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Advice on breast feeding after negative TB test - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   i have a negative sputum for AFB and negative PPD test but have positive chest xray finding for TB? does this mean that i dont have the infection? and can I breastfeed my 2 year old?
Doctor :   Hi
Doctor :   Dr xxx here
User :   hi doctor
Doctor :   Yes you can breat feed
Doctor :   But considering Xray you should have an repeat Sputum to confirm
Doctor :   And also tuberculin test
User :   is it safe doctor?
Doctor :   Yes
Doctor :   But plz do confirm before feeding for the benfit of child safety
Doctor :   Do you have symtpoms of weight loss/ persistant cough /cold
User :   my chest xray says that i have bilateral upper lobe and apical consolidated areas
Doctor :   See consolidation can occur even in broncietasis
User :   i had persistent dry cough for the past 4 weeks but has now subsided when i took antihistamine
Doctor :   You should confirm with specific test like tuberculin test
Doctor :   Cant rely on ling findings alone
User :   i have already been tested for tuberculin test and sputum for AFB doctor. and all were negative
Doctor :   Then no issues you can start breat feeding
User :   i dont have any weight loss...
Doctor :   And see to that your baby gets imminuzed upto date
User :   so even if i have findings in my chest xray... does this mean i am not infected?
User :   my baby aftter being born was given BCG vaccine...
Doctor :   No
Doctor :   Its should be confirmed from repeat test
Doctor :   Lung findings help us in guiding not confirming '
Doctor :   So you can Start breat feeding
User :   i have read that is it a vaccine to protect them from being infectd with TB is it right?
Doctor :   BCG will sure help
Doctor :   Its 80% effective
User :   there is also finding in my chest xray of reticulonodular infiltrates affecting both apical segments with apical pleural thickening... and prominent hilar vascular shadows.. what does this mean??
Doctor :   Your age?
User :   35 doctor..
Doctor :   And do you smoke?
User :   nope.. not once..
Doctor :   Ok
Doctor :   The most probable cause could be TB, brochietasis
User :   so there is still a chance that i am infected??
Doctor :   But there are case when TB infection remains dormant forming apical lesions
Doctor :   That might be your case as thye remain dormant they also test negative
Doctor :   I have another question, do you still only breast feed a 2 year old baby
User :   yes doctor...
Doctor :   Its high time you start on weaning
Doctor :   Start adding normal food to baby or else it becomes very difficult for baby to wean from breast milk
Doctor :   And tend to get more used and will refuse other feeds
User :   so it is okay to just stop breastfeeding even if i do have still breast milk.. and my child still cries to breastfeed...
Doctor :   Yes you can start of other baby feeds
Doctor :   and normal cuisine of your
Doctor :   With less spice and more proteins
Doctor :   Give them with cows milk as replacement
User :   he only breastfeeds after i come from work and during the weekends... he drinks also bottled milk and eat solid foods..
Doctor :   Try feeding in same position with feeding bottle
User :   sometimes he likes to breastfeed when he wants to get his sleep....
Doctor :   Try bringing out of it ASAP
User :   so are you saying doctor, that it is not still safe for him to breastfeed?
Doctor :   No
Doctor :   I meant it shigh time you stop b reast feeding
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