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What Do My Lab Test Results Indicate?

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Posted on Mon, 1 Aug 2016
Twitter Mon, 1 Aug 2016 Answered on
Twitter Tue, 23 Aug 2016 Last reviewed on
Question : Iam 27 year old female.I have been diagnosed pulmonary TB on 16/05/2016 . After 2.5 months of my treatment , my report stated ' There is further resolution of parenchymal lesions with residual lesion suggestive of good therapeutic response no fresh lesion has appeared'. following is my one month prescription ( next medication). As Right now iam not facing any fever and cough
Tabakrut4 2mrng 1 night, Tab hairbless 1 month ,Tab Tanz 1 month. I am taking egg and milk + Protinx) daily . Is it possible to skip Hairbless and Tanz?because I am facing dizziness and headache after taking this tablets ( Hairbless and Tanz)
doctor
Answered by Dr. Drkaushal85 (51 minutes later)
Brief Answer:
Yes, you can avoid these drugs.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Hairbless is having minoxidil.
This drug has nothing to do with tuberculosis.
So you can stop it.
Tanz is having multivitamin. You can continue it. But if you feel bad after taking this then you can omit this also.
Hope I have solved your query.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (16 minutes later)

Thank You doctor for such detailed answer. To avoiding multivitamin dose can u suggest food which helping me to cure my disease ASP

So I can take only akruit- 4 thrice in daily.

my doctor suggested to take 2 akrut 4 morning and 1 night ( Iam taking same since 2.5 months) . Is it correct ?

Do u have any concern regarding my current chest report ?
doctor
Answered by Dr. Drkaushal85 (31 minutes later)
Brief Answer:
Ideally you should take all anti tubercular Drugs together.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Ideally you should take all anti tubercular Drugs together.
No point in splitting the doses.
I prescribe Akurit 4 three tablets together on the morning to my patients.
Your report is improving, so no need to worry much.
In diet you should take fruits, green leafy vegetables, pulses etc.
Continue egg and protein powder.
For how long you are advised to take Akurit 4?
Please reply me answer of above asked question, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (13 minutes later)
its been started from 16/05/2016 till today around 2.5 months are completed . and current month mediation ( 1/8/2016 - 1/9/2016) and also continuing akruit 4 for 1 month as mentioned in the prescription ( 2 morng + 1 night)

is it correct akruit 4 dose ?
doctor
Answered by Dr. Drkaushal85 (15 minutes later)
Brief Answer:
You are confusing me.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Wait. You are confusing me.
Only tell me about Akurit 4.
Yoi are taking it since 16/5/16 2 tablets in morning and 1 at night.
And you should take this till 1/9/16.
Is my understanding is right?
First clear this to me so that I can guide you further.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (2 hours later)
Yes. my Akrut 4 course is from 16/5/2016-1/9/2016 followed 2 tab morning and 1 night .

Iam litbit worry about drug resistance due to this combination ? till now Iam not facing any issue expect lit bit weakness.

doctor
Answered by Dr. Drkaushal85 (9 minutes later)
Brief Answer:
Whom are you consulting?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
First of all tell me whom are you consulting?
Is he pulmonologist or TB specialist?
Akurit 4 should be given to 2-3 months only.
No need to prolongit for more than 3 months.
And it should be given together to achieve highest therapeutic benefit.
You have not advised these so I doubt.
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (13 minutes later)
He is family doctor since more than 25 year . ( MD Medicine
only )

Can I consult other TB specialist ?

