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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On TB Treatment, Have Joint Pain , Head Emptiness, Vitamin D23 Deficiency, Difficulty In Detecting The Affected Part. Tests Detected Positive Mantoux, Elevated ESR, Low IgM. Advice?

hi, my treatment of TB is going on from 9 months BUT doctors are unable to tell that TB is in which part. So please tell me. my reports are: x-ray : clear mantoux: positive (34*28 mm with 10 TU in 48 hrs) E.L.I.S.A. - IgM: 1.51 ESR 9 months before: 60 present ESR : 90 Symptoms i feel : joints pain, emptiness of head, less vitamin D 23
Mon, 2 Jul 2012
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Pediatrician,  's  Response
Dear sweetariesqueen,
I am really concerned that you are suffering from illness.
Its not that easy to say, in which part is your TB. Detailed evaluation is needed before coming to a conclusion. From your reports, mantoux is strongly positive with elevated ESR which supports a diagnoses of TB.
But my concern is 9 months of treatment is unnecessary for TB, 6 mths is good enough. Usually after 6 mths of treatment ESR comes down. But in your case it has increased, and also you have joint pains. Its always better to get evaluated by a rheumatolgist to rule out joint related problems. Also decision regarding further continuation of ATT should be discussed with your doctor.
Don't worry you will be alright. Just visit a rheumatologist.

Take care.
Dr Balaji C
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On TB Treatment, Have Joint Pain , Head Emptiness, Vitamin D23 Deficiency, Difficulty In Detecting The Affected Part. Tests Detected Positive Mantoux, Elevated ESR, Low IgM. Advice?

Dear sweetariesqueen, I am really concerned that you are suffering from illness. Its not that easy to say, in which part is your TB. Detailed evaluation is needed before coming to a conclusion. From your reports, mantoux is strongly positive with elevated ESR which supports a diagnoses of TB. But my concern is 9 months of treatment is unnecessary for TB, 6 mths is good enough. Usually after 6 mths of treatment ESR comes down. But in your case it has increased, and also you have joint pains. Its always better to get evaluated by a rheumatolgist to rule out joint related problems. Also decision regarding further continuation of ATT should be discussed with your doctor. Don t worry you will be alright. Just visit a rheumatologist. Take care. Dr Balaji C