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Continous fever and empirically on ATT
Had cough 25 days ago, after that low grade fever started from 15 days ago.complete body aches from lower back to head and by the time fever reaches 100.5 pcm was taken 2-3 times daily sometimes four times. suffers from hypertension and type-2 diabetes ,had underwent CABG in 2024.Also had a history of peritoneal TB in 2018.currently pleural effusion(right>left), pericardial effusion and mild ascites seen in my cect abdomen whereas rest all reports are normal but still fever persisting. PCT values for 19 sept is 0.23.ESR for 17 sept is 23.Doc started ATT empirically from 25 sept. Now fever comes once in day with max upto 100F.Body aches has nearly subdided with minimal persisting some times. ESR on 27 sept is 46 and on 1oct is 61.is my ATT working.
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Yes it is working there is time where counts raise so do nkt worry for further treatment consult
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This is the best solution. Att do work. Don't worry.
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Yes. Working. Dnt worry. If u have any queries, kindly consult with me on 94 two six eight six 78 nine six
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If symptoms are improving, means it is working. Please consult a physician physically for clinical evaluation.
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You need a proper evaluation and management by a Chest Physician. Your query can't be answered in this platform
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You are a candidate for a Super speciality Hospital like Apollo or Medanta or AIIMS New Delhi.
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Hello,
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Take a glass of milk daily.
Thanks.
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Hlo sir If you want to discuss your problem in more detail, feel free to message me on Whats App at nine one one nine two five five six nine nine for al free detailed discussion
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Prior history of TB, makes starting ATT look like a correct decision. The course should have been started ideally after testing the bacterial resistance to drugs. But that now the symptoms have subsided, mostly it’s drug sensitive TB.
The course should be taken for 6-9months depending on the progress, intensive phase (IP) for 2 months and continuous phase (CP) for 4 months. Initially acidity and nausea are common side effects, in such instances syrup suclarfate 1 tbs 30mkn before meals can be taken.
Always look out for side effects while taking ATT-
- isoniazid causes pheripheral neuropathy, so always take tab pyridoxine(vit B6) 20mg once daily, already a known case of diabetes increases the risk
-pyrazinamide increases the uric acid levels in the body and causes severe joint pain and lever toxicity as well
- ethambutol can causes decreased vision and scotomas
- rifampicin causes liver toxicity, causes red urine (comparatively less harmful)
Have rich protein diet(especially 2 eggs)daily and never miss you daily doses of ATT
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Can help you with your concern
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Consult on 9three28010077
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Yes working
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Dr. Rutu Karia
Internal Medicine
6 yrs exp
Delhi
Yes ATT is working. Superadded infections (mostly viral/ dengue) may cause fluid collection in many areas at the same time. Since the symptoms are decreasing in frequency and intensity, there’s nothing to worry.
Keep your diet balanced and consider adequate fluid intake.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Aparna Narayanaswamy
General Practitioner
1 yrs exp
Kottayam
Yes your att is working ..its just super added infection from the pleural effusion. Pleural effusion fluid tests to be done. Fever on and off can be a part of the att treatment too.
Kindly get a cardiac consultation done too in case of breathlessness
Next Steps
Cardio consultation
Health Tips
Use masks
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