Anti Tubercular Drugs

A multidrug regimen is followed to treat tuberculosis, which can be either first-line drugs or second-line drugs. First line drugs are given for new patients of TB, and the drugs include Isoniazid, Rifampin, Pyrazinamide, and Ethambutol. Second line drugs are used in case of drug-resistant TB, the drugs like Fluoroquinolones, Amikacin, Kanamycin, Linezolid, etc. are used.

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What happens to a person taking ATT medicines when not having tuberculosis?

Query: Hi, What happens to a person taking ATT medicines, when not having tuberculosis?  Read Full »


Dr. Vinod Kumar Atreya

Answer: Hi, Welcome to icliniq.com The ATT medicines are multiple drugs given in combination to treat tuberculosis. Some drugs are bacteriostatic and some are bactericidal to the causative organism of tuberculosis i.e,Mycobacterium tuberculosis. The person on ATT and not having tuberculosis may or may not ...  Read Full »

What is the possible link between Koch's disease and irregular periods?

Query: Hello doctor, My wife is suffering from irregular and painful periods from more than a year. We went to the doctor, and he told us to perform several tests like serum vitamin, serum prolactin, thyroid function, hemogram, calcium level, and Mantoux test. The reports, which I have attached, showed th...  Read Full »


Dr. Sanjay Kumar Bhattacharyya

Answer: Hello, Welcome to icliniq.com. This is a case of irregular, painful periods, which is not uncommon among the woman who has not become a mother yet. I have gone through the report (attachment removed to protect patient identity), but I could not find anything suggestive of tuberculosis (Koch's diseas...  Read Full »

How treat duodenal stricture and colon obstruction caused by abdominal tuberculosis?

Query: 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.  Read Full »


Dr. Happykumar Kagathara

Answer: Hello, Welcome to icliniq.com. Abdominal tuberculosis requires antituberculosis drugs for sure, but if a stricture is present even after taking medications for 3 to 4 months, then surgery is recommended to relieve obstruction due to stricture. Presently, she is neither able to eat nor able to pass...  Read Full »

Is it fine to take Unwanted 72 while taking TB treatment?

Query: Hi doctor,My wife is under treatment for TB. She is fine with good weight and doing her normal routine. Can she take Unwanted 72?  Read Full »


Dr. Rahul Rathee

Answer: Hi, Welcome to icliniq.com. I can understand your concern. Your wife can definitely take Unwanted 72 (emergency contraceptive pill) while on treatment for TB (tuberculosis). There is absolutely no problem at all in taking it. For further doubts consult a general medicine physician online --> http...  Read Full »

Does my mother's CT scan show anything about her back pain?

Query: Hi doctor, My mother has been having back pain in the area of ribs for the past three months. She had a CT chest, which showed lytic lesions in D9, D10, and L1. She also had a PET-CT. Her ESR, CBP, RFT and LFTs are normal.  Read Full »


Dr. Nagaraj Patil

Answer: Hi, Welcome to icliniq.com. The history of a chronic backache for three months with CAT scan showing lytic lesions and histology (attachment removed to protect patient identity) suggestive of granulomatous inflammatory changes suggest mostly tuberculosis of the spine. The patient has to take antitub...  Read Full »

Does tuberculosis recur after treatment?

Query: Hi doctor, I am having left side hip pain for the last six months. I am using an elbow crutch while using the staircase, wearing hip support to manage pain. I did MRI two months back, and it showed mild synovitis in the left hip. The doctor suggested a blood test suspecting TB in the hip, but that ...  Read Full »


Dr. Jebin Abraham

Answer: Hi, Welcome to icliniq.com. TB (tuberculosis) can recur at any time in any organ after treatment. Bone TB diagnosis is based on a probability basis and not 100% sure in most cases. You need to try TB medicines and see. 1) Yours is likely a bone TB. But there are several diseases causing synovitis...  Read Full »

Will TB treatment affect my HIV test results?

Query: Hi doctor, I had unprotected sex before 1.5 years. I was in deep mental stress after that with no proper food. After seven months, I got admitted to a hospital with skin rashes, headache and vomitings. Doctors tested and confirmed that I got meningitis TB and given treatment for 10 days. I was asked...  Read Full »


Dr. Rakesh Kumar Bahunuthula

Answer: Hi, Welcome to icliniq.com. Unprotected sexual exposure is a risk factor for multiple STDs (sexually transmitted disease), including HIV. However, the risk is quite low ranging from 0.02 to 0.04%. HIV infection has a window period of one to three months during which the test results can be false ...  Read Full »

Does my test suggest active TB infection?

Query: Hi doctor, During fitness examination I got know that I have bilateral apical pleural thickening in the chest x-ray, but neither in the past or current, I have any health complaints. So, the further investigation I did was PPD skin test and QuantiFERON TB gold test, which is positive 20 mm and 3.42 ...  Read Full »


Dr. Rohit Jain

Answer: Hi, Welcome to icliniq.com. I have gone through your case, and I am of the following opinion. Your blood test and skin test are surely positive and are indicative of active tuberculosis. Your x-ray shows minimal pleural thickening, which shows past lesions. Now the issue is that you might have had s...  Read Full »

Will my testicular infection spread to my partner through unprotected sex?

Query: Hi doctor,My left testicle is swollen, and it pains sometimes. Doctors say that there is some infection. I was prescribed with AKT-4. Three months back, my semen analysis report showed pus cells 2-4 hpf and RBC 2-4 hpf. My present report showed pus cells nil and RBC nil. Semen culture report showed...  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. From the available description, it appears that you suffered from epididymo-orchitis due to tubercular infection. Although the urine culture and microscopy report showed all normal, it is advisable to use protection while in...  Read Full »

After TB treatment, my daughter developed hepatitis. What to do?

Query: Hi doctor, My daughter, who was a medical college student, was suffering from high fever and the doctor ordered an x-ray and it turned out to be a pleural effusion. Cytology was negative, so was the PCR for TB, the fluid was straw colored lymphocytes rich 90% with some neutrophil and mesothelial cel...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. We are here to help you. Yes, INH (Isoniazid) and Rifampicin are the actual culprits for the development of hepatitis. The best way is to reintroduce INH in a very small dose and gradually increasing it to the original dose with the monitoring of liver function tests. So...  Read Full »

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