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Suggest Treatment For Pulmonary Tuberculosis

Posted on Sat, 9 Jul 2016

Question: I was diagnosed with pulmonary tuberculosis about 4 months back.. I am on regular anti-tb medication.

I have already completed 2 months intensive phase therapy with 4 anti tb drugs.
Now I am on continuous phase treatment with isonazid and rifampicin since last 2 month.

The problem is I am having low grade fever in the evening for about a week now.. Mostly temperature is around 99f, but sometimes reaches 100 F. My blood ESR is 22.

What may be the reason.. I am a little worried now.

Note: I joined my office after completing intensive phase treatment.

Thanks XXXXXXX XXXXXXX

Answered by Dr. Drkaushal85 (58 minutes later)

Brief Answer:
Apart from fever, do you have cough, weakness?

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Thanks for your detailed history and description.
First of all let me clear tour understanding about fever.
Fever is only considered when body temperature is more than 100 degree ferenheit.
So what you are having is not fever.
I want to know about the other symptoms apart from fever. So please let me know
1. How is your cough? Is it reduced or same?
2. Do you have expectoration?
3. Do you feel weakness?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

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

Answered by Dr. Drkaushal85 (22 minutes later)

Brief Answer:
No reports are seen.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Sorry to say but there no report seen in atta section.
Please attach it and resend it.
I will be happy to help you further. Wish you good health. Thanks.

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

Follow up: Dr. Drkaushal85 (7 minutes later)

Thanks for the answer.
1. Cough has reduced significantly. But in the mornings I do experience some coughing.
2. Expectoration is generally in the mornings as stated above. Sometimes it contains little pink/red spots also.
3. No weakness being experienced.

I have attached recent blood reports.

Answered by Dr. Drkaushal85 (1 hour later)

Brief Answer:
Do you have weight gain?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
I have gone through the reports you have attached.
Nothing to worry about these reports.
Please let me know
1. Do you have weight gain as compare to starting of anti tubercular drugs?
2. Did you get any follow up chest x ray? Is it improving?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

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

Follow up: Dr. Drkaushal85 (8 hours later)

1. Yes I have gained about 3-4 kg.. But I am still below my original weight.

2. No, I did not get any follow-up chest x-ray.

Note: after 2 months treatment my sputum acid-fast test were Negative.. Earlier it was 3+ at the start of treatment.

Thanks

Answered by Dr. Drkaushal85 (4 hours later)

Brief Answer:
Nothing to worry about this raised temperature.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Since you are having weight gain and your follow up sputum AFB is negative, no need to worry for this raised temperature.
But better to get done fresh chest x ray. It will mostly improve.
Don't worry, you will be alright.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar. Wish you good health. Thanks.

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