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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Long The Symptoms Of Stomach TB Like Weakness, Weight Loss, Swollen Stomach And Mild Fever Will Exist?

Hi! My sister is currently undergoing treatment for Koch s Abdomen (stomach TB), she got diagnosis on last week 20/03/2014 and since then treatment is continue, fever has been reduced down since then but still she has weakness, weight loss, swollen stomach and mild fever. Even she could not eat as she should. I want to know how long this health problem will be continue at least I want she should eat properly , no surgical operation has been performed, only medicine has been given to her.
Thu, 3 Apr 2014
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General & Family Physician,  's  Response
Hello
Stomach or abdominal tuberculosis is known as Extra-pulmonary tuberculosis .
When such type of patient comes in my clinic I usually prescribe Anti tubercular treatment ( AT T).
As rifampicin ( 10 mg /kg body weight)+isoniazide ( 6 mg/kg body weight )+pyrazinamide 15 mg /kg body weight) usually early in the morning with pantaprazole-d .
In the evening I usually prescribe levofloxacin 15 mg / kg body weight .
This treatment I recommend for 6-9 months ( exception 18 months).
As this is a case of stomach T B so patient lost appetite .
Appetite stimulates require as buclizine syrup or cyproheptadine .
As you mentioned she is very weak so protein supplement drip will provide relief .
As I mentioned all treatment is a prescription treatment so please consult a pulmonologist and get his opinion.
Swollen stomach and fever may be due to anemia or hypoproteinemia ( most common cause in stomach T B ).
Fever and weakness is also due to T B .
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How Long The Symptoms Of Stomach TB Like Weakness, Weight Loss, Swollen Stomach And Mild Fever Will Exist?

Hello Stomach or abdominal tuberculosis is known as Extra-pulmonary tuberculosis . When such type of patient comes in my clinic I usually prescribe Anti tubercular treatment ( AT T). As rifampicin ( 10 mg /kg body weight)+isoniazide ( 6 mg/kg body weight )+pyrazinamide 15 mg /kg body weight) usually early in the morning with pantaprazole-d . In the evening I usually prescribe levofloxacin 15 mg / kg body weight . This treatment I recommend for 6-9 months ( exception 18 months). As this is a case of stomach T B so patient lost appetite . Appetite stimulates require as buclizine syrup or cyproheptadine . As you mentioned she is very weak so protein supplement drip will provide relief . As I mentioned all treatment is a prescription treatment so please consult a pulmonologist and get his opinion. Swollen stomach and fever may be due to anemia or hypoproteinemia ( most common cause in stomach T B ). Fever and weakness is also due to T B .