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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed Pulmonary TB. Frequent Coughing. On Medication. Suggested ESR Test. TB And ESR Co-related?

hello doctor,
My dad is suffering from Pulmonary TB which has been confirmed some three days back and he is taking medicines now. Based on X-ray initially doctor suggested that it could be pneumonia and gave medicines for that to check if the cloudy region is getting disappeared on X-ray analysis. but after a week since it looks same, doctor said that it could be Tb since cough is there for more than three weeks. And also my dad has lost nearly 5 kgs within two weeks. Doctor asked us to take ESR test and the result is as follows, 19mm for 30 mins and 47mm for 60 mins. How this ESR is correlated with TB? Now my dad is under medication. My question is during medication also will there cough, since he gets cough often. He is not getting any sputum though. and also is it advisable to give egg? please give your suggestion.
Thu, 2 May 2013
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Pathologist and Microbiologist 's  Response
hello

welcome to health care magic

for your kind information i will tell you one thing,that cough persisting for more than 3 weeks could be pulmonary tuberculosis but not 100%(definitely)..

For a pulmonary TB to diagnose sputum examination or sputum culture is mandatory..with out these investigations no one can diagnose it as a TB..

Ok considering all these investigations done and positive for TB...

In tuberculosis infection weight loss is seen,,in severe cases there will be muscle wasting also..so you can place him egg twice a day..no problem..

He should take treatment(4 kind of tablets) for at least 6 months definitely..after 14 days of regular treatment sputum is devoid of bacilli and he is not infective to others..cough also gets suppressed in due days..

Regarding ESR,,ESR will elevate in any kind of inflammation/infection not only with TB..

Presence of high ESR indicates that the body contains infection..

No dietary restrictions..provide him egg,if possible meat also..

hope you get satisfied with my answer..

consult chest physician for further suggestion

Have a speed recovery..

thank you

Dr.siddartha
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Diagnosed Pulmonary TB. Frequent Coughing. On Medication. Suggested ESR Test. TB And ESR Co-related?

hello welcome to health care magic for your kind information i will tell you one thing,that cough persisting for more than 3 weeks could be pulmonary tuberculosis but not 100%(definitely).. For a pulmonary TB to diagnose sputum examination or sputum culture is mandatory..with out these investigations no one can diagnose it as a TB.. Ok considering all these investigations done and positive for TB... In tuberculosis infection weight loss is seen,,in severe cases there will be muscle wasting also..so you can place him egg twice a day..no problem.. He should take treatment(4 kind of tablets) for at least 6 months definitely..after 14 days of regular treatment sputum is devoid of bacilli and he is not infective to others..cough also gets suppressed in due days.. Regarding ESR,,ESR will elevate in any kind of inflammation/infection not only with TB.. Presence of high ESR indicates that the body contains infection.. No dietary restrictions..provide him egg,if possible meat also.. hope you get satisfied with my answer.. consult chest physician for further suggestion Have a speed recovery.. thank you Dr.siddartha