people by direct contact with an infected person’s face.

Because no animals carry the illness, transmission is always from person to person.

Typhoid can be deadly in one out of every five cases if left untreated. Fewer than 4 out of 100 cases are fatal after therapy.

S. Typhi enters through the mouth and stays in the gut for 1 to 3 weeks. It then makes its way into the circulation after passing through the gut wall.

It spreads from the circulation to various tissues and organs. Because S. Typhi may survive within the host’s cells without being detected by the immune system, the host’s immune system has limited ability to fight back.

The presence of S. Typhi in blood, stool, urine, or bone marrow samples is used to diagnose typhoid.

Symptoms of typhoid / enteric fever

Symptoms usually appear six to thirty days following contact with the bacterium.

Typhoid fever and rash are the two most common symptoms. Typhoid fever is extremely severe, with temperatures rising to 104 degrees Fahrenheit (39 to 40 degrees Celsius) over several days.

Rose-colored patches, mainly on the neck and belly, characterize the rash, which does not afflict every patient.

Other signs and symptoms include:

  • abdominal pain and weakness
  • constipation\headaches
  • Confusion, diarrhea, and vomiting are rare symptoms, although they are not usually severe.

The bowel might become perforated if left untreated in severe instances. Peritonitis, an infection of the tissue lining the interior of the abdomen, has been found to be deadly in between 5 and 62 percent of cases.

Salmonella enteric causes another infection called paratyphoid. It exhibits symptoms that are similar to typhoid but is less likely to be deadly.

Treatment of typhoid / enteric fever

Antibiotics are the sole effective therapy for typhoid. Ciprofloxacin (for non-pregnant individuals) and ceftriaxone are the most often prescribed antibiotics.

Apart from medicines, it is critical to rehydrate by drinking enough water.

Surgery may be necessary for more severe situations when the bowel has become perforated.

Antibiotic resistance in typhoid

Antibiotic resistance is presently a source of worry for S. Typhi, as it is for a number of other bacterial infections.

This has an effect on the medicines available to treat typhoid. Typhoid has developed resistance to trimethoprim-sulfamethoxazole and ampicillin in recent years, for example.

Ciprofloxacin, one of the most important typhoid medicines, is also having problems. Salmonella typhimurium resistance rates have been estimated to be approximately 35% in several investigations.

Causes of typhoid / enteric fever

Typhoid is caused by the bacteria S. Typhi and is spread by infected feces-contaminated food, beverages, and drinking water. If infected water is used to wash fruits and vegetables, it might spread the disease.

Some persons are asymptomatic typhoid carriers, meaning they have germs but have no symptoms. Others have germs even after their symptoms have faded. The illness might reappear at any time.

People who test positive for the virus as carriers may be barred from working with youngsters or the elderly until medical tests demonstrate that they are free of the virus.


Typhoid cases are more common in countries with limited access to clean water and washing facilities.


Vaccination is advised if going to a region where typhoid is common.

Getting vaccinated against typhoid fever is suggested before going to a high-risk location.

Oral medicine or a one-time injection can be used to achieve this:

A live, attenuated vaccination is given orally. Each tablet should be taken every other day, with the last one being taken one week before departure.

Shot, an inactivated vaccination, given two weeks before departure.

Vaccines aren’t 100 percent effective, so use caution while eating and drinking.

If the person is currently sick or under the age of six, vaccination should not be begun. The live, oral dosage should not be taken by anyone who has HIV.

There is a chance that the vaccination will cause side effects. A fever affects one out of every 100 persons. Gastrointestinal issues, nausea, and headaches are possible side effects of oral vaccination. Severe adverse effects, on the other hand, are uncommon with any vaccination.

There are two types of typhoid vaccines on the market, but a stronger vaccination is still required. The stronger of the two vaccines is the live, oral form. Individuals are still protected against infection after three years. 73 percent of the time, the source is trusted. This vaccination, on the other hand, has greater adverse effects.

Current vaccinations aren’t always effective, and because typhoid is so common in developing countries, more research is needed to identify better ways to prevent it.

Getting rid of typhoid

Even if you no longer have typhoid symptoms, you might still be harboring the germs.

This makes it difficult to eradicate the disease since carriers who have lost their symptoms may be less cautious while washing their hands or socializing with others.

Travelers to Africa, South America, and Asia, particularly India, should exercise caution.

Infection prevention

Typhoid is spread by contact with contaminated human faces and consumption of infected human faces. This can happen if you drink contaminated water or handle contaminated food.

The following are some general guidelines to follow when traveling to help reduce the risk of contracting typhoid:

  • Bottled water, especially carbonated, should be consumed.
  • If bottled water is unavailable, bring the water to a rolling boil for at least one minute before drinking.
  • Anything that has been handled by someone else should be avoided.
  • Eat only food that is still hot and avoid dining at street food stalls.
  • Drinks should not contain ice.
  • Avoid eating raw fruits and vegetables, peel your own fruit, and don’t eat the skin.

Complications in typhoid / enteric fever

Typhoid / enteric fever complications generally only affect those who haven’t been treated with the right medicines or who haven’t been treated quickly away.

In such instances, around one out of every ten persons will suffer problems, which generally appear in the third week after infection.

