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Medical Forum / General / General / May 2005

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Question about Latent Conditions- TB, Cancer

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lordshiva5753@rediffmail.com - 28 May 2005 05:01 GMT
Hello,

I want to understand following aspect:-

Suppose a person is exposed to TB bacterias & gets some passing acute
reactions but didn't get it as full active stage. So he aquires latent
TB infections with out any symptoms. I think it is due to inability of
immunity to handle all the bacterias on its exposure at that time. Our
defence system then opt for 2nd option--arrest/encapsule these
bacterias as latent stage to stop their multiplication & spread or
starve these in capsule by arresting or wait for the right oppurtunity
by improving the immunity/defence power to kill them. Is it right?

Now suppose that person gets his immunity/defence power suitably
improved after some time to handle those hidden/dormant or encapsuled
bacterias OR weakens it.

What will happen? On improving the immunity--will those bacterias be
resurfaced/directly exposed to immune agents to kill them as a
"direction towards cure" & presenting an apparent impression of active
stage OR not? On weakenung the immunity--will these infecting agents
be resurfaced, multiply & spread as a "direction towards spread of
disease" OR not? Same can be thought about cancer.

In short; can impression of active stage/spread after a latency/tumor
formation be a direction towards cure on improved immunity AND a
direction towards increase in infection/disease on weakening of
immunity/defence power?

Best regards.
kumar - 28 May 2005 11:56 GMT
Sorry, I have one more question:-

Whether excess/low gastric acid can cause the effectiveness of  DOTS-
TB durgs? A person under this TB tratment if lives in a place with hard
water/alkaline water supply OR take other foods which can raise his
gastric pH, can get lesser effects of TB medicines or not? In short, I
want to know whether digetive pH can effect the effectiveness of TB
medicines or not?

Can low pH also encourage  intestine mucus blocks resulting into low
medicines absorption?
Jason - 28 May 2005 19:03 GMT
> Sorry, I have one more question:-
>
[quoted text clipped - 7 lines]
> Can low pH also encourage  intestine mucus blocks resulting into low
> medicines absorption?

Hello,
I am sorry but I don't know the answer. You should ask your doctor these
questions. If you live in an area that has hard water--consider buying
filtered water to drink. In addition, visit this site. They have a "Home
test pH kit" for sale. It comes with a booklet that explains the pH levels
of various foods. It also explains how to test the pH of your urine which
means that you would always know your current pH level. The kit contains
everything you need to conduct the tests.
www.feelgoodfood.com
phone 1-630-355-7746

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kumar - 29 May 2005 05:01 GMT
Jason, thanks for reply. But I will require/consider to do pH testing
when I shall know that pH of water or our digestive system can effect
effectiveness of TB durgs. Frankly, it looks that durgs are not working
properly in patient, as she is not feeling any side/adverse effects,
acidity etc. even after 2 months of durgs taking. Doctors just say it
is normal but I just suspect & want to clear because it can be an
unattended aspect as yet in view of my above considerations. So pls
think deeply & dynamically & comment(without commitment).
bae@cs.toronto.no-uce.edu - 29 May 2005 14:30 GMT
>Jason, thanks for reply. But I will require/consider to do pH testing
>when I shall know that pH of water or our digestive system can effect
[quoted text clipped - 4 lines]
>unattended aspect as yet in view of my above considerations. So pls
>think deeply & dynamically & comment(without commitment).

Please don't take Jason's advice on anything.  He has repeatedly shown
his basic ignorance about most medical issues, and is impervious to
requests that he not speak with the illusion of authority on topics on
which he is ill-informed.

Lately he's gotten into some pseudoscience about pH, and efforts to
correct him have been futile.

I hope that someone knowledgable about the treatment of infectious
disease, e.g. Dr. Rind, will answer your questions.  Your friend's
doctors certainly know more about her case, and about treating people
with your local strains of TB than anyone who is likely to reply to you
here.

I'm not a doctor, but I would think that a lack of side effects or
adverse effects in your friend is a good thing, and not a sign of
ineffectiveness.  Also, AFAIK, drug treatment for TB can take a long
time, so two months may be too soon for benefit to become clearly
apparent.  No doubt it depends on the drug, the patient and the strain
of TB.  Again, I'm speaking from ignorance, but at least I admit it.
Jason - 29 May 2005 17:47 GMT
> Jason, thanks for reply. But I will require/consider to do pH testing
> when I shall know that pH of water or our digestive system can effect
[quoted text clipped - 4 lines]
> unattended aspect as yet in view of my above considerations. So pls
> think deeply & dynamically & comment(without commitment).

You may want to re-read the printouts that came with the medications. In
many cases, there are instuctions as to when to take the medications. It
may state that you should take the medications with food or on an empty
stomach. If so, make sure that those instuctions are followed. I should
state that I am NOT a doctor. Thanks for a professional response.

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kumar - 29 May 2005 19:15 GMT
Thanks, It is indicated as durg interaction that many antacids can
reduce the effect of one out of four TB drug- INH. I couldn't find this
against other 3 drugs so not sure about it. Does it not tells that low
gastric acid due to some other reasons as hard/alkaline water can lower
the effectiveness of INH?
Jason - 30 May 2005 15:30 GMT
> Thanks, It is indicated as durg interaction that many antacids can
> reduce the effect of one out of four TB drug- INH. I couldn't find this
> against other 3 drugs so not sure about it. Does it not tells that low
> gastric acid due to some other reasons as hard/alkaline water can lower
> the effectiveness of INH?

That's an interesting question. You should ask a doctor or nurse about
this issue.

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Jason - 30 May 2005 17:42 GMT
> > Thanks, It is indicated as durg interaction that many antacids can
> > reduce the effect of one out of four TB drug- INH. I couldn't find this
[quoted text clipped - 4 lines]
> That's an interesting question. You should ask a doctor or nurse about
> this issue.

I was able to find a newsgroup that you may be able use to find an answer
to your question:

sci.med.pharmacy

also: try this one:

sci.med.pathology

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kumar - 31 May 2005 05:35 GMT
Jason. thanks for suggestions. Btw whether all prescribers shouldn't
know this type of conepts? Should we be prescribed only after a
prescriber has complete knowledge of durg just equal to the research
scientist who made that durg have?

"M. tuberculosis was the most restricted in growth at pH 6.0, and all
of this growth required elevated levels of Mg2+...These results
demonstrate that M. tuberculosis is unique among the mycobacteria in
its extreme sensitivity to acid and indicate that M. tuberculosis must
acquire sufficient Mg2+ in order to grow in a mildly acidic environment
such as within the phagosome of macrophages.
http://iai.asm.org/cgi/content/abst...pe2=tf_ipsecsha "
Does it indicate awnser to my sceond question?
Jason - 31 May 2005 16:48 GMT
> Jason. thanks for suggestions. Btw whether all prescribers shouldn't
> know this type of conepts? Should we be prescribed only after a
[quoted text clipped - 9 lines]
> http://iai.asm.org/cgi/content/abst...pe2=tf_ipsecsha "
> Does it indicate awnser to my sceond question?

That's an interesting question. Please copy and paste the above
information and post it in this newsgroup:
sci.med.pharmacy

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