Proper Treatment Of Glandular Tuberculosis?
Hello wr.wb, my brother has been diagnosed with glandular tuberculosis for a long time. he had a biopsy, and everything was checked by the doctor and told to take TB medicine which was red. but while taking this drug, the side effects for him are very large, such as vertigo, his kidneys are not strong and his stomach is also weak which ends up with ulcers. and finally he stopped taking the drug in less than 6 months. and recently the symptoms of tuberculosis of his glands appear again, and he is thinking of surgery (removing the infected gland tuberculosis). yesterday he went to the doctor to consult for surgery but the doctor did not agree. So what does the doctor think about the treatment for my brother’s gland tuberculosis? Because he can’t take the red TB medicine. Should I have surgery or not? if the surgery will have any effect on my brother? please answer yes. Thank you
Hello Nurmaulah, thank you for asking at HealthReplies.com
Glandular tuberculosis is the presence of infection with the bacteria M. tuberculosis in the lymph nodes, where the main treatment for this condition is OAT (Anti Tuberculosis Drugs) which are taken regularly for 6-9 months. This drug should not be stopped by the patient for any reason, because if you have taken this drug some of the germs will die (symptoms may feel better) and some are still alive -- germs that are still alive can develop resistance (immune). to the drug. If you see from your description, where the drug is stopped on its own without a doctor's recommendation, then your relative's condition is included in the category of drug withdrawal, further treatment is needed for this condition.
Please note that the operation of the gland infected with tuberculosis is not the main therapy in its treatment. If your sibling experiences side effects while taking the drug, then you should see a doctor so that he is given treatment for the side effects of the drug. For now, we recommend seeing the doctor who treated your sibling again, or seeing an internal medicine specialist for a re-evaluation of your sibling's health. We can't confirm whether surgery is necessary or not if we don't do an in-person inspection. However, in general, surgery is performed if:
The cause of the enlargement of the gland is not clearly known Enlargement of the gland does not decrease after treatment Tends to increase in size Suspected of cancer So much information that we can convey, hopefully useful. Regards, Dr. Prasetyo