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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Under TB Meningitis Treatment, Taking AKT4, Ofloxin, Benedon. Abdominal Pain, Light Fever. Sonography Shows Enlarged Lymph Nodes. Suggestion?

Hello Doctor, I am 28 yrs old Female under TB meningitis treatment and taking AKT4 + Ofloxin + Leveritacitam 200 + Benedon(vitamin b6) since last 2 1/2 months . Initially i was taking Wysolone (steroid) for intial 20 days .
Since then intially i had joint pain problem which is no more now but now from past 10 days having acute mild pain in upper right abdomen and low grade fever around 99.5 F and 100.5F since last 2 days (Taking Lanol) Sonography says enlarged necrotic Lymph nodes in porta hepatis and LFT shows high SGPT-72 ,SGOT -62 ,BILIRUBEN DIRECT -0.8 and GAMMA GT -119.2 .

Pls suggest.


Thu, 22 Aug 2013
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General & Family Physician,  's  Response
Hi, due to the necrotic lymph nodes, and due to the tuberculosis, it is common to have low grade pyrexia, and it will be cured in a month or so.
The pain in the upper right abdomen could be due to gastritis due to the tablets you are taking.
I to my patient with such pain prescribe omeprazole, and domperidone along with the rest of the tablets, if the liver readings rise still more the A.K.T.4 may be stopped for some time or change to the other reserve drugs.
Thank you.
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Under TB Meningitis Treatment, Taking AKT4, Ofloxin, Benedon. Abdominal Pain, Light Fever. Sonography Shows Enlarged Lymph Nodes. Suggestion?

Hi, due to the necrotic lymph nodes, and due to the tuberculosis, it is common to have low grade pyrexia, and it will be cured in a month or so. The pain in the upper right abdomen could be due to gastritis due to the tablets you are taking. I to my patient with such pain prescribe omeprazole, and domperidone along with the rest of the tablets, if the liver readings rise still more the A.K.T.4 may be stopped for some time or change to the other reserve drugs. Thank you.