Typhoid or typhoid fever is a common disease in Indonesia, and can be experienced by adults to children. This disease should not be underestimated. If not treated properly, typhoid symptoms can be fatal. Therefore, let's recognize the symptoms of typhus from mild to severe.

List of mild typhoid symptoms

Typhoid fever spreads through consumption of contaminated food or water and through direct contact with faeces containing Salmonella typhii bacteria.

Well, the following typhus symptoms usually appear starting 6-30 days after you are infected with Salmonella typhii bacteria.

1. Fever
At first, the most visible symptom of typhus is fever. Fever is the result of an inflammatory process in the body that is triggered by the work of the immune system when fighting Salmonella Typhii bacterial infections.

Fever due to typhus tends to increase gradually from day to day, and usually can reach 39 to 40º Celsius.

2. Sweating
The appearance of sweat is still associated with symptoms of fever when typhoid. When you have a fever, your body temperature will increase until you feel hot.

To remove heat from the inside, the brain will immediately command the sweat glands to release fluid through the pores as a way to return your body to its normal temperature.

3. The body feels weak
When you get typhus, your body feels weak and has no energy. This is common because the symptoms of typhoid in the form of diarrhea make the body continue to dispose of many reserves of fluid and electrolytes through feces and sweat.

In fact, electrolyte fluid works to help the muscles to work and contract properly. So do not be surprised if your body will feel weaker, lethargic, and not powered when typhoid.

4. Indigestion
Tipes is an infectious disease that attacks digestion, especially the intestines. So do not be surprised if one of the common symptoms that arise is indigestion, be it diarrhea or constipation.

However, diarrhea is more often a symptom of typhoid in children while in adults the symptoms are constipation.

Bacterial intestines can not digest food properly which makes the process of absorption of water come disturbed. As a result, the intestine will take more fluids from the body to be able to process food so that the feces that come out will be textured liquid.

While the symptoms of constipation in typhoid adults are caused by bacterial infections that inhibit bowel movements.

5. Stomach ache
The symptoms of typhus that attack the stomach also still have to do with diarrhea. Stomach pain due to typhus is often accompanied by symptoms of diarrhea.

The stomach will feel pain as long as the infection still attacks the digestive system. The problematic digestive system will then ask the brain for help to trigger the intestinal muscles to contract so that the stool is removed immediately. During this process, your stomach will feel cramps and heartburn.

You will generally feel abdominal pain and diarrhea in 8 to 72 hours after exposure to Salmonella bacteria.

6. Loss of appetite
Decreased appetite is a form of the body's response when the immune system is fighting the bacteria that causes infection.

This response then causes the brain to release inflammatory substances that signal the central nervous system to trigger the release of leptin. Leptin is a type of hormone that can suppress appetite.

On the other hand, the symptoms of typhus in the form of diarrhea also make digestion difficult to process food so you tend to be more lazy to eat.

7. Headaches
Headache is a symptom of typhus that often occurs together with fever. Fever is a sign that the body is having difficulty regulating body temperature. This can trigger the release of inflammatory chemicals which can further trigger headaches.

Symptoms of severe typhus and including emergency department

After a few days, you may feel the symptoms of typhus begin to slowly disappear. However, be careful. Salmonella typhii bacteria can still nest in your body if the treatment is incomplete or ineffective.

Typhus is indeed started with mild symptoms. However, although rare, typhoid can be fatal if it continues to be severe and is not quickly dealt with.

Launch of the NHS, symptoms of complications from severe and serious typhus can be:

1. Internal bleeding
When it is severe, bacterial infections that cause typhus can cause intestinal tears that cause internal bleeding. This condition is called intestinal perforation. Symptoms include:

  • Feeling tired all the time
  • Nausea and vomiting
  • Stomach ache is great
  • Pale skin
  • Irregular heart beat
  • Vomiting blood
  • BAB very dark or black colored

2. Respiratory disorders
The bacteria that cause typhus can also trigger respiratory infections in the form of pneumonia if not treated immediately. As a result, sufferers will experience:

  • Fatigue
  • Fever
  • Muscle ache
  • Pain and tightness in the chest

Severe typhoid disease can also lead to infectious complications that affect the kidneys, pancreas, heart, to the brain. Therefore, consult a doctor immediately if you begin to experience one or more of the symptoms of typhus above.

When to see a doctor?
If you experience one or more of the symptoms in the form of:

  • Headaches that do not go away
  • Fever for 1-3 days and also does not subside after taking heat-lowering drugs.
  • Severe abdominal pain or cramps
  • Diarrhea for more than 3 days
  • You should consult a doctor to get the right diagnosis and treatment.

This also applies if you have previously received a typhoid fever vaccine. Vaccination does not guarantee complete protection from disease, especially if you do not avoid the cause of typhus.

How do doctors diagnose typhus?
The doctor will generally do a number of physical examinations to diagnose the symptoms you are feeling.

The doctor will also ask you a number of things related to your recent activities, such as whether you have just traveled to a typhus prone area or have you been typed before and when it happened.

To better confirm the diagnosis of typhoid symptoms, the doctor will carry out the following tests:

  • Blood sample tests, generally done with the Tubex test
  • Stool sample test
  • Urine sample test

The diagnosis may not be confirmed with only one type of test. The average doctor can recommend that you complete the three types of tests above so that the diagnosis can be made.

Stool, blood, and urine samples will then be sent to a laboratory for examination and find out the presence of bacteria that cause typhus.

After that the doctor will start planning the right treatment for you. With intensive treatment from a doctor, typhus can generally heal in 3-4 weeks.

But remember, even if you feel better and no longer have typhoid symptoms, continue to take medication according to the time period set by your doctor. This is to ensure that the Salmonella Typhi bacteria are completely gone from your body, and you can no longer transmit the infection to others.