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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Prolonged, Constant Fever. Was Treated For Crohn's Disease Previously. Having Inflammatory Bowel Disease. TB Of Intestine?

My Father is 65 years old. he is having an inflamatory bowel disease since last 12 years. earlier, 12 yrs back, doctors thought that it is tuberclosis and he was given given complete anti tuberculosis treatment. he felt ok with it but after 10 monthsof the completion of treatment , he started feeling the problems again so after doing endoscopy, colonoscopy,doctors took it as crohn's disease and he was given the medication for the same. last year he had a fisher, which was removed by surgery. now, since last one month he is having fever in the range of 100*F to 102.5*F. all is blood tests for malaria, typhoid dengue are negative, stool occult is also negative, urin culture is Ok. his ESR is high. Is he suffering from tuberculosis of intestine? what should we do now. is intestinal tb contagious? is the treatment very difficulut?
Thu, 5 Sep 2013
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's  Response
I think there must be relapse of the intestinal tuberculosis. Start AKT. Mostly will require second line of AKT as it is a relapse or we can give first line of AKT with Streptomycin injections, along with Homoeopathy depending on the constitution of the patient.
Addition of Homoeopathy may enhance the responsiveness to the AKT as I have observed in my clinical practice.
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Prolonged, Constant Fever. Was Treated For Crohn's Disease Previously. Having Inflammatory Bowel Disease. TB Of Intestine?

I think there must be relapse of the intestinal tuberculosis. Start AKT. Mostly will require second line of AKT as it is a relapse or we can give first line of AKT with Streptomycin injections, along with Homoeopathy depending on the constitution of the patient. Addition of Homoeopathy may enhance the responsiveness to the AKT as I have observed in my clinical practice.