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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Detected Tuberculosis And Ulcer In Esophagus. Why Fever? Take Emigo?

Hi Doc Good Evening, My Granny(Age-65) is not well from few days. Doctors detected Tuberculosis(boils in her body) and Ulcer in O esophagus . She isn t having her meals properly, in fact she is not having meals at all. She always vomits after even if she is having a small bite. Also having fever . Doctors have prescribed some medicines which are sandoz, pacimol, emigo, zapiz.25, beplex forte, 1AL. But no signs of getting cure. Please help me out with this. I ll be very Thankful to u. Best Regards, Fari
Tue, 26 Mar 2019
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General Surgeon,  's  Response
Hi,

Noted the history about our Granny having multiple problems. Also noted the medication history of Pacimol of r fever, Emigo. Zapiz 0.25, B-plex forte.
You have not mentioned any medications for tuberculosis as she has been diagnosed to have tuberculosis.
If she is vomiting on bite of food and not taking or tolerating anything orally then obviously she needs to be admitted to the hospital for fluid and electrolyte replacement as this may avoid dehydration and electrolyte imbalance.
Get started on anti-tubercular medications after liver functions and other blood test.Also insist for normal hemoglobin and protein levels in blood for proper recovery.
Also needed is a PPI like Omeprazole and Domperidone for control of nausea and vomiting.
Hepato-protective medications.
All these thing will lead to a proper management and rest of the treatment as guided by further investigations and clinical evaluation.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant,
General Surgeon
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Detected Tuberculosis And Ulcer In Esophagus. Why Fever? Take Emigo?

Hi, Noted the history about our Granny having multiple problems. Also noted the medication history of Pacimol of r fever, Emigo. Zapiz 0.25, B-plex forte. You have not mentioned any medications for tuberculosis as she has been diagnosed to have tuberculosis. If she is vomiting on bite of food and not taking or tolerating anything orally then obviously she needs to be admitted to the hospital for fluid and electrolyte replacement as this may avoid dehydration and electrolyte imbalance. Get started on anti-tubercular medications after liver functions and other blood test.Also insist for normal hemoglobin and protein levels in blood for proper recovery. Also needed is a PPI like Omeprazole and Domperidone for control of nausea and vomiting. Hepato-protective medications. All these thing will lead to a proper management and rest of the treatment as guided by further investigations and clinical evaluation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon