I suffer from triglyceride since 2002. Medicines didn't respond. I am taking no medicine from 2003 onwards. My periodic ECG, EEG, TMT etc. Are normal. I never have had any breathlessness, angina etc. I walk 5 kms. Daily with brisk pace without any problem. I avoid sugar, fat and meat etc. Last lipid test reported TG at 650. For last 3 years I have elevated ESR around 36 to 42. Doctors say it is due to inflammation. But I don't have any sign of it, like joint pain, gout, lupus, fibromyalgia, cough, fever or any such symptoms. My KFT, LFT and CBC are normal. Chest Xray is ok. But I tested positive for mantoux test. I don't have any symptoms of Cox, like cough, fever, weight loss, loss of appetite or tiredness. I feel vigorous and fit. Would raised TG and ESR pose any problem in my advanced age. I am free from any type of indications whatsoever for last 15 years with highly raised TG and elevated ESR. Please suggest in best possible way.

Dr. Garima SharmaGeneral Physician9yrs exp

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Hi lybrate-user, Mantoux test detects previous exposure to tuberculosis. A positive Mantoux test cannot be used to diagnose active tuberculosis. Anti-tuberculous therapy is generally indicated to treat active tuberculosis. Active tuberculosis is said to be present when the affected person has signs and symptoms compatible with an active disease (this will depend on the site of the body affected). It appears from the description provided by you that you do not have active disease. Latent tuberculosis - where the person previously exposed to tuberculosis may harbour some bacteria in a dormant state is generally not an indication for anti-tuberculous therapy unless the person is at significant risk of disease reactivation due to underlying conditions (defects in immunity due to disease or medication). For occupational reasons screening for active TB is indicated, however treatment is generally recommended only for those with active disease. Some anti-tuberculous medications may interfere with contraceptive pills due to drug interactions however, if chosen carefully they do not generally interfere with pregnancy. It is better that you get a second opinion from a specialist experienced in the management of tuberculosis. Hope this helps. Good Luck.  

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