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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Abdominal Lymphadinopathy, TB Positive, Taking Treatment, Getting Fever. Reason?

hello I am 31yr old female diagnosed with abdominal lymphadinopathy and its difficult to do biopsy on these nodes so my docter started me with TB treatment 4weeks back as my blood test was positive for TB.My fever went away after a week but returned 4days back.Fever is low grade and mostly comes in afternoon and evening,gets better in night and morning.I m not taking any fever reducer.What could be the reason for these fevers?
Mon, 28 Oct 2013
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General Surgeon,  's  Response
Hi ! Good morning. I am Dr Shareef answering your query.

It is not uncommon to get low grade fever during the treatment of tuberculosis. However, I would advise you to go for a routine CBC, ESR, PS, and a urine test to rule out UTI. It might not be possible to take biopsy from the abdominal lymph nodes. I would suggest you to continue your anti TB drugs once started. At the same time, get a LFT test of the blood. Sometimes an extra antibiotic like levofloxacin might have to be added to the treatment course on consultation with your doctor.

Wishing you an early recovery. Dr Shareef.

I wish you an early recovery.
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General & Family Physician,  Dr. Lohit K's  Response
Hi,
Evening raise in temperature with abdominal lymphadenopathy points towards abdominal TB. Since you are on treatment for the same no need to worry for it now.
You can take NSAID for fever like Paracetamol. This will help you in reducing fever and the Anti TB will take care of abdominal TB. You should take nutritious diet with daily exercise.
Also get done complete haemogram once and have General physical examination to rule out any other problem.

Hope this helps you.

Regards
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Diagnosed With Abdominal Lymphadinopathy, TB Positive, Taking Treatment, Getting Fever. Reason?

Hi ! Good morning. I am Dr Shareef answering your query. It is not uncommon to get low grade fever during the treatment of tuberculosis. However, I would advise you to go for a routine CBC, ESR, PS, and a urine test to rule out UTI. It might not be possible to take biopsy from the abdominal lymph nodes. I would suggest you to continue your anti TB drugs once started. At the same time, get a LFT test of the blood. Sometimes an extra antibiotic like levofloxacin might have to be added to the treatment course on consultation with your doctor. Wishing you an early recovery. Dr Shareef. I wish you an early recovery.