Is intestinal tuberculosis curable?
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Is intestinal tuberculosis curable?
Abdominal tuberculosis rates are rising, consistent with the overall trend. Nonspecific features of the abdominal tuberculosis result in difficulty in establishing a diagnosis. After a diagnosis has been established, prompt initiation of treatment helps prevent morbidity and mortality as it is a treatable disease.
What causes TB of the intestine?
Mycobacterium tuberculosis is responsible for most cases of intestinal tuberculosis, although in some developing countries, cases caused by M. bovis, an organism found in unpasteurized dairy products, still occur.
How do you know if you have intestinal TB?
The diagnosis in gastrointestinal tuberculosis and dry peritonitis can be reached by endoscopy. The diagnosis in solid organ lesions can be reached by ultrasound-guided aspiration. The diagnosis in wet peritonitis and lymphadenopathy can be reached by ultrasound-guided aspiration followed by laparoscopy if needed.
How is gastrointestinal tuberculosis treated?
Medical Therapy
- A standard four-drug regimen, consisting of isoniazid, rifampicin, pyrazinamide, and ethambutol, is recommended for ATT in intra-abdominal/gastrointestinal tuberculosis.
- Most treatment guidelines recommend a 6-month course of ATT for luminal TB.
Can you have TB in your intestines?
Intestinal tuberculosis is a rare disease in western countries, affecting mainly immigrants and immunocompromised patients. Intestinal tuberculosis is a diagnostic challenge, especially when active pulmonary infection is absent. It may mimic many other abdominal diseases.
Can stomach TB spread?
In the setting of active pulmonary TB or miliary TB, abdominal involvement may develop via hematogenous spread via contiguous spread of TB from adjacent organs (such as retrograde spread from the fallopian tubes) or via spread through lymphatic channels [2].
What can you eat with gastrointestinal TB?
People with TB often have a poor appetite initially, but having more frequent food intake can be helpful….These are:
- Cereals, millets and pulses.
- Vegetables and fruits.
- Milk and milk products, meat, eggs & fish.
- Oils, fats and nuts and oils seeds.
When is surgery required for abdominal TB?
Surgical treatment About 20–40\% patients with abdominal TB present with an acute abdomen and need emergency surgical management. Chronic patients with subacute obstruction are managed conservatively and surgery is planned after suitable workup.