Gram Stain Sputum Questions

My tb gold plus test result is positive 1.03 value and my weight is 70 kg my Dr. prescribed akurit 4 4 tablet/day empty stomach ,do I should take any multi vitamins? And how long I should have these akurit 4 tablet.

MD - Pulmonary Medicine, MBBS, DNB ( Pulmonary Medicine), Fellowship in Pulmonary and critical Care Medicine, Certificate in Interventional Bronchoscopy and Thoracoscopy
Pulmonologist, Thane
6 months and if no symptoms before starting treatment. Latent tb is not so actively treated if no symptoms if lung lesions or abdomen lessions with positive tb gold then should continue taking for 6 months you can. Take tb drugs post breakfast also.
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,i diagnosed of reticular infiltrates on the upper left lobe of my lung possibly due to pulmonary tb but I don't have any symptoms. Is it possible that it is because of my previous tb that leave scar?

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow Of Academy Of General Education (FAGE), DNB, Fellowship in Critical Care Medicine, ATLS(Advanced trauma life support )
General Physician, Delhi
I am sorry to hear about your concern but will be happy to assist you. Let's connect over a call so that we can discuss your concern in details and make a treatment plan for you.
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Hi, doctors. I really need your help with something. So my boyfriend he is 23m now. He is on paroxetine 50 mg, melatonin 10 mg and propranolol 40 for anxiety. For past 1.5 -2 years he keeps developing this very severe pneumonia episodes constantly. He would get a mild cold. He'll take montelukast, levocetirizine and it'll be almost unnoticeable. Just a runny nose sometimes, you know the kind you get if you have a dust allergy or and a sneeze here and there. But then within a few weeks he'll suddenly develop phlegm in chest, severe coughing and severe shortness of breath. And then he'll require antibiotic treatments. Most of the times 2 of them together and cough syrup, bronchodialaters and what not. The frequency of this is concerns me. The last was in june last week I suppose. He then again developed this today. Like a month probably goes by and he gets these. I am just so worried. Like could there be something wrong with him! why does he keep getting those! all the time. A lot of the times there even have no clear triggers. This time he got wet in the rain though. I don't know what to do and i'm worried out of my mind. Any advice is appreciated. P.s he has no other illness that I can think of. Although the gp was a bit concerned about his neutrophil count in june. Then he repeated the test and the value was 43. Then gp said it's all ok in that case. Not any smoking drinking or any other substance is done.

MD - Pulmonary Medicine, MBBS, DNB ( Pulmonary Medicine), Fellowship in Pulmonary and critical Care Medicine, Certificate in Interventional Bronchoscopy and Thoracoscopy
Pulmonologist, Thane
Hi, doctors. I really need your help with something. So my boyfriend he is 23m now. He is on paroxetine 50 mg, melato...
Do a pft spirometry pre and post mdi test proove that is small airway disease or bronchial asthma treat accordingly with nebulisations and mdi l pump and medications for the same.
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I have a 2 year old son who has pneumonia and was prescribed cotrimoxazole syrup and kofgon syrup, are these ok for the treatment.

MD - Pulmonary Medicine, MBBS, DNB ( Pulmonary Medicine), Fellowship in Pulmonary and critical Care Medicine, Certificate in Interventional Bronchoscopy and Thoracoscopy
Pulmonologist, Thane
I have a 2 year old son who has pneumonia and was prescribed cotrimoxazole syrup and kofgon syrup, are these ok for t...
First ascertain the cause of the pneumonia usually the pediatrician will go for sputum or gastric lavage if these are inconclusive or negative results then on has to anyhow involve a chest physician/ pulmonologist to perform pediatric bronchoscopy which apparently I do. The bronchio alveolar lavage or washings will give good positive results in terms of finding out the bacteria causing pneumonia and one can give antibiotics accordingly for pneumonia. Correct evidence based medicine which requires only 15 to 30 mins to perform and produce results in a day.
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I am the patient of tb 6 month ka treatment complete hone wala h but I am suffering from irregular menstrual problem from more than one month. What should I do.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
I am sorry to hear about your concern but will be happy to assist you. Not only genital tb negatively influences on female reproductive function, pulmonary tb as well caused menstrual abnormalities in 66% of women. Let's connect over a call so that we can discuss your concern in details and make a treatment plan for you.
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Last one year ago I diagnosed with tb, now I have successfully completed my course, but I feel. Some issue with my libido, I feel low libido, is it side effects of anti tb drugs or what, please suggest any medication.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
I am sorry to hear about your concern but will be happy to assist you. Some of the main causes of a low sex drive include: relationship problems. Stress, anxiety or depression. Sexual problems like erectile dysfunction or vaginal dryness. Let's connect over a call so that we can discuss your concern in details and make a treatment plan for you.
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4 years old child who had pneumonia sep 2022 having monthly infection and fever at for past 8 months. What could be the cause of the frequent infection. Chest clear, and immune system ok.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
4 years old child who had pneumonia sep 2022 having monthly infection and fever at for past 8 months. What could be t...
I am sorry to hear about your concern but will be happy to assist you. A recurring fever is one of the main symptom of a group of diseases called periodic fever syndrome. Let's connect over a call so that we can discuss your concern in details and make a treatment plan for you.
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The person to whom I will marry he had suffered second lymph node tb at the lower back and he got operated. 11 year ago he suffered from chest tb that was curable and second tb recently he stopped medicine now he is fine. I wanted to know tb will reoccur again and how to stop reoccurring or latent infection how to check.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
I am sorry to hear about your concern but will be happy to assist you. The best and the most important thing to prevent the reinfection of tb is to complete your course of treatment within time. Do not delay your treatment. Let's connect over a call so that we can discuss your concern in details and make a treatment plan for you.
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I am a tb patient my medication course is near to it's completion, I was prescribed akurit and benadon 40 for the treatment but the problem is. Though I have been taking akurit-3 without missing, I skipped taking benadon 40 for many days and maybe months. I wanted to ask if that might cause any problem? My sgtp was normal.

MD - Pulmonary Medicine, DNB(Respiratory diseases), FCCP, MBBS Bachelor of Medicine and Bachelor of Surgery
Pulmonologist, Vijayawada
Its ok if you didn't find any side effects for now. I recommend you to take even now if you can procure. But no strong recommendation unless you have adverse effects of att.
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