Doctor in Drchandus Asthma, Allergy ,TB & Chest Clinic(Vanasthalipuram)
Treatment of Bronchiectasis
Treatment of HIV AIDS
Treatment of Tuberculosis
Treatment of Allergic Rhinitis
Treatment of Pneumonia
Treatment of Bronchitis
Treatment of Viral Infection
Treatment of Lung Cancer
Treatment of Sleep Apnea
Treatment of Fluid in the chest
Hiv Prophylaxis Post Exposure
Treatment of Occupational Lung Disease
Treatment of Sleep Disturbance
Treatment of Lung DIseases
Treatment of Interstitial Lung Disease
Treatment of Asthma in Children
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Patient Review Highlights
Tuberculosis is a serious infectious disease that can affect the lungs. The bacteria spread through sneezes and coughs making it a communicable disease. This disease was rare and limited to the Western Countries until 1985. The emergence of HIV virus has made tuberculosis a global disease to reckon with. Although the rate of TB has come down since 1993, it remains a top concern for many countries. The biggest worry is the fact that TB bacteria can build resistance to many drugs. Therefore, it is very important that a TB patient takes a variety of medication suggested by the doctor at the right time.
Although your body is already in possession of the bacteria leading to tuberculosis, your immune system is able to prevent you from becoming sick. Doctors have made a distinction between latent and active tuberculosis (TB)--
In case of latent TB, the bacteria in the body in a passive state and it causes no symptoms, and therefore it is not contagious. But, in the case of active TB, you would become sick and may even spread the disease to others. It can take place in the first few weeks or even after several months of being infected with TB bacteria.
Types of Tuberculosis:
There are two types of tuberculosis- Latent and Active.
- Latent Tuberculosis is a condition where the bacteria stays in the system of a person but doesn’t show up any symptoms of TB. Although this type of TB is not contagious, it requires treatment so that TB can be controlled from spreading.
- Then there is active tuberculosis. It shows symptoms in the first few weeks and can spread to another person as well.
What are the symptoms of active TB?
- If you are coughing for over three weeks and sometimes even coughing up blood, it can be a sign of TB.
- Chest pain and pain while coughing and breathing along with fatigue, fever, chills and night sweat are the common symptoms of TB along with loss of appetite and unintentional weight loss.
- TB may even affect other organs of your body, including your brain, spine and kidneys.
- When TB takes place outside the lungs, then the signs of TB can vary as per the organs that are involved. For instance, TB in the spine can cause back pain and that in kidneys may cause blood in the urine.
What are the causes of TB?
- TB is stemmed from a bacteria which spreads from individual to individual via the microscopic droplets that are released into the air.
- This may happen when an affected person is left untreated and he speaks or sneezes or coughs or laughs. Though the disease is contagious, it is not easy to be affected by it.
- As a result, you are much more likely to get affected with active tuberculosis from a person you live with or come in regular contact with, rather than a stranger.
- It is important to note here that people who are affected with TB and going through proper medications for over two weeks are no more contagious.
Tuberculosis - How to effectively treat it?
With the treatment for tuberculosis, one should have patience as it may take time to cure a person completely of tuberculosis and the associated symptoms. Many factors are taken into consideration while determining the course of the treatment for tuberculosis, some of which include
- Type of tuberculosis (Latent or Active).
- Age of the patient.
- The condition being drug resistant.
- The general health of the patient (if there are any other health conditions that may interfere with the treatment).
In the case of Active TB and that too, a drug-resistant type, the use of multiple drugs (simultaneously) may be needed to produce the desired results. The drugs commonly used include Pyrazinamide, Rifampin, Ethambutol, and Isoniazid. In most cases, the doctors suggest the drugs be continued for at least six- nine months for positive results.
Some patients with Active TB (drug resistant) may also benefit from the use of fluoroquinolones (antibiotics) taken along with capreomycin, amikacin, or kanamycin (mostly given in the form of injections). Most patients are required to follow the medication for 20-30 months duration.
Unlike the Active TB, in the case of Latent TB, a combination of drugs and medications is not required. A single TB specific drug is enough to treat the condition.
Therefore, it is important to seek medical assistance and detect if you have any such health complications concerning TB.
Allergies are the result of the immune system’s response to foreign objects such as pet dander, pollen, certain foods, bee venom etc. In response to the allergen, the immune system produces antibodies, anticipating that the allergen is harmful in nature, even though that might not be the case always. The immune system can inflame the digestive system, skin, airways or sinuses when it comes in contact with allergens. The severity of allergies can vary from anaphylaxis to a minor irritation. In most cases, allergies cannot be fully cured. It, however, can be controlled with medication.
