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Suggest Treatment For Pyogenic Liver Abscess

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Posted on Thu, 11 Feb 2016
Question: A friend of mine is diagnosed with Live abscess pyogenic. The doctors advised to go for a surgical procedure to remove the pus. we are looking for a second opinion
doctor
Answered by Dr. Ajit Naniksingh Kukreja (2 hours later)
Brief Answer:
Need some information

Detailed Answer:
Hi

THanks for writing in

I have gone through the attached reports

What are the symptoms of your friend as of now ?

As the counts are on higher side and the size has increased he needs tender care

What are the procedures that have been advised as pyogenic liver abscess needs the cause to be treated ?

Write back with the details and I will try to help you out

Regards
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Ajit Naniksingh Kukreja (54 minutes later)
Hello Sir,

Thank you very much for the quick turn around.
He still has onset of fever every couple of times in a day. He gets restless and at times finds difficult to sleep. Earlier he was on ventilation and saline, but now he is off them. He has pain in the right shoulder area. He has pain when he coughs and is extremely weak.

The pus could not be drained earlier because it was dense. He was given antibiotics and the doctor attending to him has said that they will drain the pus tomorrow using catheter and will continue to do so for next few days.

The cause of the abscess is still not clear. Please let me know if there is more you need to know.

He was earlier treated for typhoid, malaria and jaundice symptoms. Since he did not improve and started to experience breathing problems, the family consulted a specialist and then liver abscess pyogenic. Given the wrong diagnosis, the first time we want to be sure he is not put through more troubles.

Appreciate your help.

Thank you.

Regards XXXXXXX
doctor
Answered by Dr. Ajit Naniksingh Kukreja (4 hours later)
Brief Answer:
Drainage is the best solution

Detailed Answer:
Hi

Thanks for the detailed information

Looking to the current situation clinically and radiologically, he is fit for drainage, ultrasound guided is the best option followed by indwelling catheter

You should go for culture of the pus drained and treat accordingly

Usually we have seen this to turn out to be amoebic liver abcess, any way I saw the prescription containing Metronidazole on a safer side

So please go ahead with the procedure

Wishing your friend a speedy recovery
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
Dr.
Dr. Ajit Naniksingh Kukreja

Gastrointestinal Surgeon

Practicing since :1984

Answered : 925 Questions

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Suggest Treatment For Pyogenic Liver Abscess

Brief Answer: Need some information Detailed Answer: Hi THanks for writing in I have gone through the attached reports What are the symptoms of your friend as of now ? As the counts are on higher side and the size has increased he needs tender care What are the procedures that have been advised as pyogenic liver abscess needs the cause to be treated ? Write back with the details and I will try to help you out Regards