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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is Causing Sickness In The Stomach?

Hi I underwent to a chest xray and the result is non specific recticulonodular foci in the (L) upper lobe could be due to pneumonia or koch s infection. My illness has started as sore throat and developed into a cough for 4 days but I got that xray result. So I went to a pulmonologist and he gave me a diagnosis of ptb r/o pneumonia and prescribed an anti-tb meds that I have to take before I undergo to a sputum test? I had also a history of ptb last 2009 through xray only because the sputum tests were negative but the doctor said I have to take the 6 mos medication though the results is negative and I had also consulted the reaction of medicine I ve got during the period of medication, I had a yellow skin, vomitting, gastritis, stool become orange, problem with my eyes. Eventhough I confess all of my reaction to that anti tb drugs he still insists to complete the 6 mos medication. I had no choice but to take it. My question is do I have to believe on his diagnosis for this year over the results of an xray?
posted on Thu, 13 Mar 2014
Twitter Mon, 21 Jan 2019 Answered on
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Internal Medicine Specialist 's  Response
Hello,

Reticulonodular foci in the (L) upper lobe is most likely due to TB(reactivation) in view of the past history of treatment for pulmonary TB (Sputum negative).

I feel go for HRCT Chest and take a course of non-tubercular antibiotic for 10 days and repeat CT chest after 10 days.

Go for sputum test for AFB for 3 days and also Sputum for Gene expert meanwhile.

If there is no resolution or increase in nodularity -go-ahead for Anti-tubercular treatment (minimum 06 months) avoiding hepato-toxic Anti-TB drug like INH, Rifampicin & Pyrazinamide.

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

Take care

Regards,
Dr Tushar Kanti Biswas, Internal Medicine Specialist
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What Is Causing Sickness In The Stomach?

Hello, Reticulonodular foci in the (L) upper lobe is most likely due to TB(reactivation) in view of the past history of treatment for pulmonary TB (Sputum negative). I feel go for HRCT Chest and take a course of non-tubercular antibiotic for 10 days and repeat CT chest after 10 days. Go for sputum test for AFB for 3 days and also Sputum for Gene expert meanwhile. If there is no resolution or increase in nodularity -go-ahead for Anti-tubercular treatment (minimum 06 months) avoiding hepato-toxic Anti-TB drug like INH, Rifampicin & Pyrazinamide. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist