HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

HI My Wife Is Suffering With Cough Since Long Days.

default
Posted on Mon, 19 Aug 2019
Question: HI
My wife is suffering with cough since long days.
Recently different test carried out and suspected TB as blood test TB FERON IS POSITIVE.which is showing 2.85
sputum test ---NO AFB SEEN
CHEST X RAY --OK
HRCT -OK
REQUEST YOUR ADVICE . IS FURTHER TEST REQUIRED FOR CONFIRMATION. TB
doctor
Answered by Dr. Drkaushal85 (46 minutes later)
Brief Answer:
No need to worry for TB.

Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
In my opinion, you should not worry about TB as your sputum AFB, chest x ray and CT thorax are normal.
So don't start anti tubercular drugs on the basis of TB Feron positive report. No need for further testing of TB.
In my opinion, she should get done PFT (Pulmonary Function Test) for the diagnosis of bronchitis as bronchitis can also cause chronic cough with normal chest x ray and CT thorax.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks.
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Drkaushal85 (11 hours later)
SIR
Thanks for reply.
Sir already PFT CARRIED OUT .Report attached. FVC SHOWING 50 AND FEV1 SHOWING 065 i.e. small airway obstruction as FEF 25-75 OR PEFR < 70

SIR IgG ANS result showing positive . I am worried also for that . what means positive?
Report also attached previously .
She complained also finger joints pain and weakness. Lymphocytes is 41percent
doctor
Answered by Dr. Drkaushal85 (4 hours later)
Brief Answer:
Start inhaled corticosteroid.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
I have gone through the reports.
In my opinion, she is having small Airway disease.
So along with current medication, start inhaled corticosteroid (ICS).
And get done detailed ANA profile to identify connective tissue disease if present.
I will be happy to help you further. Wishing good health to your wife. Thanks.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
default
Follow up: Dr. Drkaushal85 (30 hours later)
sir
one general physicians Dr. advice for Injection IVPRED 125 mg iv for three-day.
seroflo 250 Synchr o breath two Times for one month
Advice for blood test ASO TITER,RAFACTOR,ANTICCP ,URIC ACID
WHAT'S YOUR COMMENT?
doctor
Answered by Dr. Drkaushal85 (13 hours later)
Brief Answer:
Get done these tests.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Yes, not harm in getting these tests.
But do get done first then start treatment because steroid can alter reports.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15005 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
HI My Wife Is Suffering With Cough Since Long Days.

Brief Answer: No need to worry for TB. Detailed Answer: Thanks for your question on Ask a doctor forum. I can understand your concern. In my opinion, you should not worry about TB as your sputum AFB, chest x ray and CT thorax are normal. So don't start anti tubercular drugs on the basis of TB Feron positive report. No need for further testing of TB. In my opinion, she should get done PFT (Pulmonary Function Test) for the diagnosis of bronchitis as bronchitis can also cause chronic cough with normal chest x ray and CT thorax. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks.