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Tb treatment
My mother has been diagnosed with tb last month she started akt 4 treatment within 3-4 days her fever subsidised but after one week of taking att there was drug induced hepatitis due to which alternative regimen was started streptomycin levo etham for 11 days when her liver enzymes settled down isoniazid rifampicin pyrazinamide were introduced one by one but when all 4 medicine were introduced on 2nd day she was nauseous lft report of 4 th day show marked increase in alt so again s/l/e regimen was started after starting s/l/e regimen second time her fever and cough start again she also has pain in left shoulder is this normal in tb her tb treatment started 40 days back
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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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Its a known side effect after starting of AKT medications. Streptomycin was initially the drug used for liver complicated TB. Currently amikacin drug is used instead of streptomycin as it has lower risk of side effects. Only thing duration would be longer in case of the liver protective AKT.
We need to know whether its just cough or is it associated with fever and loss of weight. Of its only cough better go for an xray while continuing AKT drugs
Next Steps
chest xray
repeat sputum AFB
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Dr. A Raja Prasanna Kumar
Pulmonologist
46 yrs exp
Hyderabad
These are all due to side effects of Att. Pl consult your treating Doctor or govt tb centre.
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Dr. Vivek Gautam
Pulmonologist
12 yrs exp
Greater Noida
if the lft is deranged again, her drugs need to be modified accordingly and we will have to substitute the 1st line drugs..kindly consult with all reports
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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.