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Hello..my 2.5 Yrs Old Son Was Diagnosed With Tuberculosis On

Posted on Fri, 6 Mar 2020

Question: Hello..my 2.5 yrs old son was diagnosed with tuberculosis on 20th January 2020..he had no symptoms but his chest xray showed bilateral hilar lymph nodes involvement .. n monteaux test was about 5 cm.. previously doctor gave plain isonex 150mg ( 21st jan- 9 Feb ) n from 10 Feb he started rcinex z kid ( one n half tablet) daily for 2 mnths then 4 mnths plain rcinex .. son was 13 kgs from 20 XXXXXXX to 8 Feb n now he strd gaining weight n became 15 kgs on 13th feb 2020.. is weight gain a side effect or is it ok..n is my line of treatment is going correct or not..kindly reply me n solve query...thanku in advance

Follow up: Dr. Sumanth Amperayani (0 minute later)

Hello..my 2.5 yrs old son was diagnosed with tuberculosis on 20th January 2020..he had no symptoms but his chest xray showed bilateral hilar lymph nodes involvement .. n monteaux test was about 5 cm.. previously doctor gave plain isonex 150mg ( 21st jan- 9 Feb ) n from 10 Feb he started rcinex z kid ( one n half tablet) daily for 2 mnths then 4 mnths plain rcinex .. son was 13 kgs from 20 XXXXXXX to 8 Feb n now he strd gaining weight n became 15 kgs on 13th feb 2020.. is weight gain a side effect or is it ok..n is my line of treatment is going correct or not..kindly reply me n solve query...thanku in advance

Answered by Dr. Sumanth Amperayani (1 hour later)

Brief Answer:
Treatment plan seems to be good

Detailed Answer:
Hi... the treatment plan is good and going on well.

The X-ray also seems to be improving with right sided lymph node enlargement getting better in the February x-ray.

Weight gain is not a side effect of the drugs but usually appetite improves with treatment and the kid will be doing well. It is as simple as that.

I think you should be rest assured that you are in safe hands and please complete the treatment as per your doctor's advice.

Best regards - Dr Sumanth Amperayani

Above answer was peer-reviewed by : Dr. Kampana

Answered by Dr. Sumanth Amperayani (0 minute later)

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Sumanth Amperayani (13 minutes later)

Thanku so much sir
Can u please tell me bout expected side effects n how I can effectively manage it..
Can I start his school by May ?

Follow up: Dr. Sumanth Amperayani (0 minute later)

Thanku so much sir
Can u please tell me bout expected side effects n how I can effectively manage it..
Can I start his school by May ?

Follow up: Dr. Sumanth Amperayani (3 minutes later)

Previously wen only isonex started then only chest x ray got improved
Then y doctor switched the treatment to rcinex z kid..was it essential sir .kid teeth r geting black browm stain since 2 days ..I think it's a side effect ..how I cn manage it sir
Thanku

Follow up: Dr. Sumanth Amperayani (0 minute later)

Follow up: Dr. Sumanth Amperayani (4 hours later)

Hello sir..
I m gettn bit nervous about the treatment n side effects ..please tell me about queries ..thanku

Follow up: Dr. Sumanth Amperayani (0 minute later)

Hello sir..
I m gettn bit nervous about the treatment n side effects ..please tell me about queries ..thanku

Answered by Dr. Sumanth Amperayani (3 hours later)

Brief Answer:
Suggestion on anti TB drugs

Detailed Answer:
Side effects include - liver enzyme elevation or liver toxicity.

Usually the treatment is 2 HREZ + 4 HRE.

They might have changed it due to that.

Teeth discoloration is not suggestive of anti TB drugs.

If you are nervous I suggest you ask your Pediatrician to get a liver function test done.
If it's normal nothing to worry please.

Best regards - Dr Sumanth Amperayani

Above answer was peer-reviewed by : Dr. Raju A.T

Answered by Dr. Sumanth Amperayani (0 minute later)

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Sumanth Amperayani (3 days later)

Thanku sir.. as son in undergoing treatment for tuberculosis..
Can we be vaccinated for tuberculosis to prevent it in future ..

Follow up: Dr. Sumanth Amperayani (0 minute later)

Thanku sir.. as son in undergoing treatment for tuberculosis..
Can we be vaccinated for tuberculosis to prevent it in future ..

Follow up: Dr. Sumanth Amperayani (0 minute later)

I had been vaccinated in childhood but do we need to get booster dose also..
Thanku

Follow up: Dr. Sumanth Amperayani (0 minute later)

I had been vaccinated in childhood but do we need to get booster dose also..
Thanku

Answered by Dr. Sumanth Amperayani (4 minutes later)

Brief Answer:
No need for BCG vaccine booster please

Detailed Answer:
Hello... there is no need for any of your family members to get a repeat BCG vaccine please.

BCG vaccine boosters are not recommended.

I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link.
Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.
In this way even in health care magic you can follow up always with a single doctor who knows the history of your kid completely. Please find the link below -

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Best regards - Dr Sumanth Amperayani

Above answer was peer-reviewed by : Dr. Vaishalee Punj