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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Stop Vomitings After Having Forecox Tablets Taking For Intestine TB?

my wife (39 yrs) is taking forecox tablets (2 nos.) in the morning empty stomach, she is dignosed by intestine tb, asitis fluid aken out & examined ADA test which was 130 so tb treatment started. but she is vomiting 3 times a day which is effecting her recovery. please advise.
Wed, 22 Feb 2017
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history about your wife taking Forecox 2 in the morning on empty stomach as she has been diagnosed with intestinal TB, abdominal ascitic fluid tested positive for ADA 130, but she is vomiting three times a day, which is effecting her recovery, wants advise...
Since this is a case of abdominal tuberculosis, we will have to know the cause of vomiting which can be as follows:
Intestinal stricture causing sub-acute intestinal obstruction hence a reflex vomiting.
Another reason can be stomach upset, gastritis due to medications.
We can find this out by the following way:
X-ray of the abdomen in standing position.
Contrast enhanced CT scan of the abdomen with enteroclysis.
Upper GI Endoscopy.
You can request your Doctors to give all the 4 constituent medicines of Forecox that is Rifampicin, Isoniazid, Ethambutol and Pyrizinamide as different times so that the causative medicine can be stopped and changed over by another medication.
If there is intestinal obstruction, go for liquid diet, high proteins, and if still no relief, may need surgery for correction.
Add on a PPI like Omeprazole and Domperidone to stop gastritis and vomiting.
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How To Stop Vomitings After Having Forecox Tablets Taking For Intestine TB?

Hi. Thanks for your query. Noted the history about your wife taking Forecox 2 in the morning on empty stomach as she has been diagnosed with intestinal TB, abdominal ascitic fluid tested positive for ADA 130, but she is vomiting three times a day, which is effecting her recovery, wants advise... Since this is a case of abdominal tuberculosis, we will have to know the cause of vomiting which can be as follows: Intestinal stricture causing sub-acute intestinal obstruction hence a reflex vomiting. Another reason can be stomach upset, gastritis due to medications. We can find this out by the following way: X-ray of the abdomen in standing position. Contrast enhanced CT scan of the abdomen with enteroclysis. Upper GI Endoscopy. You can request your Doctors to give all the 4 constituent medicines of Forecox that is Rifampicin, Isoniazid, Ethambutol and Pyrizinamide as different times so that the causative medicine can be stopped and changed over by another medication. If there is intestinal obstruction, go for liquid diet, high proteins, and if still no relief, may need surgery for correction. Add on a PPI like Omeprazole and Domperidone to stop gastritis and vomiting.