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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can TB cause edema of the feet as per the attached reports?

Answered by
Dr. Kaushal Bhavsar


Practicing since :2008

Answered : 14366 Questions

Posted on Mon, 6 Aug 2018 in Lung and Chest disorders
Question: The patient is my sister in law. Age 49.
Case History
August 2016:     Diagnosed with High Blood Sugar.           Thyroid was within the range.
November 2016: Diagnosed with Pulmonary Koch’s. Treatment w.e.f. 25.11.2016
April 2017:     Diagnosed with Hypothyroidsm
Advised Eltroxin 25mg
Dosage increased to 50 mg w.e.f. 16.09.2017
December 2017     ATT complete. Medicines stopped w.e.f 27.12.2017
Edema in legs. Doctor advised to take the opinion of Endocrinologist for Hypothyroidism.
Other Details. X-Ray /Bronchoscopy/ Ultrasound (complete abdomen)/Chest CT done
Blood tests done periodically. Last Blood test done on 15.11.2017.
Current problems
Edema in lower part of the body.
Unable to walk. Pain in the left leg
Feels extremely sluggish and lazy
Increase in weight. Presently weighing 58 kg
Feels very cold.
Sleeps on one side only. Not able to turn and lift the body. Mobility low.
Appetite OK
Answered by Dr. Kaushal Bhavsar 1 hour later
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Brief Answer:
Get done 2d echo and serum protein level.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
TB infection in lungs can cause right ventricular failure and this in turn causes edema feet. This is known as cor pulmonale.
So get done 2d echo for the diagnosis of cor pulmonale.
Another possibility is hypoproteinemia (low protein levels). So get done serum protein levels and if low then she will need supplements.
Please let me know if these tests are done already.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Prasad

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