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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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TB ,Sugar And Cholesterol. On Novolet, Insulin And Alorva. Done X Ray And CT Scan. What Is The Outcome?

Hi Doctors,
My husband has got TB ,Sugar and cholesterol and the doctor has prescribed following medicine
novolet 4 insulin morning 20 and 30 (Before food)
AKT4 1 Pack (Before food)
PPG .3 Morning afternoon and night (just before food)
x-Metsr morning and afternoon (after food)
Alorva night 2 nos. (after food)
this medication started from 27th July
We also noticed his both legs and hands are going thin(weak) day by day and weight loss by 4-5 kgs ,his eyes are becoming reddish and am scared he has got knee TB where as we have taken CT scan contrast and x-ray on chest only .
at any case can he continue the above prescribed medicine.

pls confirm .

Thanks in advance.



Mon, 5 Aug 2013
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Pathologist and Microbiologist,  's  Response
Hello,

Weight loss is an important feature of TB infection.
The course of ATT as to be taken at for 6 months.
It will at least take 2 weeks for the sputum to become negative and control of infection.

Secondly weight loss also indicates uncontrolled diabetes.
So all the above drugs need to be taken.

You may see an improvement in the weight when both TB and diabetes are well under controll.
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General & Family Physician,  Dr. Chirag Soni's  Response
Welcome to HCM.
treatment is on right way continue it.
Weight loss and muscle wasting usually occurs in diabetes and TB.
Don't worry it will gradually recover with disease control.
Take proper nutritious diet with protein rich.
Also take B12 supplement.
Keep regular follow up and investigations with your doctor.
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General & Family Physician,  Dr. Masroor Mir Hussain's  Response
Yes, he can continue with these medications. The loss of weight is due to TB and as he recovers his weight will improve. It is important to take an x ray of knee and other investigations to confirm the cause of pain. get the eyes examined by a doctor to diagnose the cause for redness.
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TB ,Sugar And Cholesterol. On Novolet, Insulin And Alorva. Done X Ray And CT Scan. What Is The Outcome?

Hello, Weight loss is an important feature of TB infection. The course of ATT as to be taken at for 6 months. It will at least take 2 weeks for the sputum to become negative and control of infection. Secondly weight loss also indicates uncontrolled diabetes. So all the above drugs need to be taken. You may see an improvement in the weight when both TB and diabetes are well under controll.