Conversation: The conversation between human and AI assistant.
[|Human|] sir,i was effected abdomen TB last Two years , I complete course and last one years i feel ok not any problem and no medician. Now i feel that my abdomen are large size and tight after food but i have no any symtom like no fever, no pain, no lose wts. I dought for again abdomen TB.
[|AI|]  Hi. Thanks for your query. Read your history and understood the problem. It is good that you had been diagnosed and well treated for Tuberculosis of abdomen. Since you were asymptomatic for last year the chances of an active TB of abdomen is remote. The probable causes for belatedness and tightness of your abdomen can be: Intestinal sub-acute intestinal obstruction due to stricture formation of intestine; this is quite common sequel. Can be a mild gastroenteritis. I would advise you the following. X-ray of the abdomen in standing position. This is the cheapest and simplest test to see for intestinal obstruction. Ultrasonography and CT scan of the abdomen to confirm. Routine tests of blood and urine. Enterocolitis if obstruction is suspected, Diagnostic Laparoscopy: this helps in diagnosis and well as therapeutically. One can cut the bands / release the adhesions. Take a course of an antibiotic and metronidazole for 5 days, is there is a response, nothing to worry. - Maintain healthy food habits, avoid too many fibrous foods as they can cause repeated sub-acute intestinal obstructions. If no relief further investigations and treatment will be required.