<human>: sir since last 11/2 months i am having a very mild fever, checked by my doctor tested urine and found UTI which was treated by doctor and Urine Culture shows no bactarial infection now. However low grade fever still continue and I also have pain in right lower abdomen.  Dr asked me to take few medicines to cure pain as well as low grade fever but the sympom persists. Doctor recently suggested TB test (mountox) was found positive(?), got my urince PCR and Blood PCR done but only blood PCR shows doubtful TB infection? Now my doctor want me to go through AFB direct smear through URINE.  I may go through this test but question which remain unanserable is why should I have pain in my right lower abdomen for such a long time.  Is this may also be due to TB?
<bot>: HI. Thanks for an elucidated history. One and half months of fever needs investigations. Along with the positive findings suggestive of tuberculosis and pain in the right Iliad fossa-which can be due to Tuberculosis. I would suggest you the following:CT scan of the abdomen. This will help in diagnosis for the UTI and the right Iliad fossa pain. This can be due to TB. Quantiferone Gold test for TB Diagnostic Laparoscopy and biopsy or FNAC to see for TB. A therapeutic trial with anti-tubercular treatment on an empirical basis with regular follow-up for weight gain, improved appetite, clinical improvement in overall health and particularly symptomatic improvement helps diagnosis and treatment of TB. Take second opinion if required.