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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For TB In Chest And Spine

my mother is suffering from Tb..she is having Tb in her chest as well as in her spine which is causing lot of trouble for her..
treatment is going on for almost last three months still no sign of relief could b seen..doctors have preferred her to tak complete bed rest for another two months..plz suggest what to do??
Wed, 18 Feb 2015
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General & Family Physician 's  Response
Thanks for posting your question on HCM!
I appreciate your concern towards your mother's illness.

Tuberculosis is a chronic contagious disease caused by a slowly multiplying organism and having ability to develop resistance to commonly used antibiotics.
So, to overcome these problems the treatment involves the use of four or more antibiotics given in two phases.
For TB affecting the spine the following regimen is used by most of the centres:
In the initial phase Isoniazide, Rifampicin, Pyrazinamide and Ethambutol are given once daily for two months and in the continuation phase Isoniazide and Rifampicin are administered once daily for a period of 12-18 months depending upon the severity of the infection involving the spine.
Vitamin pyridoxine is supplemented along with Isoniazide to prevent its side effect involving the nerves.

A regular followup is required to see whether the patient is taking the medication or not, improvement in the general condition, appetite, weight gain, fever etc. Lab investigations done include ESR, Chest xray sputum analysis to check the response to the treatment.

Since your mother is having TB of spine and the fact that treatment is bit longer, therefore it takes time to show the improvement. However you are advised to consult your physician.
Wishing your mother a speedy recovery from the illness.
Regards!
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Suggest Treatment For TB In Chest And Spine

Thanks for posting your question on HCM! I appreciate your concern towards your mother s illness. Tuberculosis is a chronic contagious disease caused by a slowly multiplying organism and having ability to develop resistance to commonly used antibiotics. So, to overcome these problems the treatment involves the use of four or more antibiotics given in two phases. For TB affecting the spine the following regimen is used by most of the centres: In the initial phase Isoniazide, Rifampicin, Pyrazinamide and Ethambutol are given once daily for two months and in the continuation phase Isoniazide and Rifampicin are administered once daily for a period of 12-18 months depending upon the severity of the infection involving the spine. Vitamin pyridoxine is supplemented along with Isoniazide to prevent its side effect involving the nerves. A regular followup is required to see whether the patient is taking the medication or not, improvement in the general condition, appetite, weight gain, fever etc. Lab investigations done include ESR, Chest xray sputum analysis to check the response to the treatment. Since your mother is having TB of spine and the fact that treatment is bit longer, therefore it takes time to show the improvement. However you are advised to consult your physician. Wishing your mother a speedy recovery from the illness. Regards!