hello Vivek Kumar
thanks for choosing our forum.
i understand your concerns. i would like to tell you here that you need to get your regimen modified as you also need Isoniazid
for re-treatment. also please make a note that you are taking rifampicin(RCinex) empty stomach and avoiding any kind of food intake for 2hrs post rifampicin,since rifampicin loses its potency with food and it is the main drug in the treatment.
i would also like to tell you that symptoms of tuberculosis
may take upto 2months to resolve or show improvement, so be patient and keep taking your drugs.
in case of lymph node TB, improvement may occur late even on completion of treatment, in that case keep a notice of the size of lymph node that it is not increasing. at the end of 8months of treatment get a repeat TBNA to look for absence of features consistent with tuberculosis. lymph node may persist for long time but TBNA should be negative after completion of 8months of treatment.
as you had pulmonary Tb in 2002, i would advice you to get a spirometry
done as you may be developing post tubercular obstructive airway disease
and your cough may be because of that. in that case benz pearls wont help and you would require inhalers for prompt relief.
in case your lymph nodes are increasing in size or the tbna reveals features consistent with tuberculosis after completion of treatment, then you may require specialized tests for re-establishment of diagnosis.
for now, just take rcinex empty stomach, ask your doctor for isoniazid and streptomycin, preferably consult a pulmonologist
. be patient and complete your 8months of therapy and follow us back if you are not relieved.
wish you a good health and success.
Dr. Gurpreet Narula
MBBS, MD(pulmonary medicine
, final year post graduate student, awaiting exams)