Home>> ABDOMINAL TUBERCULOSIS
Meaning and Definition of Gastrointestinal tuberculosis
Tuberculosis is a condition that can severely affect your lungs. But the sad fact remains that tuberculosis, shortly abbreviated as TB, can impact your abdominal muscles, as well, say your intestines. Tuberculosis is mainly formed on the walls of the gastrointestinal tract, on account of tubercle deposits.
These tubercle deposits can either be formed asSingle tuberclesUlcerations or asClamps or lumps of tubercles.
Tuberculosis can spread and affect any part of the intestinal walls around the abdominal muscles. One can affirmatively say that, the most commonly affected region would be the ileocecal region, strategically located on the upper right quadrant of your abdomen. You can also find that, people who are residing in developing or underdeveloped countries are more vulnerable to developing a gastrointestinal tuberculosis. HIV infections reduce the capacity of the body to fight infections. Hence you are more susceptible to developing a GI tuberculosis.
Types of Tuberculosis
You find that there are three major types of tuberculosis, which can impact your intestines. These are
a) Ulcerative form: Several ulcers form the upper tract of the intestines, causing deposition of tubercles. Hence gastro intestinal tuberculosis takes active shape, impacting millions of people across the globe.b) Hypertrophic form: These are thick fiber like structures that can scar your bowels and lead to fibrosis. This form takes a rigid appearance and can depict images of cancerous cells.c) Ulcer-hypertrophic form: A combination of ulcer and hypertrophic forms.Causes for developing a tuberculosisThese are the following reasons on a broader note, to developing a tuberculosis on your gastrointestinal tract. They areAccumulation of infected sputum inside your lungs or intestines.Infections spread from adjacent lymph nodesCystic fibrosisContagious or infected fallopian tubesBlood related disordersSymptoms of a Gastrointestinal TuberculosisYou will be experiencing the following symptoms, just in case you are diagnosed with a gastrointestinal tuberculosis. These include1. Abdominal tenderness2. Loss of appetite3. Fatigue or tiredness4. Fever/Chills5. Diarrhea6. Constipation7. Pain near the upper quadrant of the abdomen and8. Continuous sweating during the nights.Diagnosis of Intestinal tuberculosisImaging tests
These include X-Rays, CT scans and Ultrasound, to detect abnormalities within the stomach as well as intestines. Growing lumps or ulcers can be detected with the precise images, given away via these tests.
Liver tests are done to check the level of serum albumin levels.Endoscopy and Laparoscopy
Needle incisions are done via laparoscopic methods, to piece through skin and take samples of damaged tissues. Endoscopy also reveals abdominal movements.
Treatment procedures for tuberculosis affecting your intestines Medication
You will initially be supplied with drugs to subside the symptoms of tuberculosis. These are anti-tubercular drugs. They are
PyrazinamideIsoniazidEthambutol and rifampicin
Depending upon the response the drugs provide towards relief, your doctor further decides whether to go in for a surgery or not.Surgical Options
A corrective surgery is adopted, by incising the infected area, removing the tubercles and then stitching the area upright. Open ended or laparoscopic incisions can be opted. As the correction surgery is done with strictures, this method is also known as stricturoplasty.
Perforations are made in the intestines with the help of resection. The procedure is also known as anastomosis.
Intestinal obstruction is initially treated with drug therapy, before moving on to corrective surgeries, as stated above.