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Dr. Andrew Rynne

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Exp 50 years

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I want to know about the intestinal tb. I want

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Dr. Arnold Zedd

Pediatrician

Practicing since :1973

Answered : 522 Questions

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Posted on Thu, 27 Dec 2018 in Medicines and Side Effects
Question: I want to know about the intestinal tb. I want to know the medicines that needs to be taken for the early stages of intestinal tb.
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Follow up: Dr. Arnold Zedd 0 minute later
I want to know about the intestinal tb. I want to know the medicines that needs to be taken for the early stages of intestinal tb.
doctor
Answered by Dr. Arnold Zedd 1 hour later
Brief Answer:
information and treatment for intestinal TB

Detailed Answer:
Hello and Welcome to Ask a doctor. I have read your query and here is my advice.
Intestinal tuberculosis is not contagious. However, those having intestinal TB need to have a chest x-ray to make sure they do not also have TB in their lungs which is contagious.
Persons with intestinal TB can have no symptoms or they might have abdominal pain(which may be chronic), weight loss, vomiting, diarrhea, or constipation.
If a person has HIV, he/she is at high-risk for coming down with TB. So people who have TB( involving any organ in the body) should also have a blood test for HIV.
Treatment is multiple anti-TB medications like isoniazid, rifampicin, and pyrazinamide for the first nine months. Depending on how you are doing, your doctor may wish to treat you for a full year.
Please let me know if you have any further questions.
I shall wait for your reply.
Arnold Zedd, MD




Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Arnold Zedd 0 minute later
Brief Answer:
information and treatment for intestinal TB

Detailed Answer:
Hello and Welcome to Ask a doctor. I have read your query and here is my advice.
Intestinal tuberculosis is not contagious. However, those having intestinal TB need to have a chest x-ray to make sure they do not also have TB in their lungs which is contagious.
Persons with intestinal TB can have no symptoms or they might have abdominal pain(which may be chronic), weight loss, vomiting, diarrhea, or constipation.
If a person has HIV, he/she is at high-risk for coming down with TB. So people who have TB( involving any organ in the body) should also have a blood test for HIV.
Treatment is multiple anti-TB medications like isoniazid, rifampicin, and pyrazinamide for the first nine months. Depending on how you are doing, your doctor may wish to treat you for a full year.
Please let me know if you have any further questions.
I shall wait for your reply.
Arnold Zedd, MD




Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Arnold Zedd 19 hours later
I don't want to meet any doctor for chest x ray. So can you please give me the prescription for chest x ray so that i will take it and upload it for you to review. Thanks!
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Follow up: Dr. Arnold Zedd 0 minute later
I don't want to meet any doctor for chest x ray. So can you please give me the prescription for chest x ray so that i will take it and upload it for you to review. Thanks!
doctor
Answered by Dr. Arnold Zedd 6 hours later
Brief Answer:
to ensure patient does not have pulmonary tuberculosis

Detailed Answer:
Thanks for your return to Ask a Doctor. Sorry for the delay. I have just found your most recent query.
Part of the guidelines of being a physician here is that we are not allowed to order tests or medications for patients. If you already have taken the x-ray, then you may upload a copy or the radiologist's report
to me at Ask a Doctor.com Attention: Arnold Zedd, MD
TB usually begins in the lungs. It is essential to know where else in your body you might also have TB.
Please let me know if you have further questions.
Arnold Zedd, MD


Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Arnold Zedd 0 minute later
Brief Answer:
to ensure patient does not have pulmonary tuberculosis

Detailed Answer:
Thanks for your return to Ask a Doctor. Sorry for the delay. I have just found your most recent query.
Part of the guidelines of being a physician here is that we are not allowed to order tests or medications for patients. If you already have taken the x-ray, then you may upload a copy or the radiologist's report
to me at Ask a Doctor.com Attention: Arnold Zedd, MD
TB usually begins in the lungs. It is essential to know where else in your body you might also have TB.
Please let me know if you have further questions.
Arnold Zedd, MD


Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Arnold Zedd 43 hours later
No infection on the chest and only on the intestine i got positive on the Quantiferon Blood test. Please suggest the medicine i should take. Thank you!
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Follow up: Dr. Arnold Zedd 0 minute later
No infection on the chest and only on the intestine i got positive on the Quantiferon Blood test. Please suggest the medicine i should take. Thank you!
doctor
Answered by Dr. Arnold Zedd 3 hours later
Brief Answer:
suggested medicines for TB

Detailed Answer:
Welcome back, Mr. Anbarasan,

I already suggested three medications that are taken for TB in my first reply above to your query.
However, as I am not an expert in the treatment and management of intestinal TB, I HIGHLY recommend you be evaluated, monitored, and treated by a physician who is, such as an adult infectious disease doctor.

