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Tuberculosis in a 2 year 10 month baby - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hello
Doctor :  
how can i help u?
User :   hi doc my 2 yr 10 month daughter is diagnosed of tb help
User :   tb was confirmed by mountox test
Doctor :  
ok
Doctor :  
montoux test is not confirmatory for tuberculosis
User :   the chest xray is totally clear but she has recuurent cough
User :   for past 4 months
Doctor :   then u should go for sputum culture and sputum microscopy
Doctor :  
they both are diagnostic of tuberculosis
User :   but her pediatric says she has tb the esr is also 40
Doctor :  
but still
User :   she has denied getting any test and wants us to start tb medicines for initally 2 months
Doctor :  
to confirm a case OF TB SPUTUM MICROSCOPY/SPUTUM CULTURE
User :   but sputum is tough to be taken by kid
Doctor :  
should be done...with out which we cannot confirm TB
User :   ok
Doctor :  
yes but still we can go for bronchial secretion lavage
User :   but she hardly gets any cough out
User :   so how tst doneo get the te
User :   plese help?
Doctor :   pls dont be anxious
Doctor :  
and tensed
Doctor :  
first confirm it by bronchial lavage
User :   i am not but i have seen a close friend die due to bone tb that could not be detected anxious
User :   so iam very scared
Doctor :   is there any one in ur family who has got TB?
User :   no
Doctor :  
tb is 100 percent curable disease
User :   bronchial asthama her dad has
Doctor :   do u keep her in in play home?
Doctor :  
ok
User :   yes a play school she goes to
Doctor :  
montoux test will be positive even if u give bcg vaccination
Doctor :  
ESR is raised in many infections
User :   ok
Doctor :  
so those tests are not confirmatory
User :   so help me with the simplest test for my little one as i am too terrified
Doctor :  
first confirm it by sputum culure/microscopy
Doctor :  
even if it s confirmed nothing to worry
Doctor :  
TB IS 100% TREATABLE
User :   for sutum even saliva given would be helpfull
Doctor :   nope
Doctor :  
u can go for bronchial lavage
User :   thats the problem
Doctor :  
it is not a very difficult procedure
Doctor :  
nothing to worry
User :   can u brief me a bit
User :   for this procedure
Doctor :  
they will send a small wire like materila clled probe and through this they will collect the sputum
Doctor :  
r u there?
User :   sorry yes
Doctor :  
nothing to worry relax first
User :   ok but i dont think my husband would let me get that done
Doctor :  
first think of ur kid then u can think of ur husband
Doctor :  
convince him
User :   i know that
User :   but i too would want a painless test like sutum rather than this
Doctor :  
simply dont give her medicines with out confirming that she is having tb
Doctor :  
it is not painfull..
User :   ok
Doctor :  
do u really want ur kid to be healthy
User :   i belong to delhi
User :   so can you help me where to get it done
Doctor :  
i will mail to your id or regarding the jospitals which provide sputum culture
Doctor :   hospitals*

User :   and bronchial lavange also
Doctor :   with out any close contact having TB it is highly impossible for ur kid to get TB

Doctor :  
yes
User :   ok
User :   i need a little
Doctor :   are u sure that no one in ur family is got TB
User :   more help
User :   no one
User :   only my gradfather had
Doctor :   is she going to any baby sitting?
User :   no baby sitting but play school
Doctor :  
ur grandfather is alive?
User :   no died 6 yr back
Doctor :   in her playschool any one is having TB?
Doctor :  
OK
User :   no clue
Doctor :   if at all if there is any chance then she should have got it from the play school.
User :   okk
User :   her growth is very much normal
Doctor :   ok
User :   and her pediatric is a real good one
User :   she says we shoulfd not get any test done
User :   the size of mantoux sample after 48 hours was
User :   15mm into 17 mm
Doctor :   ok
Doctor :  
i can understand'
Doctor :  
y are u thinking so much for sputum microscopy??
Doctor :  
more than 8 mm is positive but still if u want to confirm TB,,we should do sputum cultur..rest is upto u.
User :   not for sputum
User :   the only hitch is she doesnt get any liquid out when she coughs
Doctor :  
her lunga sre normal she doesnt get anything when she coughs..then how can u confirm it to be TB
Doctor :  
i have given my suggestion rest is upto u to follow or not
Doctor :  
but tuberculosis is 100 percent treatable..
Doctor :  
even if it tuberculosis by taking regular medicines for 6 months she will be 100 percent cured..
User :   that is what left me with questions . but yes in between she was vomitting early morning thick cough in huge quantit
User :   and lot of thick cough
User :   in huge quantities
User :   was coming
Doctor :  
ok
User :   ru from delhi ?
Doctor :   no bangalore
User :   okk
User :   and if it may not sound wrong may i know yoyr qualification
Doctor :  
i am a family physician
User :   ok
User :   i wanna know one thing more
User :   shall i ask /
User :   ?
Doctor :   if her age is less than 2 years then just montoux is sufficient but she is more than 2 years so i want u to take sputum microscopy
Doctor :   sure
Doctor :  
u can ask
User :   my bro has been diagnosed of glucoma that too very advanced
User :   is glucoma a sure shot vissin destroyer?
Doctor :   glaucoma is dangerous
Doctor :  
but it is curable
Doctor :  
there are two types like open angle and closed angle
User :   cureable ?
Doctor :  
if it is closed angle glaucoma then it is little difficult to treat
Doctor :  
but as u are telling that it is in advanced stage..
User :   no cureable ?
Doctor :  
i should not what is his IOP
Doctor :  
and what is his dstatus of vision in the effected of eye
User :   15/14
User :   earlier was 22/20
User :   vision by god grace is good
Doctor :   glaucoma for both eyes are else on;ly one eye
Doctor :  
?
User :   losed angelhe has advanced in both eyes open to c
User :   sorry
User :   he has advanced one
User :   open to closed AAAAAAA
Doctor :  
ok
User :   both eyes
Doctor :  
normal IOP is 10 to 21 mm hg
Doctor :  
is he on any medication?
User :   yes
Doctor :  
ok
Doctor :   what did ophthomologist tell?
User :   he is on combigan and travacom
Doctor :  
ok
User :   he said it is wide spread but we can control
User :   i am worried he is just 33yr
Doctor :  
if there is no damage to optic nerve then his eye vision can be saved
User :   and his doc as u must be aware of his name
User :   dr AAAAAAA AAAAAAA
Doctor :  
but once his optic nerve is damaged then it is not possible to save his vision
Doctor :  
ok
User :   he being a senior doc doest say of the nerve
User :   he just leaves questuion unaswered
Doctor :   ok
User :   and i el termsally cant understand the medica
User :   the report of optic nerve is in my hand
User :   if you could help me
User :   i will scan the same and send to you
Doctor :  
ok.
User :   or courier
Doctor :  
u send me the report through email
Doctor :  
after scanning
User :   or if you want shall i tell u now itself
Doctor :  
send it to doctor@healthcaremagic.com
User :   ok
User :   but how will you reply me
Doctor :  
i need time to see the report..and i will have to discuss with eye spcialist then i wll send my opinion to ur email id
User :   i would be really grateful to you if you help me with my bro
Doctor :  
sure
User :   that would be realy kind of you
Doctor :  
i will try my level best to help u
User :   thanks a million
Doctor :  
welcome
Doctor :   pls fill the feed back form
Doctor :  
r u there?
User :   i have done the same sir
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
Doctor :   we will get back to you once u send the reports of ur brother
User :   thank you so much for your precious advice and help
Doctor :  
welcome
Doctor :  
bye
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