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I Had Been In The US For Almost A Month

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Posted on Thu, 29 Nov 2018
Question: I had been in the US for almost a month and returned back. After about 10 days, I started to notice a small lump near my right neck. There was no pain and the swelling was neither increasing nor decreasing. I reached out to my GP and he ordered to start with paracetmol based drug for a wk to see if the swelling subsides. There wasn't much change in the lump (lymph node) swelling and he suggested for a neck sonography.

Internally, there were a few of the lump nodes observed during the investigation. To ascertain further, my dr. ordered a FNAC from right cervical lymph node.

The reports are suggestive of a possible lymph-node TB. I don't have anyother symptoms like fever, rash, night sweats, weight reduction etc related to the usual symptoms.

I am attaching the reports alongwith this for your purview. Kindly go through them as I am looking for a second opinion about the course of the treatment that has been suggested.

The dr. also informed me the duration of treatment is for about 6 months but has given the current medicine for 15 days to analyze the treatment/side affects.

I want to be extremly careful as I am boderline cholestrol case and don't want to further affect my liver due to the high dosage of the medicine which has been suggested.
doctor
Answered by Dr. Drkaushal85 (1 hour later)
Brief Answer:
Please tell me your bodyweight.

Detailed Answer:
Thanks for your question on Ask A Doctor forum.
I can understand your concern.
I have gone through the reports you have attached.
The drugs are also appropriate.

In the treatment of TB, the body weight of the patient is important.
The dose of Antitubercular drugs should be according to the weight of the patient.
So please let me know your weight so that I can tell the prescribed doses are correct or not.
And the total duration of antitubercular drugs is at least 6-8 months.

Firstly continue the drugs for 15 days. You should get done liver function test after 15 days.

I will be happy to help you further.

Wish you good health.
Thanks.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Drkaushal85 (36 minutes later)
Hello Dr.

My body weight varies between 70-71 kgs.

Thank you,
Ashish
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Follow up: Dr. Drkaushal85 (10 minutes later)
Also , I had COMPREHENSIVE METABOLIC PANEL along with LIPID Profile done in the US prior to my travel to XXXXXXX It had a slighly elevated levels of Bilirubin Total along with Triglycerides. Attaching for your reference.
doctor
Answered by Dr. Drkaushal85 (3 hours later)
Brief Answer:
Your dose is appropriate.

Detailed Answer:
Thanks for the details.
I can understand your concern.

I have gone through other reports you have attached.
No need to worry much.
Just get the liver function test done after 15 days of antitubercular drugs.
Avoid alcohol if at all consume.

The drug dosage is appropriate for your weight.

Hope I have solved your query.
I will be happy to help you further.

Wish you good health.
Thanks.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15002 Questions

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I Had Been In The US For Almost A Month

Brief Answer: Please tell me your bodyweight. Detailed Answer: Thanks for your question on Ask A Doctor forum. I can understand your concern. I have gone through the reports you have attached. The drugs are also appropriate. In the treatment of TB, the body weight of the patient is important. The dose of Antitubercular drugs should be according to the weight of the patient. So please let me know your weight so that I can tell the prescribed doses are correct or not. And the total duration of antitubercular drugs is at least 6-8 months. Firstly continue the drugs for 15 days. You should get done liver function test after 15 days. I will be happy to help you further. Wish you good health. Thanks.