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Health Query

This is regarding my dad. He is 57 years old. Before 5 months back my dad is suffering from cough problem so we consult with local doctor and we have done the x ray and found that there is some water (Pleural Fluid) in right lung. So then we consult with chest and respiratory specialist doctor further we done the more test for this (Pleural Fluid) like AFB Culture, Cytology,and also we have done CT scan for chest and Sputum test all are regarding pulmonary tb. But all the report are showing normal. Also 15 days back we have done the bronchoscopy also for that one report came normal and we are now waiting for next report which will come after one month. This is case history Right now my dad taking the following medicine since last 4 months:- R-Cin 600 Rifampicin Capsules Ecox-800 Ethambutol Tablets Solonex Isoniazid Tablets 300 mg PYRIDOXINE HYDROCHLORIDE Tablets (VITAMIN B6) my question is how much time it require to cure this disease? Because my dad is still suffering from cough problem.

Dr. Mool Chand Gupta95%(37146 ratings)

MD - Pulmonary, DTCD

Pulmonologist•Faridabad

This is TB treatment which is not as per protocol and weight of patient. Also what wad report of ADA in pleural fluid, report of biochemistry an dcytology.

116 people found this helpful

Asked for male, 32 years old from Hyderabad

My father, aged 68, some 6 months back was diagnosed for Spine TB and he started on AKT4 for 2 months, AKT3 for the next month but had to stop due to vision loss and following 3 months was taking Rifampicin and Isoniazid. His vision is almost back with some eye power complaint but since last month he is complaining about arm pain near the shoulder joint. There is a slight muscular swelling possibly which we feel there. I read that Isoniazid can cause these side effects. What could be the reason and if it needs any urgent attention to treatment? FYI. He is taking 40 mg of pyridoxine, his blood work shows mild thrombocytopenia, haemoglobin = 11.4, platelet count=106, ESR has come down to 60, CRP has come down from 67 to 8.4. His back is almost gone.

Dr. Julie Mercy J David91%(41326 ratings)

Erasmus Mundus Master in Adapted Physica...read more

Physiotherapist•Chennai

Shoulder pain & armIt is called as peri arthritis shoulder and for that you can do hot water fermentation and ice therapy at home. If you have shoulder pain then the stiffness will develop more that might make the arm to have less improvement which might make you to feel more pain the arm. And also cervical pillow can be used which might make you to have better posture of the shoulder neck and arm.

129 people found this helpful

Health Query

Dear Sir/madam I diagnosed with TB on 6 jun 2018. I had plural fluid in my right lung so my doctor removed it and started the treatment of TB with AKT 4. I fill very well after the treatment started but from 22 jun 2018 again I am not filling well and the cough is again started. Today I was go to my doctor and tell him my cough again started. He advised me to do cheat x ray and ESR test. Todays ESR result is 92 which is 80 on 16 jun 2018. In chest x-ray also some amount of plural fluid is increased. Hence he prescribed me to 1.Dextromethorphan HBR and amylmetacresol lozenges 2.Moxifloxacin Hcl 3.cetrizine dihcl 4. becosules 5.AKT 4 6.pyridoxine Hcl. I want ask you that can cough increase after the treatment started or it may be due another reason.

Dr. Mool Chand Gupta95%(37146 ratings)

MD - Pulmonary, DTCD

Pulmonologist•Faridabad

Yes can increase. May need again drainage.

46 people found this helpful

Asked for Female, 63 years old from Bangalore

Hello Doctor, My Mother is suffering with heavy cough and we have consulted doctor and he told that my mother" Right Lung" has damaged, hence she is Coughing. He suggested below medicines. Even after taking medicines she is coughing daily (from last 10 years on wards she is suffering the same problem) Doctor please provide the solution if there any treatment (surgery) to recover the lung and to get rid of cough. Note: She is sugar patient and I have mention below sugar tablets. Cough Tablets: 1. Pirfenex (pirfenidone Tablets 200mg) 2. Cofstop -A (Ambroxol hydrochloride, Guaiphenesin, Terbutaline Sulphate and method syrup) 3. Deriphyllin retard 1504. Rabium -20 (Rabeprazole sodium tablets 20mg) Sugar tablets: 1. ZoryL-M 1 (GLIMEPIRIDE AND METFORMIN HYDROCHLORIDE (ER) TABLETS) 2. Stator 10 (Atovastari Tablets I. P) 3. Remylin D (Alpha lipoic Acid, Pyridoxine hydrochloride, Mecobalamin, Folic acid.

Dr. Pritam Mohapatra92%(1378 ratings)

Post Doctoral Research (Ph.D.) (A.M) (On...read more

Alternative Medicine Specialist•Bhubaneswar

Hi lybrate-user, I appreciate you seeking help. The medicines as prescribed by your mother's doc is suggestive of pulmonary fibrosis, and the consequent lung damage. Although the lung damage thus far cannot be undone, I still can help your mother arrest or slowdown the disease progression by intervening and complimenting the present conventional therapy with appropriate natural medicines. To be able to proceed with her integrative treatment, I will require all relevant details including her diag...more

Asked for male, 32 years old from Hyderabad

My father aged 68, some 8 months back was diagnosed for Spine TB and he started on AKT4 for 2 months, AKT3 for the next month but had to stop due to vision loss and following 5 months was taking Rifampicin and Isoniazid. His vision is almost back with some eye power complaint. Recent blood report shows hemoglobin at 11.5. He has recently started to complaint about burning sensation while peeing and frequent urination. His Blood urea, BUN is high and so is creatinine = 1.77. I read that Rifampicin could induce such problems. I consulted general medicine doctor and he was concerned and asked to remove azulix (sugar medicine) and include nefrolex for 5 days and then redo the KFT. however he thing rifampicin could rarely cause this kind of toxicity. FYI. He is taking 40 mg of pyridoxine, his blood work shows platelet count=130, ESR 70, CRP has come down from 67 to 8.4, LFT results are normal, His back pain is almost gone. Remarks of Hemogram: RBCs: Mild anisopoikilocytosis. Predominantly macrocytic normochromic with macroovalocytes. WBCs: Mild Leukopenia is present. Platelets: Appear mildly reduced in smear. Macroplatelets are seen. Urine has pus cells loaded.

Dr. Arunesh Kumar91%(203 ratings)

MBBS, MRCP - General Medicine, MRCP-SCE,...read more

Pulmonologist•Gurgaon

The ATT regimen in Acute kidney injury is slightly different to normal. Please see a pulmonologist.

7 people found this helpful

Asked for male, 32 years old from Hyderabad

My father aged 68, some 8 months back was diagnosed for Spine TB and he started on AKT4 for 2 months, AKT3 for the next month but had to stop due to vision loss and following 5 months was taking Rifampicin and Isoniazid. His vision is almost back with some eye power complaint but he is complaining about arm pain midway from shoulder joint and elbow. I read that Isoniazid can cause these side effects. Also recent blood report shows hemoglobin at 10.9. I read this could be due to Rifampicin. What could be the reason and if it needs any urgent attention to treatment? FYI. He is taking 40 mg of pyridoxine, his blood work shows platelet count=130, ESR 94, CRP has come down from 67 to 8.4, LFT results are normal, His back pain is almost gone. Other symptoms at this moment are slight numbness around feet, constipation and dizziness upon movement. Remarks of Hemogram: RBCs: Mild anisopoikilocytosis. Predominantly macrocytic normochromic with macroovalocytes. WBCs: Mild Leukopenia is present. Platelets: Appear mildly reduced in smear. Macroplatelets are seen. Sugar levels are normal 93/142 Blood pressure is bit low 75/115.

Dr. Mool Chand Gupta95%(37146 ratings)

MD - Pulmonary, DTCD

Pulmonologist•Faridabad

Arm pain is nothing to do with TB drugs. Haematological abnormality can be due to rifampicin, but not alrming to stop drug rifampicin.

60 people found this helpful

Asked for male, 29 years old from Delhi

If I am taking my isoniazid tablet in daily basis, (single isoniazid only as a preventative measure by my hiv doc) and irregularly taking vitamin b6 tablet. Is it going cause drug resistance? Any other side effects? It's very difficult to take 1st isoniazid then after half hour vitamin b6 then in night art medicine on time. But I have not skipped any dose of isoniazid and art. My only concern is regarding vitamin b6 irregular consumption. Thanks. And I have started taking isoniazid plus vitamin b6 from last one month.

Dr. Hemant Kumar95%(243 ratings)

MD, Diploma in Family Medicine, MBBS

HIV Specialist•Ghaziabad

Hello.
You are rightly given ipt along with pyridoxine as per rntcp guidelines.
Pyridoxine (vit b6) is given to prevent one side effect of isoniazid. Ie peripheral neuropathy. It has no role in the development of drug resistance to inh. So please take pyridoxine regularly and you can take it at any time of the day if you have a problem to take with other meds. Thanks.

Asked for female, 26 years old from Bangalore

My doctor suggested me to take folsafe tablet. Is folsafe plus tablet and folsafe tablet same.

Dr. Sajeev Kumar91%(40820 ratings)

C.S.C, D.C.H, M.B.B.S

General Physician•Alappuzha

Folsafe l tablet is a combination of l-methylfolate with pyridoxine and methylcobalamin.
Folsafe plus capsule contains docosahexaenoic acid, folic acid, methylcobalamin and pyridoxine as active ingredients.
As you can see both are essentially similar.

18 people found this helpful

Asked for male, 32 years old from Hyderabad

My father aged 68, some 8 months back was diagnosed for Spine TB and he started on AKT4 for 2 months, AKT3 for the next month but had to stop due to vision loss and following 5 months was taking Rifampicin and Isoniazid. His vision is almost back with some eye power complaint. Recent blood report shows hemoglobin at 11.5. He has recently started to complaint about burning sensation while peeing and frequent urination. His Blood urea, BUN is high and so is creatinine = 1.77. I consulted general medicine doctor and put him on nefrolex for 5 days and then redo the KFT. However, after taking this medicine he was complaining of back pain, joint pain, fever, mouth rash, loose stool and high glucose reading. Its 9 days since he started neroflex and 4 days he has stopped, his is left with stomach pain and high glucose reading. Will the high blood glucose subside soon? He was at 99/153 before and is reporting 145/225 now. We have eliminated almost all carbs barring greens, salad and increased protein to prevent any ill effects. He is taking gliclazide for sugar control. FYI. He is taking 40 mg of pyridoxine, his blood work shows platelet count=130, ESR 70, CRP has come down from 67 to 8.4, LFT results are normal, Remarks of Hemogram: RBCs: Mild anisopoikilocytosis. Predominantly macrocytic normochromic with macroovalocytes. WBCs: Mild Leukopenia is present. Platelets: Appear mildly reduced in smear. Macroplatelets are seen. Urine has pus cells loaded.

Dr. Pulak Mukherjee91%(13393 ratings)

BHMS

Homeopath•Hooghly

He is having urinary tract infection,,u should give him alkasol 2 spoon in a glass of water twice daily,,give him plenty of water,,with this he need proper homoeopathic treatment to cure all his problem along with allopathic medicine

55 people found this helpful

Health Query

Dear Doctor, Good Day! I am seeking treatment for my mother Age: 71, a widowed housewife. My father died before 30 years ago when I was only 3 years old, after that she got Diabetes. I think anxiety and depression regarding family maintaining and raising us for the past 30 years. I have found you very good doctor in Lybrate and other medical related apps. My mother’s condition is as described below: Current Complains: - Recurrent foot infections (After using antibacterial ointments Mupirocin, Dermavet etc.) - Dry foot - Pain, Burning and tingling sensation all over the body - Insomnia - Palpitations Chronic: Hypertension (avg 90/140) Diabetes (for 30 yrs) Nerve/Neuropathy pain Lower back pain / joint pain Osteoporosis Acidity and Digestion disorder Constipation Insomnia urine obstruction / Urin amount decrease often (Recurrently occurs) Current Medications: 1. Mixtard 30/70 (22 + 10 + 12 units) 2. Ecosprin 75 (0+ 1 + 1) 3. Metoprolol tartrate 50 mg (1+0+1) 4. Amlodipine 5 mg (1+0+0) 5. Losartan Potassium 50 mg (0+0+1) 6. Trimetazidine Mr. 35 mg (1+0+1) 7. Esomeprazole (1+0+1) 8. Calcium 500 and Vitamin D 200 IU (0+0+1) 9. Bromazepam 3 mg (takes in case of sleeplessness) 10. Neuro-B Thiamine Monotritrate, Pyridoxine HCL, cyanocobalamin (1+0+0) Now, I am seeking your kind suggestion over online. It will be a great help for me if you give me a proper treatment plan and I have also a plan to visit Kolkata within 10 days and will stay there for 3 to 4 days.

Dr. Shefali Karkhanis92%(507 ratings)

Dip.Diab, Fellowship Diabetology (Gold M...read more

Diabetologist•Thane

The nerve pain is due to long standing diabetes. That is what will lead to recurrent ulcers on feet. Please moisturise feet daily. Take treatment immediately if there is any sign of infection. Control diabetes and blood pressure well. Do not let her walk barefoot

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