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Hi, may I answer your health queries right now ? Please type your query here...My patient is 62 years old.He is suffering from pain in back side below the waist for last 20 days.
We have already done MRI and according to the report doctors are suspecting tuberculosis .Some of doctors are asked that in kolkata there no treatment for this. Now he is totaly bed retained .It is not possible to move a single step.So please help and please inform me regarding the best treatment of this dieses in india for geting cured and inform me how can we shift the paitent for treatments as be is bed retained
Dear caregiver First of all spine tuberculosis is totally curable disease with medication and surgery if required. Diagnosis of spine tuberculosis is usually based on mri report which is very sensitive and specific for diagnosing tuberculosis. But biopsy from the affected site is most specific. Now a days biopsy is done under ultrasound and ct guidance with less risks. So I would advise confirmation of diagnosis with ct guided biopsy. Then start treatment with first line antikochs therapy. Drugs include isoniazid , rifampicin , pyrizinamide and ethambutol. Injection streptomycin can be added for initial two months if required. Four drugs are given for initial 3 months called intensive phase and then 2 drugs for 6 months called continuation phase. Total 9 months of therapy is must. So you should consult expert orthopaedic surgeon nearby you and take opinion. He can be shifted in spinal streture wherever required. Along with drugs strict bed rest for initial one month and high protein diet.
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Could Pain Below The Waist On Back Side Mean TB?
Dear caregiver First of all spine tuberculosis is totally curable disease with medication and surgery if required. Diagnosis of spine tuberculosis is usually based on mri report which is very sensitive and specific for diagnosing tuberculosis. But biopsy from the affected site is most specific. Now a days biopsy is done under ultrasound and ct guidance with less risks. So I would advise confirmation of diagnosis with ct guided biopsy. Then start treatment with first line antikochs therapy. Drugs include isoniazid , rifampicin , pyrizinamide and ethambutol. Injection streptomycin can be added for initial two months if required. Four drugs are given for initial 3 months called intensive phase and then 2 drugs for 6 months called continuation phase. Total 9 months of therapy is must. So you should consult expert orthopaedic surgeon nearby you and take opinion. He can be shifted in spinal streture wherever required. Along with drugs strict bed rest for initial one month and high protein diet.