Patient's Query
Hello doctor,
I had tailbone pain. I started having pain in my left buttock and upper thigh after a month. The severity increased, and I found it difficult even to walk. I was advised the tablet Nucoxia for a week, but even taking it, the pain was severe. I then had an MRI scan done and was diagnosed with a left psoas abscess. It was diagnosed after one to one and a half months after the pain started. I have been taking AKT-4 tablets for one month. The pain increased a little, shifted to the right leg also, and now it seems to be decreasing. Now, I can walk normally. However, when I sit, I still have pain in my tailbone. Along with this, the doctor said that I have ankylosing spondylitis, for which I am taking Ayurvedic medicine. I have been told to repeat the MRI to check the progress after a month. How long does it take for the pain to fully reduce once AKT 4 has been started? In the MRI, it was mentioned that the infection process was most probably Koch's, but how can this be confirmed?
For ankylosis, I was prescribed the tablet Saaz, but the Ayurvedic doctor told me that it is an immunosuppressant and since immunity is necessary for Koch's disease, I discontinued taking the tablet after a week. Along with this, I am taking Folic acid and Benadon 40 mg tablets. What foods can help to build immunity? Please help.
Thank you.
Hi,
Welcome to icliniq.com.
We are elated to have you on board at icliniq.com.
I have gone through your reports (attachments removed to protect patient identity). You have Potts spine, which is similar to tuberculosis of the spine. It takes almost six weeks for AKT (Ethambutol and Isoniazid) to work. It is a slow process. With medicines, your systemic symptoms should improve, such as weight loss, loss of appetite, and any fever (if any). If these symptoms are improving, then your medications are working. Another thing that you need to do is to get your ESR (erythrocyte sedimentation rate) done. If it has a decreasing trend, everything is fine. No need to get an MRI (magnetic resonance imaging) done. There is no role for food. I suggest having a balanced diet.
I hope this information helps provide some insight into your symptoms.
Please do not hesitate to reach out if you have any further questions or concerns.
Thank you.
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Answered byDr. Anuj Gupta
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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