Suggest Treatment For Tuberculous Lymphadenitis

Posted on Mon, 2 Jan 2017

Question: sir can I take probiotic entergermino for more continuous six months as I am going treatment with anti tubular Lymphadenitis and taking medicine early morning empty stomach so can I take entergermino for six months before lunch and dinner

Answered by Dr. Vaddadi Suresh (57 minutes later)

Brief Answer:
no data supporting the use of probiotics

Detailed Answer:
Hi,
welcome to HCM.
There is no data supporting the routine use of probiotics ( eg:Enterogermina) along with TB drugs. But as they are safe, if you wish to take , you may take them. Observe that i would not recommend them to every patient on antibiotics or TB drugs.
Rifampicin is one TB drug that can alter flora in your intestines and can cause diarrhea (in few). So if you have any symptoms like 2-3 loose stools a day, you may use it for few weeks (say 2-3 weeks), give a gap and can start over at a later time.
When you take it, make sure to take it before lunch, once a day. ALL THE BEST.

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

Follow up: Dr. Vaddadi Suresh (39 minutes later)

sir as I using entergermino just to control the motions since during starting of my treatment in was hospitalized due to loose motions hence continued taking them twice a day so hence my query if can take them continuously for six months

Answered by Dr. Vaddadi Suresh (3 hours later)

Brief Answer:
you can use them

Detailed Answer:
oh .. if dirahhea is proved to be due to antibiotics, you can take them as long as you take the antibiotics (TB drugs), especially so if your symptoms are relieved by taking entero capsules. You may use them for 5 days a week, resting saturday and sunday.
Hope this helped.

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

Follow up: Dr. Vaddadi Suresh (29 hours later)

sir as I have only one swollen lymph node how much time it will take for the swallow lymph node to become normal in tubular Lymphadenitis six months course

Answered by Dr. Vaddadi Suresh (4 hours later)

Brief Answer:
varies from individual to individual.

Detailed Answer:
Hi,

Regression of lymph nodes after TB drugs varies from individual to individual. In general, you may expect the response by 2nd month after starting TB therapy.

Regards

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

Follow up: Dr. Vaddadi Suresh (36 hours later)

sir how can it be identified that my treatment is going well with anti TB antibiotic weekly

Answered by Dr. Vaddadi Suresh (20 hours later)

Brief Answer:
no reliable markers of clinical response

Detailed Answer:
Hi,
Sorry for delay. Well, there are no reliable markers of clinical response other than the size of the lymph node itself.
How ever, indirect evidence of good and correct treatment include 1. gradual fall in ESR 2. Fall in CRP levels 3. improvement in Hb levels 4. increased appetite weight gain, general well being etc.
Hope this answers your query.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Vaddadi Suresh (10 hours later)

sir is it compulsory that in TB therapy after taking medicine early in morning empty stomach,the urine will come orange as while taking medicine purchases from different retailors some times the after taking medicine the urine comes in light orange and some time with another medicine from different retailor the urine comes dark orange so please confirm as it is difficult to know which medicine is authentic as all are looking same during purchase

Answered by Dr. Vaddadi Suresh (13 hours later)

Brief Answer:
It is highly recommended to use the SAME brand

Detailed Answer:
Hi,
TB drug Rifampicin will cause orange to reddish urine. There is no reason to worry about this as it is the way it works. Color may vary from brand to brand and does not indicate efficacy of the drug. TAKE PLENTY OF WATER. Usually color normalizes by evening.
It is highly recommended to use the SAME brand (do not change it) as absorption profiles and drug concentrations (purity) vary from brand to brand.

ALL THE BEST. PLEASE RATE THE DISCUSSION, IF YOU ARE DONE.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Vaddadi Suresh (57 minutes later)

sir using the same brand of akurit 4 but the urine color sometimes comes in light and dark orange colored

Answered by Dr. Vaddadi Suresh (10 hours later)

Brief Answer:
depends on many factors

Detailed Answer:
Hi,
I understood. URINE COLOR while on rifampicin depends on many factors like diet, hydration etc. Don't worry about it. you are using the best brand available in the market.
ALL THE BEST.

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

Above answer was peer-reviewed by : Dr. Vaishalee Punj