What are the symptoms of allergy?
- Various allergies cause different kinds of symptoms.
- Hay fever can cause sneezing, fluffy nose, itching of the eyes, nose, and mouth, swollen eyes etc.
- Food allergy can cause hives, mouth tingling, anaphylaxis, body itching etc.
- Insect sting produces symptoms such as anaphylaxis, cough, swelling on the source etc.
- Drug allergy can result in a rash, wheezing, swelling of the face, hives etc.
- Atopic dermatitis often lead to flake, itching, and reddening of the skin.
- There are other allergies that are triggered either by food or by insect bite. These can lead to a medical emergency known as the anaphylaxis. Some symptoms include skin rash, loss of consciousness, weak pulse, vomiting and nausea, shortness of breath etc.
What are the possible causes of allergy?
- Air: A number of allergies occur from the surrounding air. Examples of such airborne allergies include pollen, animal dander, mould etc.
- Food items: Certain foods are known to be causing allergy such as tree nuts, eggs, peanuts, soy fish etc.
- Medication: There are medications such as penicillin-based antibiotics that can lead to allergy.
- Insect bite: Bite from insects such as wasp or bee can trigger an allergy in adults and kids.
What are the possible complications?
Allergy often leads to complication such as asthma, infection of the lungs, sinusitis, infection of the ear and anaphylaxis. The risk of getting these conditions increase, provided no treatment is done for a long duration.
How is the diagnosis done?
To investigate the type of allergy a person has, the doctor might ask for the exact symptoms that a person is encountering. He may ask questions related to intake of food and the possible triggers. A skin test is often performed, followed by a blood test to confirm the presence of allergy in an individual.
What are the methods of treatment?
Depending on the type of allergy one has, a doctor might prescribe nasal spray, eye drops, and pills to reduce the symptoms. Apart from this, if the allergy is severe in nature, a doctor might suggest going for immunotherapy and emergency epinephrine. Certain lifestyle changes and food habits go a long way in cutting down the symptoms.
In case you have a concern or query you can always consult an expert & get answers to your questions!
If you are experiencing a wheezing sound while you breathe or having difficulty in breathing, you are suffering from asthma. It is a medical condition characterized by paroxysmal wheezing respiration dyspnoea. There is no definite way to prevent asthma, but by following a step-by-step daily plan, you can prevent asthma attacks or keep them in check.
Symptoms of Asthma or Asthma Attack
- Chest tightness or chest discomfort
- Breathing discomfort with or without cough
Here are some important measures to follow to prevent asthma:
- You need to strictly follow your asthma action plan. The plan should be laid down after a detailed discussion with your doctor or healthcare team. All the medicines you require to prevent the asthma attacks will be written down for you.
- You should get vaccinated for pneumonia and influenza. This will prevent these conditions from triggering asthma attacks or flare-ups.
- You need to identify the asthma triggers and stay away from them. Several outdoors irritants and allergens from pollen to cold air can trigger asthma attacks.
- You have to monitor your breathing. By recognising the warning signs of an attack like wheezing, slight coughing or shortness of breath, you can prevent an asthma attack. You need to measure and record your peak airflow regularly using a home peak flow meter.
- By acting quickly, you can identify a fatal attack and prevent it from occurring. When the peak flow measurement decreases, you need to take your medicines immediately and abstain from any activity which may have triggered the attack.
- You need to keep taking your prescribed medicines, even if your asthma symptoms have improved. You should not change your medication schedule without consulting a doctor. It is recommended that you to bring along the medicines you take at your doctor’s appointment as he will be able to tell whether you are taking them right.
- If you use your quick relief inhaler a lot, the asthma is not under control. You need to visit your doctor as soon as possible and he/she will make some modifications to your treatment.
- For prevention of asthma, you should use allergy proof pillow covers and mattresses. You must wash your bedding every week in hot water to eliminate dust mites. You may use a dehumidifier for reducing excess moisture to prevent mold.
- Do not allow your pets in the bedroom and on the furniture. Pet dander is a common trigger of asthma and it cannot be avoided by people who own pets.
- You can also fit an air filtration system in your home. It will help in the elimination of asthma triggers such as pollen, dust mites and other allergens.
Doctor suggests immunotherapy for asthma prevention in the form of allergy shots. Immunotherapy aims at altering a person’s immune response by making it less sensitive to asthma triggers. If you wish to discuss about any specific problem, you can consult a Pulmonologist.