Have secretion from head, weight loss, sore throat, tonsillitis. Medicines prescribed. Possibility of tubercular meningitis?
Patient: im 46 years old ... since the past 3-5 years , i have been facing the problem of getting secretion from the upper side of head ... i am experiencing weight loss of approx 7 kilos , sore throat and tonsilitis frequently ... doctor , ENT specialist advised me levocetrizine dihydrochloride and montelukast sodium tablets ... azelastine hydrochloride and fluticasone propionate nasal spray .... i am afraid if im developing tubercular meningitis ...my mother recovered from TB meningitis 3 years ago ..... please help with your valuable advice .. Doctor: Dear Rajesh,  Getting treatment for your current symptoms from an ENT specialist is different matter but for your weight loss of 7 kg, you must see a good physician. The physician will rule out many conditions which cause weight loss in a person who is not trying weight management intentionally. Common conditions being diabetes, hyperthyrodism, HIV infection leading to AIDS, TB, hypocortisolism, chronic diarrhea which deprives the body of nutrition from the eaten food etc. Certainly your family history of TBM will help them take decision by having look at you whether you also need to be tested for any kind of TB as it is also one of the causes for weight loss. He/she will also see if the discharge is treated appropriately or not. So see the doctor and ask what all investigations are necessary. Wish you all the best.