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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Done Treatment For Intestinal Tuberculosis, Have Intermittent Tummy Pain, Frequent Urination. Medicines?

i am a patient who is having intestinal tuberculosis and now almost i have finished my 6 months medicine course. my Doctor ( Gastroenterologist ) wants me to wait for another 3 months to do colons copy test to see the wether its fully recovered. but on and off i have tummy pain and feeling that i have to go to the toilet, these are the symptions which i had earlier also. Pls advise me. is there any medicine that i can take for the tummy pain.
Mon, 29 Oct 2012
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General Surgeon 's  Response
Hello,

I have gone through your problem.

You had intestinal tuberculosis for which you took treatment for 6 months and now you are having on and off tummy pain.

You need to know something about intestinal tuberculosis. This usually occurs at the ileo-caecal junction (site where the small and large intestines join). Usually present with abdominal pain, fever, loss of weight and abdominal dissension. Some may present with fluid collection in the abdomen (ascites). Treatment for this is ATT (Anti Tuberculous Treatment).

But sometimes due to intestinal tuberculosis there might be narrowing of the lumen of the intestine leading to intestinal obstruction. Usually this occurs gradually and presents with on and off tummy pain. This can also occur even after taking full course of medicine for 6 months or 9 months. This may need surgery (intestinal resection and anastamosis). To see if there is any narrowing of the lumen of the intestine, you may get a barium meal follow through (BMFT) test done. Also you can get a ultrasound scan of the abdomen and pelvis which can show lymphnode enlargement and fluid collections.

My advice is to consult a Surgeon so that he can work you up properly and plan for further management.
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Done Treatment For Intestinal Tuberculosis, Have Intermittent Tummy Pain, Frequent Urination. Medicines?

Hello, I have gone through your problem. You had intestinal tuberculosis for which you took treatment for 6 months and now you are having on and off tummy pain. You need to know something about intestinal tuberculosis. This usually occurs at the ileo-caecal junction (site where the small and large intestines join). Usually present with abdominal pain, fever, loss of weight and abdominal dissension. Some may present with fluid collection in the abdomen (ascites). Treatment for this is ATT (Anti Tuberculous Treatment). But sometimes due to intestinal tuberculosis there might be narrowing of the lumen of the intestine leading to intestinal obstruction. Usually this occurs gradually and presents with on and off tummy pain. This can also occur even after taking full course of medicine for 6 months or 9 months. This may need surgery (intestinal resection and anastamosis). To see if there is any narrowing of the lumen of the intestine, you may get a barium meal follow through (BMFT) test done. Also you can get a ultrasound scan of the abdomen and pelvis which can show lymphnode enlargement and fluid collections. My advice is to consult a Surgeon so that he can work you up properly and plan for further management.