How to manage abdominal tuberculosis and duodenal stricture?

Question

Hello doctor,

My mother has abdominal tuberculosis, duodenum stricture, and obstruction in rectosigmoid and distal sigmoid colon. She does not take any food, not even liquid food. And she does not pass urine and stools from the past four months. Please help.

Answer 1

Hello,

Welcome to icliniq.com.

Abdominal tuberculosis requires antituberculosis drugs for sure, but if a stricture is present even after taking medications for three to four months, then surgery is recommended to relieve obstruction due to stricture. Presently, she is neither able to eat nor able to pass stool due to strictures. If her overall general condition permits, the small intestine is intact, then she should undergo feeding jejunostomy to provide nutrient directly into intestine bypassing the duodenal stricture. For rectal and anal canal stricture, which is responsible for constipation, she might require enterostomy for diversion of stool. Although, before considering surgery as a treatment option, she must be evaluated for non-surgical options to treat strictures, endoscopy-guided dilatation.

Hope I answered your query. If you have any further doubts, I would be happy to help you.