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CRP is rising.
I have treated spinal TB at L2–L3 with a very large initial abscess (~1 liter), which has now reduced dramatically to a small residual collection (~9 mL) on MRI. Clinically I am much better now pain and stiffness are almost nil, and there are signs of bony fusion/healing. But instead of falling my crp rising upto 10 point in every 3 month it's now 55.
Actually before treatment my crp was 38.
And after that i took att4 for 2 month and my crp falls to 9 but as i started att3 it again rise month by month its now 55.why?
In my CBC I have anemia and albumin level is also very low (2.1) but total protein level is fine.my neutrophile is rised 80% but WBC is ok.
Answers (9)
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High crp is due to the changes, I.e. damage in spine due to T.B. While medicines cure infection, bony changes persist. If mild the progress can be halted by correct posture and spine strengthening exercises, diet rich in calcium and vit d3.Bur if more, it can be corrected by surgery only.
For anemia, take cap Siderfol one morning and one evening for 4 weeks, Tab neurobion forte one daily for 4 weeks,Proteinule powder morning and evening for 2 to 4 weeks.
Repeat tests after 4 weeks.
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Hello,
I am Dr. Romain Rajan, General Physician (Ex Govt Medical Officer at RML Hospital, New Delhi), and your case has been allotted to me.
Thank you for explaining your history in detail. I understand your concern regarding the rising CRP.
Based on your information, you had spinal TB with abscess, which has significantly improved clinically and radiologically. However, your CRP rising from 9 to 55 needs careful interpretation.
⸻
Important understanding
CRP is a non specific inflammation marker. It can rise due to:
• Ongoing infection
• Residual inflammation from healing process
• Secondary infection
• Nutritional issues (your low albumin suggests poor nutritional status)
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Crp is a result of chronic inflammation you have to spine at present it reduce but its for long g time. Ok it slowly reduce with times. Anything develop fast but heal slowly.
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