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Suggest Treatment For Sore Throat When Suffering From TB Lymphnodes?

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Posted on Tue, 29 Apr 2014
Question: hi, dr, i was diagnosed with tb lymphnodes on 3rd april 13, after ct scan and other symptoms like fever and wt loss. i developed ibs after taking cefpodoxime tablet just before my tb diagnosis..i was started with standard tb treatment which i am following till now. hrez+livofloxacin for 2 months, then hre for 4 months then only hr(rcinex 600) for laST 6 MONTHS. my treatment stops on 10 april 14 in next 2 days.my wt when treatment started was 65 then it went upto 88 kgs, i was at home and having healthy food( eggs & Protienex etc)...then i started working in october , after i started working my wt has stabilized at 80 kgs now... dr suggested when i come to meet him on 10 april 14, i should get CBC and ESR test done,so i did esr and CBC, my esr is 25 now and CBC test seems normal with WBC at 6600. my esr when treatment started was 60, after 3 months esr was 33, now its 25....15 days back i suffered sore throat so my dr gave me marzon tablet for 5 days....since then i got cough with sphlegm.... which has almost reduced now...but i still feel cough in chest...i never had cough even during complete tb tretament.....is esr 25 normal at this stage ...its been a year i am on tb treatment....i never missed a tablet, taken healthy food.... i am taking normaxin for my ibs....and have to go to washroom twice in the morning...then the whole day i feel good...
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Answered by Dr. Anshul Varshney (42 minutes later)
Brief Answer: I don't find any reason to worry!! Detailed Answer: Dear Friend. Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern. I am glad to see that you are so aware about your illness. Okay, let's come to your problems one by one. Firstly about TB Lymph Node, you had taken Anti Tubercular Drugs for about 1 year. Your symptoms regressed and your ESR got settled. So, i don't find any problem with that. However, you have not mentioned about your lymphadenopathy. Is that settled? ESR of 25 is acceptable, it can increase even when you have an infection like you just had, an upper respiratory tract infection. You should keep one thing in mind that you can also get a throat infection like everyone does. You have it, you take medications, its all right. Cough and phelgem can simply occur in Common Cold. Still if it persists for more then 2 weeks, get Sputum for AFB and Chest Xray. However, i don't think you will require it. Now coming to your IBS part. See, you must be knowing , IBS is mostly related to your brain. So, you should stop thinking about it. You should know one thing very clearly that it is not an accepted theory that an antibiotic like Cefpodoxime would cause IBS!! First of all, you should be sure that you have IBS!! Tell me do you have any pain in abdomen?? Pain has to be there in IBS. That pain can be associated with Diarrhea or Constipation. It is said that "No Pain, No IBS"!! So, reply with a few questions that i have put across you during my reply. And do ask me if you have any further query! Stay Healthy. Dr Anshul Varshney , MD
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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Suggest Treatment For Sore Throat When Suffering From TB Lymphnodes?

Brief Answer: I don't find any reason to worry!! Detailed Answer: Dear Friend. Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern. I am glad to see that you are so aware about your illness. Okay, let's come to your problems one by one. Firstly about TB Lymph Node, you had taken Anti Tubercular Drugs for about 1 year. Your symptoms regressed and your ESR got settled. So, i don't find any problem with that. However, you have not mentioned about your lymphadenopathy. Is that settled? ESR of 25 is acceptable, it can increase even when you have an infection like you just had, an upper respiratory tract infection. You should keep one thing in mind that you can also get a throat infection like everyone does. You have it, you take medications, its all right. Cough and phelgem can simply occur in Common Cold. Still if it persists for more then 2 weeks, get Sputum for AFB and Chest Xray. However, i don't think you will require it. Now coming to your IBS part. See, you must be knowing , IBS is mostly related to your brain. So, you should stop thinking about it. You should know one thing very clearly that it is not an accepted theory that an antibiotic like Cefpodoxime would cause IBS!! First of all, you should be sure that you have IBS!! Tell me do you have any pain in abdomen?? Pain has to be there in IBS. That pain can be associated with Diarrhea or Constipation. It is said that "No Pain, No IBS"!! So, reply with a few questions that i have put across you during my reply. And do ask me if you have any further query! Stay Healthy. Dr Anshul Varshney , MD