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Mediastinal LymphNode Swollen
Hi Doctor,
My mother in law had severe intermittent back pain, where we first started with general geriatric consultation and they advised to do physio and gave tablets.
But the pain remain and severe , so consulted ortho doctor , they took xray and suggested physio and tablets. then pain still remains so suggested to take lumbar torso MRI , no issue in spine but found swollen lymph node , hence advised to consult Oncologist. Oncologist suggested to take PET scan and we found there is a possible of KoCh's or Sarcoidosis. But no lymphoma . so they advised to take biopsy of the swollen lymph node from cheat and the results are "TRUCUT BIOPSY FROM MEDIASTINAL LYMPH NODE -
GRANULOMATOUS INFLAMMATION."
So oncologist advised to consult pulmonologist, they checked and advised that this is TB and it needs a medication (AKT-4) . patient started having the medicine for two weeks but the back pain is still there and it is intermittent. Are we going in right direction and when the pain will reduce
Answers (6)
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Share MRI spine to check if there is any significance. Continue ATT. Consult for further management
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You have just taken for 2 weeks only
Mostly if TB must have spread to the spine bones, that could cause the pain which may take upti 6 weeks to get relief from. So suggest to continue painkillers and AKT 4 till it subsides. If unbearable ortho opinion should be sought
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Hi. I understand your concern. Do a online consult for a detailed analysis of your symptoms and reports to suggest you further management plan and treatment prescription for the same
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Dr. Sivaraj Karri
Pulmonologist
10 yrs exp
Kakinada
Continue treatment
Rule out other causes for back pain
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Dr. A Raja Prasanna Kumar
Pulmonologist
46 yrs exp
Hyderabad
Pl consult for detailed evaluation.
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Dr. Vivek Gautam
Pulmonologist
11 yrs exp
Greater Noida
need to see all reports ..it could be tubercular along with a superadded infection..kindly share all reports in a pdf over a consult here
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.