The following are the two most prevalent consequences of untreated typhoid / enteric fever:

  • Internal bleeding in the gastrointestinal tract
  • Perforation of a portion of the digestive tract or intestine, allowing infection to spread to adjacent tissue.

Internal hemorrhage

Internal bleeding caused by typhoid fever is usually not life-threatening, although it can make you feel awful.

Among the signs and symptoms are:

  • being exhausted all the time
  • breathlessness
  • Pale skin, a racing heart, and bloody stools (faces) that are extremely black or tar-like

To replenish lost blood, a blood transfusion may be necessary, and surgery may be performed to heal the bleeding location.


Perforation can be a life-threatening condition. This is due to the fact that bacteria from your digestive system can enter your stomach and infect the lining of your stomach (the peritoneum). Peritonitis is the medical term for this condition.

Peritonitis is a medical emergency since peritoneal tissue is generally sterile (germ-free).

The peritoneum, unlike other sections of the body such as the skin, lacks an innate defense system for combating infection.

The infection can quickly expand into the blood (sepsis) in peritonitis before spreading to other organs.

Multiple organ failure is a possibility as a result of this. It might lead to death if not handled appropriately.

The most frequent sign of peritonitis is sudden, excruciating stomach discomfort that worsens over time.

You’ll be admitted to the hospital if you develop peritonitis, and you’ll be given antibiotic injections.

Following that, surgery will be done to close the hole in your intestinal wall.

Overview, Foods, and Benefits of the Typhoid Diet

In many regions of the world, typhoid disease is a major problem.

It can induce headaches, tiredness, stomach pain, and diarrhea, among other things.

While dietary changes cannot cure the condition, and therapy usually entails the use of antibiotics, some dietary adjustments may assist to alleviate the disease’s symptoms.

The typhoid diet and how to follow it are discussed in depth in this article.

Diet and typhoid / enteric fever

Typhoid fever is a bacterial infection spread mostly by the ingestion of contaminated food and water containing Salmonella typhi.

Although it is uncommon in industrialized nations, it is a major problem worldwide, with over 215,000 fatalities per year.

Fever, headache, tiredness, weight loss, diarrhea, stomach pain, and loss of appetite are all symptoms of typhoid.

Although dietary modifications will not cure typhoid fever, they may help reduce certain symptoms.

Choosing nutrient-dense, easy-to-digest meals, in particular, can assist offer long-lasting energy and alleviate gastrointestinal problems.

What is the best way to follow it?

The typhoid diet is designed to relieve the intestinal pain produced by typhoid fever while also providing adequate energy to your body.

High-fiber meals should be avoided since they might be difficult to digest and exacerbate digestive problems caused by typhoid fever. Raw fruits and vegetables, entire grains, nuts, seeds, and legumes are all examples of this.

Rather, fully prepare meals, pick canned or seedless fruits, and select refined grains over fiber-rich whole grains.

Other items that may be difficult to digest, such as fatty or spicy meals, should be avoided.

It’s also crucial to drink lots of water. However, because typhoid fever is caused by bacterial contamination, pick bottled water and avoid beverages with ice unless the ice is created from bottled or boiling water if you live in a typhoid-prone location.

Another important aspect of the typhoid diet is food safety.

Wash your hands frequently, properly wash all produce, and avoid raw meat, raw fish, and unpasteurized dairy products.

You should also avoid eating or drinking from unfamiliar sources, such as street sellers, and instead cook your meals at home.

Foods to consume and stay away from

The typhoid diet promotes the consumption of nutrient-dense, easily digestible foods.

Foods to consume.

Cooked vegetables, ripe fruits, and refined grains are poor in fiber and should be avoided on the typhoid diet.

It’s also crucial to keep hydrated by drinking plenty of water.

  • On the typhoid diet, you can eat the following foods:
  • Potatoes, carrots, green beans, beets, and squash are examples of cooked vegetables.
  • Ripe bananas, melons, applesauce, and tinned fruit are examples of fruits.
  • White rice, spaghetti, white bread, and crackers are examples of grains.
  • Eggs, chicken, turkey, fish, tofu, and ground beef are all good sources of protein.
  • Pasteurized low-fat or fat-free milk, yoghurt, cheese, and ice cream are examples of dairy products (as tolerated)
  • bottled beverages

Foods to stay away from

To aid with digestion, high-fiber foods should be avoided on the typhoid diet.

Raw fruits and vegetables, entire grains, nuts, seeds, and legumes are all examples.

Spicy meals and high-fat foods might be difficult to digest; therefore, they should be avoided on the typhoid diet.

You should restrict or avoid the following foods:

  • Broccoli, kale, cauliflower, cabbage, and onions are examples of raw vegetables.
  • Fruits: kiwi, pineapple, and dried fruit and fresh berries
  • Quinoa, couscous, barley, buckwheat, and brown rice are examples of whole grains.
  • Almonds, pistachios, macadamia nuts, and walnuts are examples of nuts.
  • Pumpkin seeds, flax seeds, and chia seeds are examples of seeds.
  • Black beans, kidney beans, lentils, and chickpeas are examples of legumes.
  • Hot peppers, jalapenos, paprika, and cayenne pepper are examples of spicy cuisine.
  • Donuts, mozzarella sticks, fried chicken, potato chips, onion rings are all fatty meals.

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