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Pulmonary Koch's patient

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I am a Pulmonary Koch's patient and taking medicines from the past 9 months. I visited my doctor this week, and he told me that the spots on my Xray will remain forever. He suggested that the medicines course will be finished next month probably. I want to ask if this is true that some spots on the Xray will always remain? Also, My doctor is giving me BP medicine -Olmat AM. Earlier I was not suffering from High BP. Is this a side effect of Pulmonary Koch's medicines like Akurit-4, Akurit 3 etc I have taken from the past 9 months. I am still suffering from breathing problem which is very low as compared to earlier. I am taking Deriphyllin Retard 300 and Combitide 250 Inhaler 2 times a day. Will I overcome with the breathing problem. What measures should I take in future. Please help.

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replied September 25th, 2010
Tuberculosis Answer A16292
Hi, and thanks for your medical question on eHealth forum!

Yes, Isoniazid in antitubercular regimen can cause high BP. Also you need to get your liver function assessed as these go haywire on antitubercular therapy and may cause raised BP.

If the X-ray has a fibrotic patch or a calcified nodule or round nodules without air spaces around them could persist and are due to inactive lesions. Hence if it is any of these you need not worry. However if it is a nodule with poorly defined margins, a cavity, opacity of air spaces, or scattered opacities then it is still an active lesion.

Hence if lesions are persisting then it can be due to drug resistant tuberculosis or incomplete treatment. Please take a second opinion regarding your treatment either from a disease specialist or a chest specialist. Take care!
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