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Suggest Treatment For Tuberculosis

Posted on Sat, 5 Aug 2017

Question: Is there any difference between internal medicine specialist and pulomonologist for treatment of TB

Answered by Dr. Drkaushal85 (57 minutes later)

Brief Answer:
Pulmonologists are specialist for TB and lung diseases.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Pulmonogists are specialist in TB and lung diseases.
So it is better to take treatment of TB from pulmonologist.
Internal medicine doctors with good clinical experience in TB can also guide better.
So if patient is demanding and needs expert advice, better to consult pulmonologist.
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. Remy Koshy

Follow up: Dr. Drkaushal85 (1 hour later)

Sir I have taken treatment for TB lymphadentis for a six months course under internal medicine specialist (MBBS,pg diploma in diabetes,FCPS (medicine),DNB medicine) as in his profile he has experience in chest medicine IRCU

Answered by Dr. Drkaushal85 (1 hour later)

Brief Answer:
Which TB medicines you were taking?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Please let me know
1. Which TB medicines were you taking?
2. Did you have cervical TB lymphadenitis?
Please reply me answers of above asked questions, so that 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. Kampana

Follow up: Dr. Drkaushal85 (41 minutes later)

Sir I completed my six months course under his treatment.started my treatment with Akurit 4 for first two months, and again continued Akurit 3 for next four months.as per the prescription of my doctor.my lymph node regressed during the end of my second month only . during starting of my treatment he directly touched or clinically evaluated my swallow lymph node and told it may be TB and has prescribed FNAC neck directly for confirmation,and accordingly it came in FNAC

Answered by Dr. Drkaushal85 (2 minutes later)

Brief Answer:
Anti tubercular drugs should be taken according to weight.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Akurit 4 is having four anti tubercular drugs (rifampicin, isoniazid, pyrazinamide and ethambutol).
Akurit 3 is having three anti tubercular drugs (rifampicin, isoniazid and ethambutol).
So you have taken correct drugs for correct duration.
Anti tubercular drugs should be given according to weight.
So please let me know
1. Your weight?
2. How many tablets of Akurit 4 and Akurit 3 were you taking?
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. Remy Koshy

Follow up: Dr. Drkaushal85 (37 minutes later)

sir my weight during starting of my treatment was 74 kilos,and I have no symptoms from starting of my treatment except swallow lymph node ,with no active symptoms of disease.
my doctor recommended 4 tablets of Akurit 4 daily for first two months
and again 4 tablets of Akurit 3 daily for next four months

Answered by Dr. Drkaushal85 (2 hours later)

Brief Answer:
You have taken correct treatment with correct dosing.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Don't worry, you have taken correct treatment with correct dosing and for adequate duration.
So you can stop the treatment and be relax.
No need to worry much.
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. Kampana

Follow up: Dr. Drkaushal85 (18 hours later)

sir attaching my three x ray report first on 11.11.2016 ,second one on 1.02.2017 ,third one 29.04.2017 .sir please tell me two things first is any further CT scan required . my doctor told that it is completely lymphodenopathy which resolved in 29.04.2017 x ray hence to stop treatment.hence stopped my treatment so there will not be any relapses na as

Answered by Dr. Drkaushal85 (2 hours later)

Brief Answer:
No need to worry much. You are cured.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I have gone through the x rays you have attached.
No need to worry much. Your last x ray is improved. And hence it is right that you stopped treatment.
About relapse, it is very difficult to say.
As there is always risk of relapse in future.
Risk percentage is less than 10%.
So eat healthy (high protein diet), avoid stress and tension, sleep for atleast 6-8 hours.
All these are required to prevent relapse.
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. Remy Koshy

Follow up: Dr. Drkaushal85 (26 minutes later)

sir that in XXXXXXX all most every person is infected by TB bacteria ,or there are always 5 to 10%Tb in all in our country is it true

Answered by Dr. Drkaushal85 (3 minutes later)

Brief Answer:
Not able to understand what you are asking.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Sorry to say but I am not able to understand what you are asking.
So please ask again in simple understandable language.
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Drkaushal85 (29 hours later)

Sir is any further CT scan or anything not required na... one of the doctor in internet was telling me to take medicine till 9 months but my physician told that ,now a days Akurit six months course is enough and so just want to know 9 months course and 6 months course both are effective na.
My physician told that there is no requirement for any CT scan

Answered by Dr. Drkaushal85 (1 hour later)

Brief Answer:
No need for CT scan.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
No need for CT scan.
And no need for 9 months course. Six months is enough.
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.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Prasad