Koch’s Abdomen (Abdominal Tuberculosis): Symptoms, Diagnosis & Treatment by Dr. Karan R. Rawat, Agra

Koch’s Abdomen—also known as Abdominal Tuberculosis (TB abdomen)—is one of the most important yet often misdiagnosed digestive conditions in India. Agra, Mathura, Firozabad, Hathras, Etawah, and other districts in Uttar Pradesh report high numbers of TB cases, especially involving the intestines, lymph nodes, and peritoneum.

This blog explains Koch’s Abdomen in simple, patient-friendly language, along with why Dr. Karan R. Rawat is considered one of the best Gastroenterologists and GI Surgeons for its diagnosis & treatment.

🩺 What is Koch’s Abdomen?

Koch’s Abdomen is a form of tuberculosis that affects:

  • Intestine (Ileocecal TB)

  • Abdominal lymph nodes

  • Peritoneum (lining of the abdomen)

  • Stomach or liver (rare)

It occurs when Mycobacterium tuberculosis infects the digestive system. It can mimic many other diseases, making early detection essential.

⚠️ Common Symptoms of Koch’s Abdomen

Patients often suffer for months before diagnosis. Look for:

General Symptoms

  • Fever (usually evening rise)

  • Night sweats

  • Loss of appetite

  • Weight loss

  • Weakness

Abdominal Symptoms

  • Chronic abdominal pain

  • Gas, bloating, indigestion

  • Recurrent vomiting

  • Alternating diarrhea & constipation

  • Abdominal swelling

  • Pain in the right lower abdomen (ileocecal region)

Severe Symptoms

  • Intestinal obstruction

  • Bleeding

  • Perforation (life-threatening)

  • Ascites (fluid in the abdomen)

🔍 Why is Koch’s Abdomen Often Misdiagnosed?

Because it looks similar to:

  • Crohn’s disease

  • Ulcerative colitis

  • Typhoid

  • Appendicitis

  • Cancer

This is why an expert Gastroenterologist & GI Surgeon like Dr. Karan R. Rawat is essential for accurate diagnosis.

🧪 How Dr. Karan R. Rawat Diagnoses Koch’s Abdomen

Dr. Rawat uses a structured, evidence-based approach that includes:

✔ Blood Tests

  • ESR

  • CRP

  • TB markers

✔ Imaging

  • Ultrasound

  • CT abdomen

  • MRI (if required)

✔ Endoscopy / Colonoscopy

To check for ulcers, nodules, strictures, or intestinal involvement.

✔ GeneXpert / Biopsy

To confirm TB and rule out cancer or Crohn’s.

✔ Lymph Node FNAC

If abdominal nodes are enlarged.

Accurate diagnosis = faster recovery + fewer complications.

💊 Treatment of Koch’s Abdomen (Abdominal TB)

Treatment usually involves:

1️⃣ Anti-Tuberculosis Therapy (ATT)

Duration: 6 to 9 months
Dr. Rawat customizes treatment based on drug resistance, patient condition, and symptom severity.

2️⃣ Nutritional Support

  • High-protein diet

  • Vitamin supplements

  • Hydration

  • Gut-restoring probiotics

3️⃣ Management of Complications

If a patient develops any of the following:

  • Intestinal obstruction

  • Stricture

  • Abscess

  • Perforation

  • Severe ascites

Dr. Rawat performs minimally invasive / laparoscopic surgery when needed.

🔧 When Does Surgery Become Necessary?

Although most cases improve with medicines, surgery is needed if there is:

  • Persistent intestinal blockage

  • Non-healing strictures

  • Bowel perforation

  • Large abscess

  • Massive ascites

  • Doubt between TB and cancer

Dr. Rawat specializes in laparoscopic surgery, leading to:
✔ Less pain
✔ Faster recovery
✔ Minimal scars
✔ Short hospital stay

⭐ Why Dr. Karan R. Rawat is the Best Doctor for Koch’s Abdomen in Agra

✔ Expertise in Gastroenterology & GI Surgery

Specialist in intestine, stomach, liver, pancreas & abdominal emergencies.

✔ Accurate Diagnosis

Reduces delay & prevents complications like perforation or obstruction.

✔ Comprehensive TB Abdomen Treatment

From medication to advanced surgery — all under one roof.

✔ Experienced in Complicated TB Cases

Handles severe cases from Agra, Mathura, Etawah, Hathras, Aligarh, Firozabad & nearby towns.

✔ Patient-Centered Care

Clear explanation, proper counselling & long-term monitoring.

🌿 Hindi Section (हिंदी में जानकारी)

कॉकस एबडॉमेन क्या है?

यह TB का एक रूप है जो आंतों, पेट की झिल्ली, लसीका ग्रंथियों या पेट के अन्य हिस्सों को प्रभावित करता है।

मुख्य लक्षण

  • वजन कम होना

  • बुखार

  • पेट दर्द

  • गैस, सूजन

  • दस्त/कब्ज

  • पेट में पानी (एसाइटिस)

  • आंतों में रुकावट

इलाज

  • 6–9 महीने की TB दवाइयाँ (ATT)

  • पोषण

  • जरूरत होने पर लेप्रोस्कोपिक सर्जरी

📍 Who Should Consult Dr. Karan R. Rawat?

If you have:

✔ Chronic abdominal pain
✔ Recurrent fever
✔ Weight loss
✔ Gas/bloating for months
✔ Lymph node swelling
✔ Intestinal obstruction symptoms

You should not delay.

📞 Book Appointment

Dr. Karan R. Rawat – Gastroenterologist & GI Surgeon, Agra
For stomach, intestine, liver, pancreas & abdominal TB treatment.

7398888889

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