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On tb medication but fever still there
I am having abdominal tb which got confirmed by omental biopsy and genexpert said traces found. I am taking medicines since 40 days but fever is not decreasing it's still 103 with chills. I did chest xray yesterday and it was normal. Esr and crp levels raised from 30 to 50 and 77 to 89 respectively. Lft rft cbc normal
Answers (18)
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Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.
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Wait for the initiation phase to get over .
Fever will go away.
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Kindly share reports of biopsy along with other reports
Mention the dose of TB medicine as sometimes inadequate dose can be ineffective.
Kindly connect with me, I'll surely help you out.
Health Tips
high protein diet.
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Abdominal TB takes longer time to recover than the normal counterpart. Follow the appropriate regimen as recommended by your consultant. Sometimes, other infections or anaemia may be associated with this condition, also check your appendix status due to prolonged fever. Change the antibiotic course (Additional) if taken apart from regimen and treat any swelling in your body (Neck, Chest, Abdomen).
Next Steps
Do CBNAAT after 2 months of Intensive phase (If 6 months regimen followed).
Repeat CBC and X-Ray, also do Serology for other illness.
Health Tips
Avoid contact with household/ workspace.
Adequate rest and proper follow up with medications.
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Abdominal tuberculosis take long time you need lot of patience. Ask your treating doctor they some time add one extra antibiotics eg levoflox750 if they find it suitable.
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Kindly connect
Need few more details.
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Connect
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly connect
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Take dolo
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Dr. Arushi Goyal
General Physician
7 yrs exp
Sirsa
Tuberculosis is a chronic disease and its fever is always low grade fever and never with chills , in Tuberculosis patient generally complaint that they have evening time generalised weakness and they have a feeling that fever is there but it is not showing on thermometer reading (sometime such low grade ) , so it may be possible that you are having some other infection /superadded infection too .
Next Steps
kindly get tested for malaria .
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Dr. Shivani
Pulmonologist
3 yrs exp
Khammam
Persistent high fever after 40 days of treatment for abdominal TB may indicate treatment failure, or drug resistance, or secondary infection, because of increased ESR and CRP.
Better to :Recheck drug sensitivity (DST)
Follow correct timing and correct dosing
There might be other infections (urine, blood, abdominal abscess)
further evaluation is needed.
Follow-up with your physician or TB specialist
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Vikram Pratap
General Physician
12 yrs exp
New Delhi
You should visit a physician for proper physical examination and treatment
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Sunil Nagar
General Physician
17 yrs exp
Rewa
Kindly connect
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Ok.
It will take time for infection to subside.
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Dr. Mithravinda Rajana
General Physician
8 yrs exp
Kolkata
What other symptoms do you have besides fever?
How is your appetite?
Do you have any swelling anywhere on your body?
Do you feel overall better or worse compared to before starting treatment?
Persistent fever despite taking ATT can have several causes : including drug-resistant TB, a paradoxical immune reaction i.e., now that your immune system is getting better it's trying to control the infection thereby causing fever, drug-induced fever from ATT, or TB-related complications like abscess formation.
It’s best to consult your primary physician for further evaluation and appropriate workup.
Next Steps
Consult primary physician.
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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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