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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Weightloss While On Treatment For TB?

hi i want ask about my daughter she is 21 years old udergoing treament for tb this is sevenh month she is still weighing 41 kg previously she was 49 kg kindly let me know the reason i am worried a lot, she taking monto 3 as per doctor s prescription
Wed, 11 May 2016
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
In my opinion, we should rule out
1. Drug resistance tuberculosis
2. Intestinal malapsorption syndrome.
If everything goes fine, tuberculosis patients show weight gain after 1-2 months of treatment.
She has already taken 7 months of treatment and not gaining weight, actually loosing weight.
So possibility of drugs not working on her is high.
This is commonly seen with drug resistance tuberculosis.
In this, TB bacilli are resistant to standard tb drugs. So this kind of tb needs second line drugs.
So better to consult her pulmonologist and discuss about possibility of drug resistant tuberculosis.
Another possibility is malapsorption syndrome. In this, patient loose ability to absorb nutrients from food. So there will be nutritional deficiency and weight loss.
So consult her doctor and discuss about these possibilities.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks.
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What Causes Weightloss While On Treatment For TB?

Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should rule out 1. Drug resistance tuberculosis 2. Intestinal malapsorption syndrome. If everything goes fine, tuberculosis patients show weight gain after 1-2 months of treatment. She has already taken 7 months of treatment and not gaining weight, actually loosing weight. So possibility of drugs not working on her is high. This is commonly seen with drug resistance tuberculosis. In this, TB bacilli are resistant to standard tb drugs. So this kind of tb needs second line drugs. So better to consult her pulmonologist and discuss about possibility of drug resistant tuberculosis. Another possibility is malapsorption syndrome. In this, patient loose ability to absorb nutrients from food. So there will be nutritional deficiency and weight loss. So consult her doctor and discuss about these possibilities. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks.