How to treat TB and cortical kidney cysts found in CT scans?

Hello,

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Weight loss can definitely be explained by TB (tuberculosis) abdomen but before starting TB medicines it requires confirmation of TB for which you may require a biopsy test. If you can kindly upload the CT (computed tomography) abdomen report I can tell you which part have to be biopsied? The renal cortical cyst is not of significance if your serum creatinine (blood test) is in normal limits.

You said that previous infection was found in urine culture report, when exactly it was done? Were you treated for that, if not kindly upload the report?

Hello,

Welcome back to icliniq.com.

Went through the reports of your father. (attachment removed to protect patient identity).

See the most common cause of small bowel thickening is tuberculosis. But another important cause is intestinal cancer. Without biopsy, we will not be able to differentiate between TB and cancer, as weight loss is seen in both the conditions. So I strongly advise you to get an intestinal biopsy and get analyzed HPE (histopathological examination) for TB and cancer. If it comes as tuberculosis, then he can be started on tab AKT 4 once a day for six months. But if it comes as cancer, you may have to consult an oncologist.

As of urine infection is concerned continue Amikacin injection the same dose, but give it for ten days and repeat the urine culture after completion of Amikacin. As of time taken to stop weight loss if it is TB within one to two weeks, it will stop and he will start gaining weight, but if it is cancer then it may take months.