I'm really worried about my mom. She had typhoid a week ago and was on Levolab 500 mg for those 7 days. Her fever went away after just 3 days, which is good, but she's still feeling super weak. And now she's been having trouble going to the bathroom, like she hasnt had a bowel movement in 3 days, though her urine seems normal. Is this something we should be concerned about, or is it a normal side effect after typhoid? What can we do to help with the bowel issues?

Dr Chandra P

General Practitioner

• MBBS
• 5+ Yrs

Consult Now

Vertigo and Dizziness: Addressing Long-Term Symptoms and Recent Exacerbation_

I understand your concern for the individual's prolonged struggle with vertigo and dizziness. Given the current treatment regimen and recent exacerbation, here are some suggestions:

Possible Causes of Exacerbation:

1. Inadequate medication dosage: The current dosage of Stugeron and Dytor might not be sufficient to control symptoms.
2. Medication tolerance: Long-term use of Stugeron might lead to tolerance, reducing its effectiveness.
3. Underlying condition progression: The underlying condition causing vertigo and dizziness might have progressed, requiring adjustments to the treatment plan.

Recommendations:

1. Consult a specialist: Schedule an appointment with an ear, nose, and throat (ENT) specialist, a neurologist, or a vestibular specialist to reassess the condition and adjust the treatment plan.
2. Medication adjustments: The specialist might recommend adjusting the dosage or switching to alternative medications, such as betahistine or vestibular suppressants.
3. _Vestibular rehabilitation therapy (VRT)*: A physical therapist specializing in VRT can help the individual develop exercises to improve balance and reduce vertigo symptoms.
4. _Lifestyle modifications*: Encourage the individual to make lifestyle changes, such as:
   • Avoiding triggers like caffeine, nicotine, or certain foods
   • Maintaining a consistent sleep schedule
   • Engaging in regular exercise, like yoga or tai chi, to improve balance and reduce stress

Monitor and Seek Immediate Medical Attention if:

1. Sudden worsening of symptoms
2. Severe vomiting or inability to keep fluids down
3. Double vision or difficulty speaking
4. Severe headache or confusion

Answered 04/07/2025