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 Painful Lymph Nodes When Diagnosed With TB Cervical Lymphadenitis

Good day doctor. I have been diagnosed with cervical lymph node TB and I have been taking Rifafour tablets, all at the same time for five weeks now. At the beginning (the first three weeks) the painful and swollen lymph nodes appeared to disappear but later came back and for the past two weeks they have been there. They are painful and my internal jugular vein keeps bulging. Will I be fine in time if I continue taking my medication? Thanks in anticipation and kind regards. Setsile from South Africa
Mon, 22 Jan 2018
Report Abuse
General & Family Physician 's  Response
Hello. I had gone through your question and understand your concerns. Tuberculosis is a wide disease which can attack the lymph nodes, the lungs, intestine genitals etc. My first question on you is how it has been diagnosed? There are indirect tests of blood and direct tests like biopsy of the nodes.
Tuberculosis is caused by Mycobacterium tuberculosis. Due to the particular characteristics of tubercle bacteria (acid resistent, slow growth, survival in macrophages), the clinic of the disease differs significantly from other bacterial infectious diseases. It means it needs a long term therapy for 6 months.
Initial 2 months: isoniazid + rifampicin + pyrazinamide + ethambutol
Continuing 4 months with isoniazid + rifampicin

During the tuberculostatic therapy regular checks of blood count, uric acid, renal retention parameters and liver values must be made!
Because of the side effects of the medication ORL and Ophthalmologist controls are needed as well.
I wish you good health.
I find this answer helpful

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


Loading Online Doctors....
Suggest Treatment For Painful Lymph Nodes When Diagnosed With TB Cervical Lymphadenitis

Hello. I had gone through your question and understand your concerns. Tuberculosis is a wide disease which can attack the lymph nodes, the lungs, intestine genitals etc. My first question on you is how it has been diagnosed? There are indirect tests of blood and direct tests like biopsy of the nodes. Tuberculosis is caused by Mycobacterium tuberculosis. Due to the particular characteristics of tubercle bacteria (acid resistent, slow growth, survival in macrophages), the clinic of the disease differs significantly from other bacterial infectious diseases. It means it needs a long term therapy for 6 months. Initial 2 months: isoniazid + rifampicin + pyrazinamide + ethambutol Continuing 4 months with isoniazid + rifampicin During the tuberculostatic therapy regular checks of blood count, uric acid, renal retention parameters and liver values must be made! Because of the side effects of the medication ORL and Ophthalmologist controls are needed as well. I wish you good health.