Understanding Typhoid Fever
Get a clear overview of typhoid fever, including its causes, symptoms, diagnosis, and treatment options. Learn how to prevent its spread, and know when to seek medical attention.
Written by Dr. Dhankecha Mayank Dineshbhai
Reviewed by Dr. Mohammed Kamran MBBS, FIDM
Last updated on 22nd Aug, 2025
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Introduction
Typhoid fever is a serious bacterial infection that affects thousands of people every year, especially in areas with poor sanitation and limited access to clean water. While it can be life-threatening if left untreated, timely diagnosis and proper care can lead to a full recovery.
This article will help you understand typhoid fever and its causes, symptoms, prevention, and treatment so you can stay informed and take the right steps to protect yourself and your loved ones.
What is Typhoid Fever?
Typhoid fever is an infection caused by the Salmonella Typhi bacteria. It spreads through contaminated food and water and affects the digestive system, leading to high fever, stomach pain, and weakness. If not treated properly, it can cause severe complications.
Consult a Top General Physician for the best advice
How Does Typhoid Fever Spread?
Typhoid is highly contagious and spreads in the following ways:
1. Contaminated Food and Water – Consuming food or water that has come into contact with the bacteria (e.g., street food, unwashed fruits, or untreated water).
2. Poor Hygiene – Not washing hands properly after using the toilet can spread the bacteria.
3. Close Contact – Living with or caring for an infected person can increase the risk of transmission.
People who recover from typhoid can still carry the bacteria in their bodies and spread it to others, even if they no longer have symptoms.
Symptoms of Typhoid Fever
Symptoms usually appear 1-3 weeks after exposure and may include:
- High fever (up to 104°F or 40°C) that gradually worsens
- Headache and body aches
- Weakness and fatigue
- Stomach pain, nausea, or loss of appetite
- Diarrhoea or constipation (more common in adults)
- Rose-colored spots on the chest or abdomen (in some cases)
If left untreated, severe typhoid can lead to complications like intestinal bleeding, perforation, or even life-threatening infections.
Diagnosis and Treatment
How is Typhoid Diagnosed?
Doctors confirm typhoid through:
- Blood, stool, or urine tests (to detect Salmonella bacteria)
- Widal test (though not always reliable alone)
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Treatment Options
Effective treatment options for typhoid fever include:
- Antibiotics – The primary treatment to kill the bacteria (e.g., ciprofloxacin, azithromycin).
- Hydration – Drinking plenty of fluids to prevent dehydration.
- Rest and Nutrition – Eating light, easily digestible foods helps recovery.
Always complete the full course of antibiotics, even if you feel better, to prevent relapse or antibiotic resistance.
Preventing Typhoid Fever
The best way to avoid typhoid is through prevention:
1. Vaccination
Two types of vaccines are available:
- Injectable (Vi polysaccharide vaccine) – Given as a single shot, effective for 2 years.
- Oral (Ty21a vaccine) – Taken as 4 capsules over a week, lasts 5 years.
Who should get vaccinated?
- Travellers to high-risk areas (South Asia, Africa, Latin America)
- People living in typhoid-prone regions
- Food handlers and healthcare workers
2. Safe Food and Water Habits
- Drink boiled, filtered, or bottled water.
- Avoid raw or undercooked foods (especially seafood, salads, and street food).
- Wash fruits and vegetables thoroughly before eating.
- Practice good hand hygiene (wash hands with soap before eating and after using the toilet).
3. Maintain Cleanliness
- Ensure proper sanitation at home.
- Disinfect surfaces if someone in the household is infected.
When to See a Doctor?
Seek medical help if you or a family member experience:
- Persistent high fever (more than 3 days)
- Severe stomach pain or vomiting
- Blood in stool
- Extreme weakness or confusion
Early treatment prevents complications and speeds up recovery.
Can Typhoid Recur?
Yes, some people may experience a relapse even after recovery. To prevent this:
- Complete the full antibiotic course.
- Follow up with your doctor if symptoms return.
- Maintain good hygiene to avoid reinfection.
Final Thoughts
Typhoid fever is a preventable and treatable illness, but awareness and early action are key. By following proper hygiene, getting vaccinated, and seeking timely medical care, you can protect yourself and your family.
Consult a Top General Physician for the best advice
Consult a Top General Physician for the best advice
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Consult a Top General Physician for the best advice
Dr. Swathi Reddy Perugu
General Physician/ Internal Medicine Specialist
7 Years • MBBS, MD (General Medicine)
Hyderabad
Health plus, Hyderabad
Dr. Chethan T L
General Physician/ Internal Medicine Specialist
5 Years • MBBS, MD, DNB (General Medicine)
Bengaluru
Apollo Medical Center, Marathahalli, Bengaluru
Dr. Rajib Ghose
General Practitioner
25 Years • MBBS
East Midnapore
VIVEKANANDA SEBA SADAN, East Midnapore
Dr. Sujay P R
General Physician/ Internal Medicine Specialist
3 Years • MBBS
Bengaluru
PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru
Dr. Ashita Kuruvilla
General Practitioner
6 Years • MBBS
Kolkata
KVC CLINIC, Kolkata
