HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Fever And Abdominal Pain With Positive For TB

sir since last 11/2 months i am having a very mild fever, checked by my doctor tested urine and found UTI which was treated by doctor and Urine Culture shows no bactarial infection now. However low grade fever still continue and I also have pain in right lower abdomen. Dr asked me to take few medicines to cure pain as well as low grade fever but the sympom persists. Doctor recently suggested TB test (mountox) was found positive(?), got my urince PCR and Blood PCR done but only blood PCR shows doubtful TB infection? Now my doctor want me to go through AFB direct smear through URINE. I may go through this test but question which remain unanserable is why should I have pain in my right lower abdomen for such a long time. Is this may also be due to TB?
Mon, 17 Nov 2014
Report Abuse
General Surgeon,  's  Response
HI.
Thanks for an elucidate history.
One and half months of fever needs investigations .
Along with the positive findings suggestive of tuberculosis and pain in the right iliac fossa- which can be due to Tuberculosis.
I would suggest you the following:
CT scan of the abdomen. This will help in diagnosis for the UTI and the right iliac fossa pain. This can be due to TB.
Quantiferone Gold test for TB
Diagnostic Laparoscopy and biopsy or FNAC to see for TB.

A therapeutic trial with anti-tubercular treatment on an empirical basis with regular follow-up for weight gain, improved appetite , clinical improvement in overall health and particularly symptomatic improvement helps diagnosis and treatment of TB.

Take second opinion if required .
I find this answer helpful
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Tuberculosis


Loading Online Doctors....
Suggest Treatment For Fever And Abdominal Pain With Positive For TB

HI. Thanks for an elucidate history. One and half months of fever needs investigations . Along with the positive findings suggestive of tuberculosis and pain in the right iliac fossa- which can be due to Tuberculosis. I would suggest you the following: CT scan of the abdomen. This will help in diagnosis for the UTI and the right iliac fossa pain. This can be due to TB. Quantiferone Gold test for TB Diagnostic Laparoscopy and biopsy or FNAC to see for TB. A therapeutic trial with anti-tubercular treatment on an empirical basis with regular follow-up for weight gain, improved appetite , clinical improvement in overall health and particularly symptomatic improvement helps diagnosis and treatment of TB. Take second opinion if required .