Abd pain &weight loss over 2yrs
1st Gastroenterologist in hometown-perform ColoSco &takes biopsy,biopsy reports-NoMTB detected,CTScan suggests TB,AKT started 2May19-stops Pyzina&Combutol after 2months in July due to swollen ankle&knee,weight gain-3kg in 1st 2months of AKT,after discontinue Pyz&Comb pain starts and wt. decrease.He suggest 2nd ColoSco bt takes no biopsy,says ulcers hv healed bt IC narrow,keeps on experimenting wd other medicine&pain killers. Decide to change dr
2ndGastro in hometown on27Sept19- increases dose of Rcin,Isokin&prescribe Mesacol,mild relief wd wt gain for only 15days, pain starts again&wt decrease,decide to visit Apollo HYD.
3rd Gastro at Apollo 23Oct19- performed adv ColoSco,takes many biopsy-ileal biopsy- large coalescing granulomas wd giant cell&patchy mixed infiltrate of lymphocytes(mostlyTB,
HIV=-ve,AFBCultureTissue(BACTalert3D)takes 2months,
Refer InfectiousDiseaseSPL-prescrib Rcinex wd Bevon-wait for AFB.
Pls share weight gain tip & your view. Thanks