Although we are fortunate to have anti-TB medicines, they are not always 100%
effective and must be changed to others in order to cure the patient.

I am cautioning you that TB is a very dangerous infection that can cause serious complications if not treated in time.

I shall be happy to help if you have more questions. PLEASE refer to the specialist I have recommended in order to get started on the proper treatment course.

Arnold Zedd, MD

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Arnold Zedd 0 minute later
Brief Answer:
suggested medicines for TB

Detailed Answer:
Welcome back, Mr. Anbarasan,

I already suggested three medications that are taken for TB in my first reply above to your query.
However, as I am not an expert in the treatment and management of intestinal TB, I HIGHLY recommend you be evaluated, monitored, and treated by a physician who is, such as an adult infectious disease doctor.

Although we are fortunate to have anti-TB medicines, they are not always 100%
effective and must be changed to others in order to cure the patient.

I am cautioning you that TB is a very dangerous infection that can cause serious complications if not treated in time.

I shall be happy to help if you have more questions. PLEASE refer to the specialist I have recommended in order to get started on the proper treatment course.

Arnold Zedd, MD

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Arnold Zedd 2 days later
Hello, I got positive in quantiferon D, my gastro said there is intestinal TB. In chest xray it came negative. He suggested to take Isoniazid for 8 months. I want to have a second opinion. Is the Isoniazid alone enough to treat this? or do i need ot take anything else?
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Follow up: Dr. Arnold Zedd 0 minute later
Hello, I got positive in quantiferon D, my gastro said there is intestinal TB. In chest xray it came negative. He suggested to take Isoniazid for 8 months. I want to have a second opinion. Is the Isoniazid alone enough to treat this? or do i need ot take anything else?
default
Follow up: Dr. Arnold Zedd 2 days later
Hello, I got positive in quantiferon D, my gastro said there is intestinal TB. In chest xray it came negative. He suggested to take Isoniazid for 8 months. I want to have a second opinion. Is the Isoniazid alone enough to treat this? or do i need ot take anything else?
default
Follow up: Dr. Arnold Zedd 0 minute later
Hello, I got positive in quantiferon D, my gastro said there is intestinal TB. In chest xray it came negative. He suggested to take Isoniazid for 8 months. I want to have a second opinion. Is the Isoniazid alone enough to treat this? or do i need ot take anything else?
doctor
Answered by Dr. Arnold Zedd 4 hours later
Brief Answer:
treatment for intestinal TB

Detailed Answer:
Welcome again Mr. Anbarasan. I am happy that you had a chest x-ray and it was negative for TB.
I have done some research and discovered that a modern course of treatment for intestinal TB includes an initial two months of therapy with isoniazid, rifampicin, pyrazinamide, and ethambutol three times a week.
Many Experts in the treatment of TB extend treatment to nine-twelve months.
One drug therapy for intestinal TB is inadequate because during the course of treatment, the TB bacterium might become resistant to one of the drugs.
Please discuss this treatment plan with the physician who will be managing and following you while taking medication.
If you do not have any further questions, you may close the discussion and rate the answer. Wish you good health.
Arnold Zedd, MD



Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Arnold Zedd 0 minute later
Brief Answer:
treatment for intestinal TB

Detailed Answer:
Welcome again Mr. Anbarasan. I am happy that you had a chest x-ray and it was negative for TB.
I have done some research and discovered that a modern course of treatment for intestinal TB includes an initial two months of therapy with isoniazid, rifampicin, pyrazinamide, and ethambutol three times a week.
Many Experts in the treatment of TB extend treatment to nine-twelve months.
One drug therapy for intestinal TB is inadequate because during the course of treatment, the TB bacterium might become resistant to one of the drugs.
Please discuss this treatment plan with the physician who will be managing and following you while taking medication.
If you do not have any further questions, you may close the discussion and rate the answer. Wish you good health.
Arnold Zedd, MD



Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Arnold Zedd 1 hour later
Thanks Doctor. Can you please let me know the size(mg) of each tablet which should be taken.
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Follow up: Dr. Arnold Zedd 0 minute later
Thanks Doctor. Can you please let me know the size(mg) of each tablet which should be taken.
doctor
Answered by Dr. Arnold Zedd 27 minutes later
Brief Answer:
doses of TB medications

Detailed Answer:
Mr. Anbarasan,
I appreciate your confidence in me to continue returning for advice.
Again, the physicians at Ask a Doctor are not allowed to recommend medication doses that patients should take. That must be done by the doctor who will be treating and following the patient.
I do not know your weight or allergies to medications. It would actually be unsafe.
Where do you live? Is it in India? XXXXXXX is the country in the world with the largest number of patients with intestinal TB. So, if your GI doctor(in India) has much experience treating patients with intestinal TB then he/she is the proper doctor to treat your TB. If the GI doctor has not had this experience, then you ought to be treated and followed by an infectious disease doctor.
I hope this clarifies the answer.
I will be happy to assist you if you come back.
Arnold Zedd, MD



Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
doctor
Answered by Dr. Arnold Zedd 0 minute later
Brief Answer:
doses of TB medications

Detailed Answer:
Mr. Anbarasan,
I appreciate your confidence in me to continue returning for advice.
Again, the physicians at Ask a Doctor are not allowed to recommend medication doses that patients should take. That must be done by the doctor who will be treating and following the patient.
I do not know your weight or allergies to medications. It would actually be unsafe.
Where do you live? Is it in India? XXXXXXX is the country in the world with the largest number of patients with intestinal TB. So, if your GI doctor(in India) has much experience treating patients with intestinal TB then he/she is the proper doctor to treat your TB. If the GI doctor has not had this experience, then you ought to be treated and followed by an infectious disease doctor.
I hope this clarifies the answer.
I will be happy to assist you if you come back.
Arnold Zedd, MD



Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Arnold Zedd 2 days later
Thanks Doctor. I live in USA and i weigh 140 pounds with no allergies to any medicine. Let me know what you suggest for me.
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Follow up: Dr. Arnold Zedd 0 minute later
Thanks Doctor. I live in USA and i weigh 140 pounds with no allergies to any medicine. Let me know what you suggest for me.
doctor
Answered by Dr. Arnold Zedd 4 days later
Brief Answer:
Brief answer: Isoniazid is 300 mg per day dose

Detailed Answer:
Brief answer:
Isoniazid is 300 mg per day dose

Detailed answer:
Hi again
Sorry for late response as I was busy with my other professional obligations.

To answer your query about dose of antitubercular treatment for intestinal tb, I will confirm the intestinal TB with atleast one of the following tests like ultrasound abdomen, CECT Abdomen, Barium studies or endoscopic biopsies of enlarged lymph nodes etc

When confirmed, I would give a full course of anti-TB drugs to my patient
I will suggest that you undergo further tests under guidance of your doctor
Isoniazid has been used to prevent latent tb to active tb

For such a case isoniazid is given in dose of XXXXXXX 300 mg per day upto 6 months
Hope this answers your query
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Arnold Zedd 0 minute later
Brief Answer:
Brief answer: Isoniazid is 300 mg per day dose

Detailed Answer:
Brief answer:
Isoniazid is 300 mg per day dose

Detailed answer:
Hi again
Sorry for late response as I was busy with my other professional obligations.

To answer your query about dose of antitubercular treatment for intestinal tb, I will confirm the intestinal TB with atleast one of the following tests like ultrasound abdomen, CECT Abdomen, Barium studies or endoscopic biopsies of enlarged lymph nodes etc

When confirmed, I would give a full course of anti-TB drugs to my patient
I will suggest that you undergo further tests under guidance of your doctor
Isoniazid has been used to prevent latent tb to active tb

For such a case isoniazid is given in dose of XXXXXXX 300 mg per day upto 6 months
Hope this answers your query
Above answer was peer-reviewed by : Dr. Kampana
doctor
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