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what is t.b of abdomen

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my brother age 39 has been hospitalised and the doctors r not able to confirm the diagnosis. they r saying he has t.b of the abdomen ,his one kidney has shrunk and the artery to the second one has calcium deposits, he is having fever of 103 everyday.they have aspirated the fluid from his abdomen it is straw colored but the test has not confirmed anything........
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replied March 27th, 2017
Welcome to e health forum.

It is difficult to make a diagnosis without a complete medical history and physical examination.

TB of the gastro intestinal tract (digestive system) and abdominal cavity is known as abdominal tuberculosis.

Tuberculosis infection of the abdominal cavity is a extension of the systemic infection usually in the lungs. Clinical feature of abdominal tuberculosis is varied. The most common symptoms are pain in the abdomen, loss of weight, anorexia, recurrent diarrhea, low grade fever, cough and distension of abdomen.

Diagnosis can be confirmed by isolating the TB germ from the digestive system by either a biopsy or endoscopy. However, other supportive tests that may be done are the Mantoux test, Chest X-Ray, Abdominal X-Rays (with or without barium) and scans such as ultrasound and CT scan.

Abdominal TB needs to be treated with at least 3-4 anti TB drugs for the initial 2 months and subsequently 2 anti TB drugs for at least 7-10 months.

Surgery is required whenever there is perforation, abscess or fistula formation.

Continue to work with your doctors and hopefully your brother would get well soon.

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