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MDR ITB? CD?

2019-11-12 10:11:12
Abd pain&weight loss over 2yrs 1stGastroenterologist in hometown-perform ColonSco take biopsy,biopsy reports-NoMTBdetected,CTScan suggestTB,AKT started 2May19-stops Pyzina Combutol after 2months in July due to swollen ankles knee,weight gain-3kg in1st 2months of AKT,after discontinue Pyz&Comb pain starts and wt. decrease.He suggest 2ndColoSco bt take no biopsy,says ulcers hv healed bt IC narrow,keeps on experimenting wd other medicine&pain killers.Decide to change dr 2ndGastro in hometown on 27Sep19 increased dose of Rcin,Isokin&prescribe Mesacol,mild relief wd wt gain for only 15days,pain starts again wt decrease,decide to visit ApolloHYD.3rd Gastro at Apollo-perform advColonSco takes many biopsy-ileal biopsy-large coalescing granulomas wd giant cell&patchy mixed infiltrate of lymphocytes(pointsTB,HIV=~ve,AFBTissuCult.(BACTalert3D)take 2month,discontinue Mesacol,Refers to InfectiousDiseaseSPL-prescrib Rcinex&Bevon-wait fr AFB before any decision. Pls suggest wgt gain tips & ur views.
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Answers (5)

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Wait for AFB culture : 6 weeks max. You can also ask your doctor to perform TB PCR or genexpert . It will reduce Turnaround Time

Answered2019-11-13 11:44:38

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Intestinal TB and crohn's disease often co-exist. Prior to treatment of crohn's, active TB must be excluded by histopathological exam. Anti TB drugs to given over 6-9 months, depending on progress.

Answered2019-11-12 16:04:43

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Hi . Doing multiple scopies will not find anything more . Don't worry consult ayurvedic doctor nearby or online with all reports as well detail symptoms so that we can guide you properly.
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consult online directly
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1) proper diet & minimal exercise will help you in all these we need to do detoxification as well immunity booster.

Answered2019-11-12 13:46:53

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Need to consult online or visit bcoz complete details are required about history of problem and other details.

Answered2019-11-12 11:47:21

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Yes can help you. U have digestive problems n joints problems n weight management. U can chat online for consultation and treatment. Detail case history needed.

Answered2019-11-12 11:05:10

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