Hello doctor, My mother is 65 years old. She is having a fever for the last seven days. She also suffers from stomach problems. For the first five days she did not have any stools, then she passes stools four times the day before yesterday, and few times yesterday. Probably she has severe amoebiasis. But her fever is not receding. What to do? She is currently on Omez D once, Ofloxacin 200 mg bd, Azithral 500 mg OD, Vizilac one tab TDS, Metronidazole taken for five days and now stopped, ORS in ample amount.
Hello. I reviewed your mother's history and investigation. (attachment removed to protect patient identity). The history and low TLC (total leukocyte count) and low platelets on CBC (complete blood count) are suggestive of enteric fever. Kindly do the following things. It does not look like to be amoebiasis. US (ultrasound) abdomen. Enteric fever. Continue Azithromycin in the same dose and complete five days. Injection. Ceftriaxone 2 gram IV in 100 ml NS daily for seven days. Tablet Paracetamol three times daily. ORS (oral rehydration solution). Use a soft diet. Get back to me with the US report.