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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Permanent Treatment For Pulmonary Tb

My dad is suffering from pulmonary tb from more than 10 yearss he is diabetic too,and got thyroid problem As he travels a lot for business visits, Due to his carelessNess of Not taking timely medicine for t,its not cured,He is taking. These tablets Combutol 1000mg, Pyzina 750,rcinex, Thyrox,l-cin,coxcerin,ethide,vysov,benadon100mg,methybex. The doseage of most of the tablets are high. He is taking from many years, no cure at all. My question is if tb can be cured in,todays scientific Times how come its not effective to my dad, he has become very weak and forcefully retired from business,unable to eat more, lost his appetite. Due to unable to swallow those big tablets we powder It and Mix with honey, these Combutol 1000mg1tab, l-cin 1tab,pyzina750mg 2tab. And the rest as it is to consume.
Mon, 17 Nov 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion your father is having multi drug resistant tuberculosis (MDR TB).
Irregular treatment is the most common cause for drug resistant.
In MDR TB , patients are usually resistant to rifampicin and isoniazid. So when they given standard anti tb treatment, they show worsening of disease rather improvement.
And diabetes can also contribute in MDR.
So I suggest you to consult pulmonologist and rule out MDR TB first. Get done sputum culture for AFB and sensitivity for rifampicin and isoniazid to rule out MDR tb.
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Suggest Permanent Treatment For Pulmonary Tb

Thanks for your question on HCM. In my opinion your father is having multi drug resistant tuberculosis (MDR TB). Irregular treatment is the most common cause for drug resistant. In MDR TB , patients are usually resistant to rifampicin and isoniazid. So when they given standard anti tb treatment, they show worsening of disease rather improvement. And diabetes can also contribute in MDR. So I suggest you to consult pulmonologist and rule out MDR TB first. Get done sputum culture for AFB and sensitivity for rifampicin and isoniazid to rule out MDR tb.