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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Abdominal Pain And Lymph Nodes

I still have tb symptoms including abdominal pain,I still have tb symptoms including abdominal pain, palpable solid painful lymph nodes, fever, fatigue, weight loss after 8 months treatment for mesenteric lymph node tuberculosis. I've taken 3HREZ/5HR. What should I do now? Please advise.
Mon, 5 Jan 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query and specific information and understanding

The cause of failed treatment can be either of the following:
-The ATT is ineffective , so may need a second line of ATT (anti tuberculosis treatment) with oflox and other medicines under the guidance of the Specialist.
-Needs exploration, removal of the lymph nodes and subject to histo-pathology as there is possibility of another diagnosis like Lymphoma.
-Supportive treatment of proteins and iron,
-Get all relevant blood tests particularly the Liver function tests.
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Suggest Remedy For Abdominal Pain And Lymph Nodes

Hi. Thanks for your query and specific information and understanding The cause of failed treatment can be either of the following: -The ATT is ineffective , so may need a second line of ATT (anti tuberculosis treatment) with oflox and other medicines under the guidance of the Specialist. -Needs exploration, removal of the lymph nodes and subject to histo-pathology as there is possibility of another diagnosis like Lymphoma. -Supportive treatment of proteins and iron, -Get all relevant blood tests particularly the Liver function tests.