Diabetes, tuberculosis, bronchial,
Question: My dear doctor. Maybe my question does not apply to your practice, but I beg help allay my fears. I'm 48 years old, sick IDDM 13 years. For almost a year very sore right arm. The pain starts at the shoulder and gave the elbow and then in the fingers. In July, apart from anything I recognized tuberculosis of the right lower lobe bronchus. We take anti-TB drugs, in the bronchi do fill kanamycin with tubazitom. My question of pain in the hand can not be associated with tuberculosis, bone or joints in the hand, may be an infection got there? "What are obvious signs of the disease. At the hospital, no surgery, and without it no picture shall designate an attending physician said that the hand is not in his competence. Neurologist watched, made the appointment and Medokalm Keterol puncture. But I think what if it is tuberculosis and nothing I will chop and so there is no living space from the injections. In his hand this tyanuchaya pain analgesics and massage does not help. The hand does not rise high and stopped gadfly ago. The pain is present almost constantly. At night I sleep on my stomach Bending the arm at the elbow and pressed it to his body.
Answer: Such pain (along the arm) are characteristic of the nerve roots (with osteochondrosis and other diseases of the spine) – so the neurologist recommended that drugs that reduce radicular pain. For the complications of diabetes such pain is not typical for tuberculosis – most likely, too. To eliminate tuberculosis of bones really done their X-ray, but do not about any pain in the extremities in patients with tuberculosis do X-rays! There are other signs are identified in the survey, which suggest, likely bone tuberculosis or not. In any case – manifestations associated with bone tuberculosis, will fall under the influence of anti-TB drugs. In an extreme case, if in doubt – write Phthisiology (on our forum or anywhere else) detail the history of tuberculosis, ask whether there are grounds for X-ray study (If the background of injections, the pain will not work before:)