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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Has TB. Has Nausea, Vomiting, Symptoms Of Jaundice, Urine Infection. On Refampicin ,combutol. Done Liver Test. Meaning?

Hi ! My mother was on the intensive phase of TB treatment with Rifampicin+Iz+Py+Eb from 3.3.2013 to 1.5.2013. Although the drugs have been discontinued since then she still continues to have anorexia, nausea and vomitting and showing symptoms of jaundice doc says its DLI. Her liver profile shows very high >1000 ALT and AST and 3.4 total bilirubin. Is the problem serious? When will she get back to normal. What is the treatment for jaundice now? Presently she is taking combutol and Levofloxacin in the second phase of treatment. She frequently gets fever. Urine tests indicated high Pus cells (30-40) at first (around 24.5.13) and within two weeks of antibiotic administration for urine infection, her pus cells reduced but now (4.5.13) the RBC is high (30-40)? She still continues to avoid smell and flavour. How long will such symptoms last?
Tue, 21 May 2013
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Psychiatrist,  's  Response
Hi there ~

I understand your concerns for your mother. It is not uncommon to have symptoms of anorexia with a long term illness currently under treatment with strong antibiotics. I am sure your mother will regain the weight once she starts to have appetite for food. Digestive enzymes may be helpful in this scenario. I also believe that there is a lot of help out there if she does have eating disorders or symptoms of the same prior to having TB. A visit with a psychiatrist will clear any doubts you may have regarding her eating patterns. It is always advisable to eat in small amounts at regular intervals if mealtimes do not work. However, it is best to see a nutritionist in case of her not gaining weight despite the best of your efforts. I hope this helps.

Take care and have a lovely day!
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Has TB. Has Nausea, Vomiting, Symptoms Of Jaundice, Urine Infection. On Refampicin ,combutol. Done Liver Test. Meaning?

Hi there ~ I understand your concerns for your mother. It is not uncommon to have symptoms of anorexia with a long term illness currently under treatment with strong antibiotics. I am sure your mother will regain the weight once she starts to have appetite for food. Digestive enzymes may be helpful in this scenario. I also believe that there is a lot of help out there if she does have eating disorders or symptoms of the same prior to having TB. A visit with a psychiatrist will clear any doubts you may have regarding her eating patterns. It is always advisable to eat in small amounts at regular intervals if mealtimes do not work. However, it is best to see a nutritionist in case of her not gaining weight despite the best of your efforts. I hope this helps. Take care and have a lovely day!