Suggest treatment for high fever, cough & pain in the limbs
Patient: I Mrs. Bandana Som, age - 43, is suffering from symptoms like high fever at every evening, coughing, pain at hands and legs. Then I met with my family doctor had few tests. The reports are :- 1) Chest PA view shows patchy opacities at Rt.lung upper lobe. Few tiny calsifications are noted at Lt. upper lobe. Both costophrenic angles are clear.Likely to be Reactivation of koch's lesion at Rt. side.Plasma Glucose( fasting ) = 130.00 mg%Plasma Glucose( P.P.) = 157.00 mg%Now I had been told I got T.B.Now, I Want to be get treatment get well soon. Can you help me ? Doctor: Dear Ma'am, Hi & Welcome.I can understand your concern. Tuberculosis is 100% curable disease. To treat active TB, it is necessary to take several antibiotics at the same time for at least 6 to 9 months depending upon the severity.For the 6 months regimen;You are required to take 4 antibiotics like Isoniazid, Rifampicin, Ethambutol and Pyrazinamide ONCE daily for the first TWO months (Initial phase). This is followed by administration of 2 antibiotics like Isoniazide & Rifampicin ONCE daily for remaining 4 months (continuation phase). There after you will be rechecked again by certain lab tests such as Sputum for AFB, ESR, Chest Xray, etc to check the response to the treatment.Along with medications you need to take a high protein diet, increase the intake of fruits and vegetables and Vitamin B6 (Pyridoxine) to prevent the side effect of inflamed nerves caused by Isoniazide.Your fasting blood glucose level is high, so you also need to take medications like Metformin with or without Sulfonylurea like Glimepride to control the high blood glucose after consulting a physician.Hope the suggestions given above would be useful.