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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fever And Chest Pain When Diagnosed With Tuberculosis Pleural Effusion

Hi,myself sudip from Nepal. i am suffering from left side tuberculosis pleural effusion. Approximately 400 ml fluid was taken out, still some fluid has there. for 2 months I had taken HRZE-4 and now HR-4 medicines. Even after five months of treatment , still no weight gain, chest pain, fever, and trouble breathing. This is usual or unusual one. what treatment i have to take. Please advise me. my weight is only 56 k.g and what type of food i should take? please reply your suggestion as soon as possible . i have no credit card please give me your answer sir.
Tue, 21 May 2019
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General & Family Physician,  's  Response
Hello,

Lung diseases (COPD) & plural effusion may take long to get cured completely. The pathology causing pleural effusion like (pneumonia, CCF, TB, cancer, cirrhosis, ascites, hypoalbuminemia, etc) needs to be diagnosed & treated. Malignancy may cause exudative pleural effusions.

Since you are diagnosed with TB you need to go for follow up treatments, get re-examined to see how your body is responding to the medicines you are taking. You will have to go through chest X-Rays, CT scans. Do continue to take the medicines you have been prescribed.

You need to get treated & take medicines for six to nine months to make sure all TB bacteria are killed.

Since TB drugs are very strong you need nutritious homemade food. Foods rich in protein, vitamins, calcium, iron & minerals can be taken. You can take multivitamin supplements. Keep yourself well hydrated. Take fruits & berries.

Avoid alcohol & tobacco, coffee, greasy oily food, trans fatty acids, refined products like sugar, white flour, etc. Stay away from any kind of addictions.

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

Regards,
Dr. Nupur K, General & Family Physician
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Suggest Treatment For Fever And Chest Pain When Diagnosed With Tuberculosis Pleural Effusion

Hello, Lung diseases (COPD) & plural effusion may take long to get cured completely. The pathology causing pleural effusion like (pneumonia, CCF, TB, cancer, cirrhosis, ascites, hypoalbuminemia, etc) needs to be diagnosed & treated. Malignancy may cause exudative pleural effusions. Since you are diagnosed with TB you need to go for follow up treatments, get re-examined to see how your body is responding to the medicines you are taking. You will have to go through chest X-Rays, CT scans. Do continue to take the medicines you have been prescribed. You need to get treated & take medicines for six to nine months to make sure all TB bacteria are killed. Since TB drugs are very strong you need nutritious homemade food. Foods rich in protein, vitamins, calcium, iron & minerals can be taken. You can take multivitamin supplements. Keep yourself well hydrated. Take fruits & berries. Avoid alcohol & tobacco, coffee, greasy oily food, trans fatty acids, refined products like sugar, white flour, etc. Stay away from any kind of addictions. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician