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Pain after typhoid iv drip
I was diagnosed with typhoid took taxim of 200 mg BD for 10 days. After 4 days my fever returned i was given iv drip of ceftrixaone 2mg and oflox 100 ml two times.On completion of first day i felt something contracted in my left chest but no pain but in morning there was a lot of pain doctor told to have meftal forte and continue drip and pain was gone but on third day my pain was like hell in armpit and left chest and right neck in december was rushed to hospital at 2 am night and from then did all blood test urine test x ray ultrasound nothing found but my pain is little low but tried all pain killers only thing work is heat pad and moov cream so that i can sleep but constant pain tried physio therapy took all vitamins neurobion forte from last 1.5 months pain little resuced but still there what should i do?
Answers (13)
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Persistent chest, neck, and arm pain after IV treatment can be due to muscle strain or nerve irritation, especially when tests are normal. Local heat and rest may give temporary relief, but ongoing pain needs proper assessment.
Next Steps
Please consult me online for detailed evaluation and appropriate management.
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Looks like problem is muscle strain related. Try muscle relaxants and rest.avoid heavy weight lifting and work.you need to rest for 4 to 5 days.
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There is a famous story involving the great, ‘Osler’ and ‘Typhoid Spine’.
Your case reminds me of that.
Do the following,
1. MRI of whole spine from cervical to sacral with contrast.
All the best.
J G S R clinic
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Seems pain is muscular. Get mri of chest done, to look for any muscle tear, inflammation.
Take tab flexon m.r. one every 8hours for 3 to 4 days after meals.
Try strapping the chest with a crepe bandage, while doing some physical work.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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Your current pain (left chest, armpit, right neck) that started during/after IV ceftriaxone + ofloxacin for recurrent typhoid fever, persists despite multiple painkillers, physiotherapy, Neurobion Forte, heat pad & Moov giving only partial relief, and all major tests (blood, urine, X-ray, ultrasound) normal, is most likely one of the following:
1. Musculoskeletal / myofascial pain syndrome — most common explanation after prolonged illness + IV injections + stress/anxiety
• Trigger points in pectoralis, serratus anterior, scalene, trapezius muscles → pain radiates to chest, armpit, neck
• Heat pad & topical cream (Moov) helping + normal tests strongly support this
2. Post-infectious / reactive myalgia — typhoid fever (even treated) can leave lingering muscle/joint pain for weeks–months due to immune response or toxin effects
3. Costochondritis (inflammation of rib cartilage) — very common after respiratory infection or prolonged coughing (if typhoid had any respiratory component) → sharp/localised chest pain worse with movement/pressure
4. Less likely but still possible (already mostly ruled out by normal tests):
• Pericarditis / pleurisy (no ECG changes or fever now)
• Nerve irritation / radiculopathy from neck (physio helped a little)
• Referred pain from gallbladder/liver (post-surgery? No)
Pain persisting 1.5 months despite strong analgesics + vitamins means the current approach (painkillers + Neurobion) is not addressing the root — it is not typhoid relapse (no fever, normal tests) and not cardiac (normal tests + positional relief with heat).
Next Steps
1. Stop self-medicating more painkillers/antibiotics — you’ve already tried many; further escalation risks side effects without benefit.
2. See a specialist urgently (within 3–7 days):
• Rheumatologist (best for persistent musculoskeletal pain after infection)
• Or Pain management specialist / Orthopedist (myofascial trigger point expert)
• Or Neurologist (if nerve-related suspicion)
3. What they will most likely do next:
• Detailed musculoskeletal exam + trigger point mapping
• Repeat ECG + 2D Echo (just to reconfirm no cardiac/pericardial issue)
• MRI cervical spine or shoulder if needed (to rule out nerve root compression)
• Trial of stronger anti-inflammatory (short course oral steroid or etoricoxib)
• Trigger point injection (local steroid + lignocaine) — gives dramatic relief in myofascial pain
• Physiotherapy focused on myofascial release, not general
Health Tips
• Heat pad + Moov — continue these; they are helping because it is muscular
• Gentle stretching (daily 10 min):
• Doorway chest stretch (arms on door frame, lean forward)
• Neck side bends + chin tucks
• Shoulder rolls + trapezius stretch
• Posture: Sit straight, avoid forward-head while using phone/laptop
• Magnesium glycinate 200–300 mg at night (HealthVit, Carbamide Forte) — relaxes muscles, helps sleep
• Avoid cold exposure, heavy lifting, prolonged same posture
• Sleep: Semi-reclined or with pillow under arms — reduces chest pressure
This is almost certainly musculoskeletal (myofascial/trigger point pain) triggered by the typhoid illness + stress/inactivity — not life-threatening, but needs targeted treatment (trigger point release + proper anti-inflammatory) to break the cycle.
For a clear, step-by-step plan (which specialist in your city, exact medicines/doses safe right now, myofascial release exercises with photos, when to retest, how to convince the doctor to try trigger point injection), please book an online consultation with me — I’ll review your full timeline, current pain level, and previous treatments to give you a precise roadmap so the pain finally goes away and you can sleep comfortably again.
Looking forward to helping you get lasting relief — book now and let’s end this cycle together
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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By history it seems its muscular???
Hot pad to apply locally.
Tab eterocoxib Mr two times a day after food for five days.
Tependol nasal spray two puffs two times.
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear Patient
Your history suggests that after typhoid treatment you developed severe pain in left chest armpit and neck and all major tests like blood urine Xray ultrasound were normal. Pain improves with heat pad and local gel which strongly suggests a musculoskeletal or nerve related pain rather than any internal organ disease.
Most likely causes in your case
• Intercostal muscle strain or inflammation after infection weakness
• Costochondritis inflammation of chest wall joints
• Cervical muscle spasm causing referred pain to chest and arm
• Post infection nerve irritation or myofascial pain syndrome
• Vitamin deficiency related nerve sensitivity
Because investigations are normal and pain responds to heat this is reassuring and usually improves gradually over weeks.
What you should do now
• Continue heat therapy 2 to 3 times daily
• Apply topical gel like diclofenac or muscle relaxant gel
• Gentle stretching of neck shoulder and chest muscles daily
• Posture correction avoid long mobile or laptop bending
• Tablet for nerve support like methylcobalamin B12
• Short course muscle relaxant medicine can help if pain severe
• Physiotherapy focusing on posture and trigger points is very useful
When to worry
• Breathlessness fever or cough develops
• Severe chest pain with sweating or radiation to arm jaw
• Progressive weakness or numbness in arm
• Pain not improving after 4 to 6 weeks more
This type of pain can take time to settle but prognosis is good in young patients like you.
Consult me if pain persists or you need proper medicine plan and exercises guidance. You can text me on Practo anytime.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evalauted
Do consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Take syrup mucaine gel
Tab cyclopam
It could be gastritis
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