What Do My Lab Test Results Indicate?
Get done sputum examination for AFB.
Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
So, you are having recurrent hemoptysis.
And most common cause for this is lung infection like tuberculosis or pneumonia.
So you should definitely get done
1. Sputum culture and sensitivity report.
2. Sputum examination for AFB (acid fast bacilli-bacteria causing tuberculosis).
So please let me know whether you had these tests or not.
I will be happy to help you further.
Wish you good health. Thanks.
Brief Answer:
Do you have allergies?
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
You should definitely get done sputum examination for AFB.
You are also having nasal symptoms which are more suggestive of allergy.
So please let me know, do you have allergies?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
I dőńt know whether it s a allergy or not..my eosinophili count is about 6%...i have sneezing problem.. Itchy nose etc...i took ent test too...sinuses are normal... Ent doctor prescribed nasal spray.. Dr said may be i have allergic rhinitis.
Do you have fever or shortness of breath?
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Possibility of allergic rhinitis is more.
And sometimes, same etiology can be seen in lungs also (bronchitis). And this can cause hemoptysis.
So please let me know
1. Do you have fever?
2. Do you have breathlessness on exertion?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
Where do you work?
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Your case is very interesting.
We need to think out of the box to identify the cause for your hemoptysis.
So I need some more detailed history.
Please let me know
1. Where do you work?
2. Do you have any chronic chemical exposure?
3. During hemoptysis, whole sputum is red (blood) or white sputum is having red spots?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further.
Wish you good health. Thanks.
Which was the snuff material?
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
So you are not having any exposure to pollution or chemicals.
I want to know the material used for sniffing.
Did you used it in July or August 2015?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Do you have hemoptysis daily?
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
So you had hemoptysis after tobacco stuff.
Please let me know
1. Do you have hemoptysis daily while coughing? Or it is once a week or once a month?
2. Do you have any family member having history of tuberculosis and you were staying with him or her?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
In your case, all common causes for hemoptysis can be ruled out.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
That little exposure is not causing tuberculosis, so tb can be ruled out.
So in your case, all common causes of hemoptysis can be ruled out.
I can think of one condition. Pulmonary AVM (Arterio Venous Malformations).
In this, young patients get recurrent hemoptysis after some stimulus. So in your case stimulus can be ice cream or cold drink or spicy food.
So please let me know if you had hemoptysis before August 2015, I will be happy to help you further.
Wish you good health. Thanks.
No need to worry for this hemoptysis.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your situation and problem.
No need to worry for immediate death or any serious illness.
No fear of cancer. So be relax and calm. You need to be courageous.
Please let me know
1. Do you have any skin bleeding spots? Reddish spot on skin? Pulmonary AVM will also show cutaneous bleed if present.
2. Have you checked for platelet count? Low platelets can also cause bleeding.
So please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Get done bronchoscopic evaluation.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
It's very strange to have hemoptysis with all normal reports.
So, in my opinion, you should get done
1. Bronchoscopy with XXXXXXX (bronchoalveolar lavage) and biopsy. This will definitely diagnose if any disease is there.
2. CT Pulmonary angiography to rule out Pulmonary AVM.
If all these reports are not normal then no need to worry for your hemoptysis.
Please let me know, had anyone advised you bronchoscopy?
I will be happy to help you further. Wish you good health. Thanks.
Get done bronchoscopic evaluation.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
No need to worry by the name of Bronchoscopy.
It is simple opd based procedure.
No harm in it.
So get done bronchoscopic evaluation with XXXXXXX analysis and biopsy.
Hope I have solved your query. My best wishes are always with you. I would love to hear your progress.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.