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CRP is rising.
I have treated spinal TB at L2–L3 with a very large initial abscess (~1 liter), which has now reduced dramatically to a small residual collection (~9 mL) on MRI. Clinically I am much better now pain and stiffness are almost nil, and there are signs of bony fusion/healing. But instead of falling my crp rising upto 10 point in every 3 month it's now 55.
Actually before treatment my crp was 38.
And after that i took att4 for 2 month and my crp falls to 9 but as i started att3 it again rise month by month its now 55.why?
In my CBC I have anemia and albumin level is also very low (2.1) but total protein level is fine.my neutrophile is rised 80% but WBC is ok.
Answers (9)
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High crp is due to the changes, I.e. damage in spine due to T.B. While medicines cure infection, bony changes persist. If mild the progress can be halted by correct posture and spine strengthening exercises, diet rich in calcium and vit d3.Bur if more, it can be corrected by surgery only.
For anemia, take cap Siderfol one morning and one evening for 4 weeks, Tab neurobion forte one daily for 4 weeks,Proteinule powder morning and evening for 2 to 4 weeks.
Repeat tests after 4 weeks.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Take Vit C 1000mg chewables daily after lunch and breakfast and also you should start lifestyle and diet modifications..
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Hello,
I am Dr. Romain Rajan, General Physician (Ex Govt Medical Officer at RML Hospital, New Delhi), and your case has been allotted to me.
Thank you for explaining your history in detail. I understand your concern regarding the rising CRP.
Based on your information, you had spinal TB with abscess, which has significantly improved clinically and radiologically. However, your CRP rising from 9 to 55 needs careful interpretation.
⸻
Important understanding
CRP is a non specific inflammation marker. It can rise due to:
• Ongoing infection
• Residual inflammation from healing process
• Secondary infection
• Nutritional issues (your low albumin suggests poor nutritional status)
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Marker for chronic inflammation and its non-specific also.its take time to settle. No worry.
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Crp is a result of chronic inflammation you have to spine at present it reduce but its for long g time. Ok it slowly reduce with times. Anything develop fast but heal slowly.
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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