HiXXXXXX
Thanks for asking in Healthcare Magic.

Tonsils, adenoids, mouth, gums and pharyngeal (throat) regions drain in to the cervical lymph node through lymph vessel and these areas serve as routes of entry for the TB bacilli. Even in the absence of actual infection in any of these areas, the TB bacilli can enter and proliferate (multiply) in the lymph nodes causing lymphadenitis and that's how you would have got the infection. Generally you may not have symptoms like fever or cough in lymphadenitis as it is a direct infection on the lymph nodes.

Yes, your treatment is certainly going in the right direction. For TB lymphadenitis, the drugs are given according to category 3 where 3 drugs are given thrice weekly for 2 months followed by 2 drugs thrice weekly for 4 months.. INH (Isoniazid)-300 mg, Rifampicin-600 mg and Pyrizinamide-1.5 gm are first line drugs. Pyridoxine is given to prevent the nerve problems (numbness, tingling) that occurs with INH. The treatment schedule is for 6 months. Category 3 is given for persons with paucibacillary (less TB bacilli) infection and so you don't need more drugs.

You will know the response to treatment through the reduction in the size of the glands (swelling). Average reduction in the size of the glands is measured every month for 6 months. It may take 6 months for complete recovery. But do not worry, TB lymphadenitis is most often reversible.

Since the drugs can cause liver problems liver function test needs to be done every month to measure the level of AST and ALT.

Diet and drugs are important components of treatment of TB lymphadenitis. You should take special and healthy diet to improve your immunity. Diet XXXXXXX in carbohydrates, proteins, fruits along with egg is essential. Your daily diet should contain Rice, roti, dal, egg, vegetables, plenty of fruits, milk and dried fruits. Please avoid chicken.

You can resume your normal activity at home as soon as possible but avoid vigorous exercises. You can stay at home for atleast 2 months till you complete the first course (3 drugs) of drugs and then, if you feel alright you can start going for job.

Hope this helps. Wishing you a speedy recovery.
Regards.

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Hi XXXXXX
Welcome back to Healthcare Magic.

Generally, TB lymphadenitis is not contagious if it is not coexisting with pulmonary (lung) tuberculosis and in the absence of constitutional symptoms like fever and sputum. However, if sputum is present, then unless it is tested negative for TB bacilli, a person is contagious. If your sputum (if present) is negative, then you are not contagious. Please confirm your status with your treating Dr.

Sure, you can take pain killers like Paracetamol or Ibuprofen till your pain subsides. But avoid taking pain killers continuously and also if the pain is not too severe.

It is nice to note that you feel healthy. Please consult your treating Dr as to whether you are fit to join duty as direct physical examination is required to decide that. Take drugs regularly even after joining duty and continue your healthy diet.

You should contact Healthcare Magic forum for any contact details and I am sure they will do the needful. I will be really happy to assist you in clarifying any further queries.

I hope my answers are useful to you. Have a Good Day.
Regards.

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