How do you treat TB of the colon?
All the diagnosed cases of gastrointestinal TB should receive at least 6 mo of antituberculous therapy which includes initial two months of therapy with isoniazid, rifampicin, pyrazinamide and ethambutol thrice weekly[12].
What is tuberculosis of the colon?
Like Johne’s disease of cattle, intestinal tuberculosis is a chronic wasting disease characterized by a roughened, rugae-like appearance to the intestine. In small animals it is sometimes clinically possible to palpate the thickened intestine. A thickened colon is sometimes palpable rectally in large animals.
Can intestinal tuberculosis be cured?
TB cases were followed-up for a median of 7.1 months (maximum 16.9 months). Final outcome was recorded for 92% of gastrointestinal TB cases. Of these, 79% successfully completed treatment or were cured; no case of treatment failure was recorded.
What are the symptoms of intestinal tuberculosis?
Clinical features of intestinal TB include abdominal pain, weight loss, anemia, and fever with night sweats. Patients may present with symptoms of obstruction, right iliac fossa pain, or a palpable mass in the right iliac fossa.
How long does it take to cure intestinal tuberculosis?
Most current guidelines recommend treating people that have abdominal TB with antituberculous treatment (ATT) for six months, but some clinicians treat for longer periods due to concerns that six months is not adequate to achieve cure and prevent relapse of the disease after the end of treatment.
Can intestinal TB relapse?
TB infection can relapse many years after initial treatment, so ideally long follow‐up periods are required to assess relapse rates. However, most deaths associated with abdominal TB seem to occur within the first weeks after diagnosis (Mamo 2013).
Can you have TB in your colon?
Besides the terminal ileum, several small case series have described TB affecting the colon. TB of the colon is rare and hence it can be misdiagnosed as colon cancer, inflammatory bowel diseases, ischemic colitis or infectious colitis (also endemic in areas with high prevalence of TB).
What should not eat in TB?
As a TB patient, you must avoid caffeine, refined sugar and flour, sodium, and bottled sauces. Foods containing saturated and trans fats worsen the TB symptoms of diarrhoea and abdominal cramping and fatigue. Additionally, alcohol and tobacco are a definite no-no during the disease treatment and cure phase.
How long should abdominal tuberculosis be treated for?
Six-month therapy for people with abdominal tuberculosis. Most current guidelines recommend treating people that have abdominal TB with antituberculous treatment (ATT) for six months, but some clinicians treat for longer periods due to concerns that six months is not adequate to achieve cure and prevent relapse of the disease after the end…
Are there any RCTs for intestinal TB treatment?
We included three RCTs, with 328 participants, that compared six-month regimens with nine-month regimens to treat adults with intestinal and peritoneal TB. All trials were conducted in Asia, and excluded people with HIV, those with co-morbidities and those who had received ATT in the previous five years.
Which is the first line of treatment for TB?
Of the approved drugs, the first-line anti-TB agents that form the core of treatment regimens are: 1 isoniazid (INH) 2 rifampin (RIF) 3 ethambutol (EMB) 4 pyrazinamide (PZA)
Why is it important to take care of TB patients?
It is very important that people who have TB disease are treated, finish the medicine, and take the drugs exactly as prescribed. If they stop taking the drugs too soon, they can become sick again; if they do not take the drugs correctly, the TB bacteria that are still alive may become resistant to those drugs.