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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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X Ray Showed Small Amount Of Fibrotic Densities, Diagnosed Fibrotic Ptb. Histroy Of Having Ptb And Treated For It. No Symptoms Of Ptb. Suggest

i would like to know.. i have history of ptb last 2004 but i was already treated but i already have scars when i had my xray recently it showed small amount of fibrotic densities.. they concluded i have fibrotic ptb i told them i have a history and i was already treated.. i dont have any signs of ptb.. i dont have cough, fever, im not losing weight i dont cough out blood...
Sat, 3 Aug 2013
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General & Family Physician,  's  Response
Hi and thanks for this query.

If you were treated and declared cured, then there is no need in taking any more tb drugs. Sequellae of pulmonary tb can be fibrotic lesions on a chest xray. Theses should not prompt treatment for ptb if there re no symptoms and signs to suggest this. Discuss with them and unless they provide evidence to the suggest an active infection, then I strongly disapprove of you being put on drugs again. This is because the treatment is very long, with serious possible side effects and not to have enough convincing evidence to suggest and active infection, please say NO. The risk of treatment in your case out weigh the imaginary benefits.
For now, I will suggest that they monitor you and do a follow up xray in 3months to see if the lesions are progressive or not. if they should be, then you may want to consider treatment then. For now, it is not an emergency and also not coughing means you are not contagious and therefore constitutes no danger to the public if they were to base assessment on these to strongly recommend treatment.

Hope you find this helpful and informative. If you have ore questions, we'v got answers. Keep them coming.
I wish you the best of health.
Dr. Ditah, MD
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X Ray Showed Small Amount Of Fibrotic Densities, Diagnosed Fibrotic Ptb. Histroy Of Having Ptb And Treated For It. No Symptoms Of Ptb. Suggest

Hi and thanks for this query. If you were treated and declared cured, then there is no need in taking any more tb drugs. Sequellae of pulmonary tb can be fibrotic lesions on a chest xray. Theses should not prompt treatment for ptb if there re no symptoms and signs to suggest this. Discuss with them and unless they provide evidence to the suggest an active infection, then I strongly disapprove of you being put on drugs again. This is because the treatment is very long, with serious possible side effects and not to have enough convincing evidence to suggest and active infection, please say NO. The risk of treatment in your case out weigh the imaginary benefits. For now, I will suggest that they monitor you and do a follow up xray in 3months to see if the lesions are progressive or not. if they should be, then you may want to consider treatment then. For now, it is not an emergency and also not coughing means you are not contagious and therefore constitutes no danger to the public if they were to base assessment on these to strongly recommend treatment. Hope you find this helpful and informative. If you have ore questions, we v got answers. Keep them coming. I wish you the best of health. Dr. Ditah, MD