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Diagnosed with abdominal TB, suffering with dry cough, fever and pain in abdomen. Is the treatment right ?

Hi Doctor, My sister is 21 years old. She has been diagnosed with abdomial tb after a blood test . Since the last 2 weeks she has been suffering from severe dry cough , fever on and off and pain in the abdomen . I have two questions:1. Do you suggest we go for another test for a confirmation before we begin the treatment, given that treatment involves administering very strong drugs and 2. What duration do the treatments usually span and how effective they are? Could you help us with some well known places in India for the treatment? I m very scared regarding this situation of hers. Please suggest. Thank you!
Asked On : Fri, 8 Mar 2013
Answers:  1 Views:  59
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Internal Medicine Specialist 's  Response

Thanks for being with HCM.

From the information given by you,it is difficult to say whether she has abdominal TB or not.Just a single blood test is not enough to make the diagnosis abdominal tuberculosis.

Fever,dry cough and on and off abdominal pain can be seen in many conditions like respiratory tract infection,viral infection,enteric fever,atypical pneumonia,amoebic liver abscess.

Hence here i suggest following test to be essential
3.Chest Xray
4.Sputum for Routine microscopy and AFB
5.USB abdomen for ascitis,lintra-abdominal/mesentric lymphadenopathy,intestinal wall thickening

There are tests for diagnosis of occult tb also but these should not be the first test to undergo.

It is better to get tissue or fluid sample from the suspected site for definitive diagnosis of tuberculosis.This sample is to be sent for routine microscopy,ADA,culture sensitivity for AFB.

If you have been already started on tb treatment continue it till the confirmation.

Treatment for tuberculosis depends upon type of tuberculosis, category 1 or 2 and sensitivity pattern.

If you are suffering from tb for first time, empirically 4 drug cat.1 AKT should be started till the culture report and drugs can be changed later as per the report.

Tuberculosis treatment is very effective if taken as per doctors advise.

It is not very difficult to treat tuberculosis.You can continue treatment at any experienced physician.

I would like to suggest PD hinduja hospital in mumbai for better management.

Hope you understood the things and satisfied.

For any more queries,you can write to me.Sure i will try my best.

Wish you good health.

Answered: Wed, 20 Mar 2013
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