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The Medication That I Am Taking For Abdominal Tuberculosis Is Causing Unbearable Itching. What Should I Do?

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Posted on Tue, 8 May 2012
Question: hye doctor..
ive been diagnosed of having abdominal tb last month.1st i take all rifampicin,ethambutol,isoniazid,pyrazinamide in 1 tablet.then i got side effect like fever,my whole body itching,weakness n some others.took dat for 2 weeks then changed to different tablet that contain lower conc of them.but now im having dermographism.n the dr stop all my medicine n gv me prednisolone n cetrizine for this itching thing n ethambutol for tb.but still my body itching especially at night n its unbearable.plz help me..
doctor
Answered by Dr. Sapan J. Pandya (19 minutes later)
Hi Naheehatul,

Because of Abdominal Tuberculosis, you have been put on four antibiotics (anti TB). All the four can independently cause allergic manifestations leading to itching and rashes.
It is very difficult to know which antibiotics caused you the problem.
For your itching sensation, you have been adequately treated.
But few advices:
Take plenty of liquids. The drugs collected in the body will be washed off by liquids.
Stay in air-conditioned coolness. This will have a faster effect of relieving your symptoms.
Avoid spicy / oily / fermented food.
Avoid soap while taking bath.
Use moisturizers.

Medicines which may be added are newer antihistaminics like Loratidine / Desloratidine / Fexofenadine. Older antihistaminics like cyproheptidine / chlorpheniramine maleate may be tried. You can discuss with your doctor about this.

In addition your doctor will know about daily injection of Streptomycin. Speak to him if it can help you.

Waiting eagerly for your follow-up.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sapan J. Pandya (2 hours later)
is the abdominal kochs can be treated fully??n ive read somewhere that this disease can cause infertility.is it true?
today is the last day of me taking the medicine for itching but still no better.
is it possible of having allergies to all anti tb drug?
doctor
Answered by Dr. Sapan J. Pandya (1 hour later)
Hi! NAJEEHATUL,

Yes, Abdominal Koch's can be treated fully. Do not worry on that aspect.

No, Abdominal Koch's does not cause Infertility. Koch's infection which spreads to Uterine and Uterine Tubes may cause infertility. Do not worry.

No, you may be allergic to any one antibiotic, not all.

So you can start Anti-Koch's treatment again in few days.

Hope I answered you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sapan J. Pandya (2 hours later)
yup u have answered me..thnk u sir..
n 1 more thing,is it possible that abdominal kochs cn infect other people??i havent told this to my friends bcoz im scared they will leave me.
by the way im a medical student in india.
im in 2nd year n having difficulty in learning pathology n also remembering all the drugs name in pharmac.cn u give me some tips?thnk u..
doctor
Answered by Dr. Sapan J. Pandya (4 hours later)
Hi! NAJEEHATUL,
No, it is not possible for Abdominal Koch's to infect others.
As for pathology and pharmacology, there is no substitute to hard work and concentration.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Sapan J. Pandya

General & Family Physician

Practicing since :2011

Answered : 243 Questions

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The Medication That I Am Taking For Abdominal Tuberculosis Is Causing Unbearable Itching. What Should I Do?

Hi Naheehatul,

Because of Abdominal Tuberculosis, you have been put on four antibiotics (anti TB). All the four can independently cause allergic manifestations leading to itching and rashes.
It is very difficult to know which antibiotics caused you the problem.
For your itching sensation, you have been adequately treated.
But few advices:
Take plenty of liquids. The drugs collected in the body will be washed off by liquids.
Stay in air-conditioned coolness. This will have a faster effect of relieving your symptoms.
Avoid spicy / oily / fermented food.
Avoid soap while taking bath.
Use moisturizers.

Medicines which may be added are newer antihistaminics like Loratidine / Desloratidine / Fexofenadine. Older antihistaminics like cyproheptidine / chlorpheniramine maleate may be tried. You can discuss with your doctor about this.

In addition your doctor will know about daily injection of Streptomycin. Speak to him if it can help you.

Waiting eagerly for your follow-up.