Hello doctor, It all started with tailbone and sit bones pain. After one month, left buttock and upper thigh started to pain, severity increased and was difficult to walk. I was advised Nucoxia for a week but even after that severity was the same, then I had MRI scan and was diagnosed left psoas abscess (infection process most probably Koch's). It was 1 to 1.5 month since the pain started and until this was diagnosed. I am taking AKT four tablets since one month. In this period pain increased a little, shifted to right leg also and now seems to be decreasing. Now I can walk almost normally but when I sit, tail bone and sit bones still pain. Along with this, the doctor said I have ankylosing spondylitis as well for which I am taking ayurvedic medicine. After 1.5 months I have been told to repeat MRI to check the progress. My questions are that how long does it take for the pain to fully reduce once AKT 4 has been started? (It is one month over for me). In MRI, it was mentioned infection process most probably Koch's, why is it most probably and not with 100 % confirmation? Which food needs to be taken for building immunity?
Hi. I have gone through your reports (attachment removed to protect patient identity). You have Potts spine which is similar to tuberculosis of the spine. see it takes almost six weeks for AKT (Ethambutol and Isoniazid) to work. It is a slow process. What you need to know is that with medicines your systemic symptoms should improve like weight loss, loss of appetite and any fever if you have. If these symptoms are improving, then your medications are working. Another thing is to get your ESR done. If it has a decreasing trend then that is fine. No need to get an MRI done. There is no role of food. Just have a balanced diet.