Suggest Treatment For Brain Tuberculosis
Recently we came to know My 14Years old daughter suffering with brain tb. Doctor has given medicines of wysolone,R-Cinex450mg,Combutol 800mg,Pyrazinamide 750mg,Pantocid DSR, Benadon 40mg, Eptoin, Ultracet (SOS),Lasix 20mg,Shelcal 500mg and Glycerol Syp.Oral. Sir, when we are using the above medicines as per doctor's advise. But the problem is when she is in the home, she is suffering with a fever of XXXXXXX 103 and sever head ache, vomitings. when we visit the hospital they are taking her into IP and giving injuctions dips at that time she will be all right but as soon as we discharged and in the house, getting same problems. could you please suggest what is the problem and what steps can we take to prevent the above problems.
Treatment is along correct lines.
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your daughter's diagnosis and treatment plans. They seem to be along correct lines.
In cases of brain tuberculosis (TB), sometimes, fever does take longer to subside, about 4-6 weeks.
In these cases, injection of steroids such as dexamethasone helps. Now, she is getting tablets of steroids (wysolone). You can discuss with your doctor regarding this.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
We have started the oral medication since last 10days. Now she is suffering a severe head ache and vomiting along with fever. I understood with your answer that fever will occur. Could you please update about the head ache and vomiting. How long she will suffer with both of the above problems.
Also please let me know your openion about the medicines what we are using right now. your openion will help us a lot in this regard.
Thanking you,
Current medications are correct.
Detailed Answer:
Thank you for getting back.
Along with fever, headache and vomiting may also continue for about a month.
However, if the headache or vomiting is more severe or more frequent, then, dexamethasone injections (as advised above) should be used instead of wysolone tablets.
I hope it helps.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Thanks for your valuable information. Please let me know is there any food restrictions. Also please suggest the diet so as to get normal situation to the patient.
No food restrictions.
Detailed Answer:
Thank you for getting back.
She can take normal diet. She should take milk and eggs, along with dhal, vegetables. Non veg food can be taken 1-2 times per week.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Thank you very much for your valuable suggestions for my Daughter's health. If needed any other suggestions, definitely I will get back to you.
Once again thank you very much.
Please keep me informed about her progress.
Detailed Answer:
Thank you and best wishes,
Dr Sudhir Kumar MD DM (Neurology)