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Suggest Treatment For Pain In Ears And Nose When Suffering From TB Infection

Posted on Fri, 29 May 2015

Question: My wife is suffering from infection on faces from Mar'15. After that TB positive is detected. AKT-4 ( medicine ) is prescribed for 9 months. almost 1 month has passed , but no improvement. Nodes are increases in both part of faces. Due to this pain in ears , noses is also increases. Doctors prescription & report is enclosed with profile name as XXXXXXX Please advice.

Answered by Dr. Vivek Chail (19 minutes later)

Brief Answer:
Please do lymphnode biopsy and consult TB specialist

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. As there is no improvement in size of nodes even with one month of TB medicine then you must get lymph node biopsy done and also consult TB specialist doctor in XXXXXXX

2. In the first report it is mentioned as left side neck nodes are larger than right side nodes. The doctor has also written FNAC reactive lymphadenitis. Reactive lymphadenitis is not always TB. Therefore it is suggested to do biopsy of neck lymphnode to confirm TB

3. J XXXXXXX main laboratory (near RIMS) in XXXXXXX will do lymphnode biopsy and you can contact them for further directions.

4. Biopsy report is important to know if your wife has TB or any other condition.

5. If TB is confirmed after doing biopsy then probably the usual medicines are not working and then better medicines have to be given after consulting TB specialist. Please also do a chest X ray if not done earlier.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vivek Chail (2 days later)

Medicine prescribed is not suit. as after taking medicine Vomitting occurs.
Body becomes so weak.

Please advice TB specialist in XXXXXXX
May I go for better treatment at Tata Main Hospital , XXXXXXX or Orchid hospital XXXXXXX
Alternately May I go to XXXXXXX XXXXXXX XXXXXXX Hospital or AAIMS.

Thanks & Regards
XXXXXXX

Answered by Dr. Vivek Chail (13 minutes later)

Brief Answer:
Please find details given below

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

1. Since you are requesting names of good TB specialist in XXXXXXX and preferably Orchid hospital HB road then please consult Dr XXXXXXX Sarkar. He is a leading TB specialist and consults patients in his own clinic and Orchid hospital.

2. You can also go to Tata main hospital XXXXXXX or Gangaram hospital XXXXXXX but they are far away and for any suspected TB the patient has to go many times to the doctor during treatment. XXXXXXX is crowded and difficult to get appointment.

3. Please give your wife good food to eat including vegetables, fruits and boiled egg and make her gain weight. Please show to the TB specialist and confirm diagnosis and if medicines are working.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vivek Chail (22 hours later)

Dear Sir,

Visited to Dr Saymal Sarkar , He is advice to go to Vellore.
I am also planning for same.

Thanks & regards .

Answered by Dr. Vivek Chail (26 minutes later)

Brief Answer:
Please follow suggestion given by your doctor

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

1. I suggest you must follow what Dr XXXXXXX Sarkar has told and plan a trip to Vellore.

2. Please make arrangement for 10 to 15 days because certain tests will be required for making confirmed diagnosis.

3. Charges at Vellore are nominal and they will only ask to do required tests. If you have any doubts then you can always write back to me.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar