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What Causes Blood Coughing After Treated TB?
Dear Dr. Dinesh,
This query am posting related to my Father. My Father is 56 Yrs old. He was a chain smoker and an alcoholic till the day it was discovered that his vocal chord was completely choked and was hardly able to speak. We immediately got him admitted in hospital at Dehradun in the month Nov- 2010. Later on after the diagnosis it was found that he has got tuberculosis in Categor-1, wherein they suggested starting with the DOT medicines. After 5 days in the hospital he got discharged and he was brought home. His weight was by then 50Kg. He was on healthy diet since then and completely stopped smoking and drinking. After a week when we started with the DOT after 2 days he started coughing blood heavily. He was then again rushed to hospital in Dehradun and was admitted there for atleast a week.
After he got discharged, after a week again he started coughing blood in medical term he had Hemoptysis. Though this time as it was suggested by the doctor in the hospital to be given at the time of emergency, injection “TRANEXA” was given to him.
My queries are:
1. Do we need to admit my father again, if yes then for how long?
2. As told by the doctors that coughing blood is recurring, can we give the injection regularly?
a. When all do we need to give him Injection?
b. Do we need to start with giving the other vitamins and Glucose doses?
3. In such a case how long does it take a patient to recover?
4. What all precaution we need to take with such a patient
I will be really great full if you can answer my all these query asap.
Thanks
Poonam
This query am posting related to my Father. My Father is 56 Yrs old. He was a chain smoker and an alcoholic till the day it was discovered that his vocal chord was completely choked and was hardly able to speak. We immediately got him admitted in hospital at Dehradun in the month Nov- 2010. Later on after the diagnosis it was found that he has got tuberculosis in Categor-1, wherein they suggested starting with the DOT medicines. After 5 days in the hospital he got discharged and he was brought home. His weight was by then 50Kg. He was on healthy diet since then and completely stopped smoking and drinking. After a week when we started with the DOT after 2 days he started coughing blood heavily. He was then again rushed to hospital in Dehradun and was admitted there for atleast a week.
After he got discharged, after a week again he started coughing blood in medical term he had Hemoptysis. Though this time as it was suggested by the doctor in the hospital to be given at the time of emergency, injection “TRANEXA” was given to him.
My queries are:
1. Do we need to admit my father again, if yes then for how long?
2. As told by the doctors that coughing blood is recurring, can we give the injection regularly?
a. When all do we need to give him Injection?
b. Do we need to start with giving the other vitamins and Glucose doses?
3. In such a case how long does it take a patient to recover?
4. What all precaution we need to take with such a patient
I will be really great full if you can answer my all these query asap.
Thanks
Poonam
Sat, 3 Sep 2016
Greetings
Welcome to Healthcaremagic Poonam.
Hemoptysis in TB infection of the lungs is a common phenomenon and is usually not that severe to get the patient admitted .It mostly occurs when due to TB lesion a blood vessel near the airways inside the lungs are injured. But having said that it is also very important to note that hemoptysis can also occur in other conditions too which may be associated with smoking . So chest X-rays have to be done in order to see if any mass has developed which may be the cause of hemoptysis.
Let me answer your queries one by one.
1) Admission in hospital will depend on how much blood is coming in the sputum. If it is fresh and at least a teaspoon ful of blood is coming regularly through out the day then patient needs admission and IV medications are given to control the Bleed. If occasionally it is he has hemoptysis then there is nothing much to worry about . Just keep an eye on shortness of breath and do regular CBC to see if he is not going into anemia.
2)Recurrent hemoptysis is , as told earlier , worrisome only when it is occurring too often and patient is developing shortness of breath. Therefore injections are advised accordingly.
3)Injection are advised when massive bleeding starts in sputum and on regular basis . Then injection is advised urgently
4) If he is having good diet then there is usually no need of glucose or other vitamins .But it is must to give VITAMIN B6 in patient have Anti Tuberculosis medication to prevent side effects of medications.
5) Well recovery from TB differs case to case but usually in 2 months time patient notices slight improvement but the duration of treatment is 9 months and one important thing to remember that after initial 2 months it is mandatory to change the medication after 2 months . So you should visit your doctor after 2 months of TB treatment who will change the medication . The initial medication should NOT be taken for more then 2 months .
6)First and foremost precaution is that you and family member should protect themselves by making the patient wear a high quality mask all the time.Especially Initial 2 weeks are the most infective so great precaution needs to be taken . Secondly as mentioned earlier Vit B6 is a must with TB medications.Thirdly timing of TB treatment is absolutely necessary and a dose should never be missed in any condition.
I hope the answer was helpful . In case you need any further assistance feel free to contact in writing .
Regards.
Dr Talal Hussain
Welcome to Healthcaremagic Poonam.
Hemoptysis in TB infection of the lungs is a common phenomenon and is usually not that severe to get the patient admitted .It mostly occurs when due to TB lesion a blood vessel near the airways inside the lungs are injured. But having said that it is also very important to note that hemoptysis can also occur in other conditions too which may be associated with smoking . So chest X-rays have to be done in order to see if any mass has developed which may be the cause of hemoptysis.
Let me answer your queries one by one.
1) Admission in hospital will depend on how much blood is coming in the sputum. If it is fresh and at least a teaspoon ful of blood is coming regularly through out the day then patient needs admission and IV medications are given to control the Bleed. If occasionally it is he has hemoptysis then there is nothing much to worry about . Just keep an eye on shortness of breath and do regular CBC to see if he is not going into anemia.
2)Recurrent hemoptysis is , as told earlier , worrisome only when it is occurring too often and patient is developing shortness of breath. Therefore injections are advised accordingly.
3)Injection are advised when massive bleeding starts in sputum and on regular basis . Then injection is advised urgently
4) If he is having good diet then there is usually no need of glucose or other vitamins .But it is must to give VITAMIN B6 in patient have Anti Tuberculosis medication to prevent side effects of medications.
5) Well recovery from TB differs case to case but usually in 2 months time patient notices slight improvement but the duration of treatment is 9 months and one important thing to remember that after initial 2 months it is mandatory to change the medication after 2 months . So you should visit your doctor after 2 months of TB treatment who will change the medication . The initial medication should NOT be taken for more then 2 months .
6)First and foremost precaution is that you and family member should protect themselves by making the patient wear a high quality mask all the time.Especially Initial 2 weeks are the most infective so great precaution needs to be taken . Secondly as mentioned earlier Vit B6 is a must with TB medications.Thirdly timing of TB treatment is absolutely necessary and a dose should never be missed in any condition.
I hope the answer was helpful . In case you need any further assistance feel free to contact in writing .
Regards.
Dr Talal Hussain
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