What, I worried to change the physician at this stage ? ( 2.5 month medication)

Is it having any side effects to take it 3 .5 months ?

doctor
Answered by Dr. Drkaushal85 (1 hour later)
Brief Answer:
No need to worry much as your chest x ray is improving.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Since your chest x ray is improving, no need to worry much or consult pulmonologist.
But don't take Akurit 4 for more than 3 months.
3 months are sufficient for intensive phase. Next 4-5 months are continuation phase in which Rcinex should be given.
Please let me know
1. What was your weight at the starting of treatment?
2. What is your current weight?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (11 hours later)
Previous when I was normal : 49kg

I had cough and fever for almost 1.5 months and parallely weight loss happened : 42.5kg

Start of treatment weight : 42.5kg (16/05/2016)

As weight on today(02/08/2016) : 42.7kg


doctor
Answered by Dr. Drkaushal85 (26 minutes later)
Brief Answer:
Your have not achieved expected weight gain.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Honestly speaking, you have not achieved expected weight gain.
After 2-3 months of treatment, usually, tb patients grow 5-7 kgs of weight.
I need to see your chest x rays, initial one and last one.
Can you please upload them in attachment section?
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (1 hour later)
hello doctor ,

I have attached the xray and report . Please look into this . As Iam litbit worry .

For weight gain , he told me weight may not increase but shouldn't get down.

Please suggest me ; should I consult another doctor ?
doctor
Answered by Dr. Drkaushal85 (5 minutes later)
Brief Answer:
Your chest x ray is improving.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I have gone through the x ray images you have attached. Your x ray is improving.
I think there is typing mistake. You wrote date 27-8-16. And this date is still not arrived.
So please let me know x rays died 27-8-16 are from which date?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (5 minutes later)
yeah sorry .. its on 27 july 2016.

Thank you doctor . Do you have any suggestion considering my case ?

I will planning to take guidance through my treatment journey.

doctor
Answered by Dr. Drkaushal85 (4 minutes later)
Brief Answer:
Take Akurit 4 for total 3 months only.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
It's OK. This kind of mistake is Common.
Well my suggestions to you are
1. Take Akurit 4 for total 3 months only.
2. Get done sputum AFB after 3 months of Akurit4.
3. Avoid hot and spicy food. Avoid junk food.
4. Take high protein diet like pulses, protein powder etc.
5. Avoid stress and tension, be relax and calm.
6. After 3 months of Akurit 4,start Rcinex (450/300) for 4 months.
Don't worry, you will be alright.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (9 hours later)
AS discussed , Today , I have visited specialist of TB as well as respiratory.

As Iam loosing the trust of my current physician

The newer specialist has suggested me following. Pls review becuase it sama as you discussed with me.

akruit 3 1/08/2016-17/8/2016

Cap R-Cinex 450/300 daily one till (?ne , brain etc) . What kind of care should be taken ?
doctor
Answered by Dr. Drkaushal85 (7 hours later)
Brief Answer:
You should take Rcinex for four months to complete 7 months of treatment.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
I was telling you from the starting that your treatment is not going as per the guidelines.
Anyways, don't worry much about it.
Finish Akurit 4 on 17-8-16. Then start Rcinex (450-300)for 4 months to finish total 7 months of treatment.
And what was the meaning of (? ne, Brain etc)?
Why you wrote brain?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (3 hours later)
Sorry for typing mistake.

I want to know what are the chances in my case to pass the TB in other organ ( kidney or brain) or We can t predict where this bacteria can travel ?

Write now I dnt have any symterms not even coughing or fever ? Is it mean now its controllable ?

When I can start gym routine to gain the weight ( Light w8 Training) ? Right now running is not advisable.



doctor
Answered by Dr. Drkaushal85 (22 minutes later)
Brief Answer:
Yes, your disease is under control.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Since your improving symptomatically, no need to worry much.
Just finish the total 7 months of treatment.
And don't worry about spread to other organs as you are not having any symptoms. But you are right, we can not predict spread. But even of bacteria has already spreaded, treatment will be the same. So nothing to worry about spread to other organs.
You can resume your daily routine including gym (light exercise).
And you can definitely do running. No harm in it. Who told you that running is not advisable?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Drkaushal85

Pulmonologist

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What Do My Lab Test Results Indicate?

Brief Answer: Yes, you can avoid these drugs. Detailed Answer: Thanks for your question on Healthcare Magic. I can understand your concern. Hairbless is having minoxidil. This drug has nothing to do with tuberculosis. So you can stop it. Tanz is having multivitamin. You can continue it. But if you feel bad after taking this then you can omit this also. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.