Some of his symptoms, like joint pain and loss of appetite, can indeed be side effects of his tuberculosis medications, particularly Ethambutol (in Akurit 3) or Levofloxacin (L cin). However, the persistent cough, fever, and high ESR of 110 suggest active inflammation or infection that needs careful evaluation. Please do not stop any of his medications. It is highly recommended to consult his treating doctor or a pulmonologist promptly. They will likely order liver function and uric acid tests to safely adjust his therapy and help him feel much better.

Spinal tuberculosis is a deep infection, and healing of the spine bones takes time?often six months or longer. Your AKT 4 kit (anti-TB medications) and Benadon 40 (vitamin B6) are working hard to clear the infection, while Myospaz Forte helps with muscle discomfort. It is quite common to still experience pain at this stage of your recovery. Please continue your medicines faithfully, keep using your brace, and follow up with your doctor.

A month and a half of your medication regimen?which includes rifampicin, isoniazid, ethambutol, and pyrazinamide?is often not enough time to see a visible reduction in size. Sometimes, the nodes can even temporarily enlarge before they shrink. Surgery is rarely necessary and is generally not recommended at this stage. I highly encourage you to continue taking your prescribed medications consistently and discuss your progress with your doctor, who can monitor your healing safely.

The hoarseness is a common side effect of the Maxiflo 250 inhaler. To resolve this, always rinse your mouth and gargle thoroughly with warm water after every inhalation. To safely regain weight while taking Akurit 4 and Benadon, focus on a high-protein, high-calorie diet. Include foods like eggs, milk, tofu, lentils, bananas, and nuts. Avoid oily, spicy foods, as your liver needs gentle care during tuberculosis treatment. Stay well-hydrated and rest. Please share these symptoms with your doctor at your next visit.

A biopsy and CT scan are highly reliable for confirming tuberculosis (TB). His prescribed Akirit-4 (anti-TB therapy) and Benadon (vitamin B6) are standard, appropriate treatments. Maxiflo 250 (a fluticasone/salmeterol inhaler) helps his breathing, but its steroid component is the likely cause of his hoarse voice and altered taste. To manage this, have him rinse his mouth and gargle with warm water thoroughly after every inhaler use. Weakness is common during TB recovery; prioritizing rest and a protein-rich diet will help. Please consult his doctor to monitor his progress.

Yes, it is entirely possible and quite common. Even if phlegm and blood tests are negative, TB bacteria can hide deep in lung tissue, which is why the needle biopsy is so helpful. Since the biopsy showed signs of TB alongside sarcoidosis, his doctor is taking a safe, proactive approach. Akurit-4 contains essential medicines to treat TB, and Benadon (vitamin B6) is prescribed to protect his nerves during this treatment. The Maxiflo inhaler will help soothe his inflamed airways and ease his breathing. It is very reassuring that his medical team has identified these signs and has a clear plan to help his lungs heal.