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Abdominal t.b
I am taking medicine for abdominal t.b for 9 month but there is no change or trivial change compared to my first ultrasound and ct scan dated 1st sep, today got my ultrasound and ct scan done for reassessment,butthere is no change in my swollen lymph nodes (in my stomach and also in my neck area). Why they are not reduced even after 9 month of medication, or it can be due to any other underlying conditions.
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Need to know the size of the nodes .when the treatment started..
Was there other symptoms also..
Apart from ultrasound any other tests were done before starting the medication??
It may be a different diagnosis.. can't say with this much information
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Dr. Vishal More
Pulmonologist
12 yrs exp
Pune
How it was diagnosed that is important.
Biopsy and then investigation which includes CBNAAT and Culture sensitivity...is gold standard for diagnosis....
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Dr. Yagnesh Purohit
Pulmonologist
7 yrs exp
Rajkot
Hello.
The most important thing is on what basis you have been diagnosed as Abdominal TB that matters. Only if Lymph node biopsy or Ascitic fluid or whatever sample is tested for Abdominal TB, that was showing either microbiological or histopathological confirmed TB, then it is comfirm TB & you need to find out why drugs were able to reduce the size of LNs, by repeat biopsy & sending the sample for genexpert & AFB culture fir resistant TB.
But if on start also, if it is not proven & started drugs on only clinical bases ,then you must think about other etiologies of your abdominal diseases..
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Dr. Balaji Biradar
Pulmonologist
14 yrs exp
Aurangabad
Usually the lymph nodes will regress, some times not completely.
The way you have persistent lymphadenopathy, I suggest you to go for neck lymph node biopsy with Genexpert testing.
Just you have to rule out Drug resistance Tuberculosis.
Also how feeling are you feeling clinically is also important.
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Dr. Sunil Kumar
Pulmonologist
13 yrs exp
Udaipur
In most cases of lymph node tuberculosis the size of lymph node regresses and becam non assessible but in few case residual lymph nodes remained persist. As you described the size not reduced ...is it increased throughout course ?
What was the basis of diagnosis ? It was radiology or microbiology ?
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pulmonologist consultation
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Dr. Aditya Parihar
Pulmonologist
22 yrs exp
Nagpur
Hi noted above history and related issues,TB is a sensitive Bactria and its drugs have different effects and modes of action depending on your diet, other associated illness and habits.
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Consult your DOTS care provider
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