Diabetic. Cough, chest pain, weight loss. Advice - Online Doctor Chats
This is Dr XXXXXXX
How are you?
I am good
How can I help you?
I hve a fren of mine
he is diabetic
he needs some help?
he is hvng chest pain
n reducing weight day by day
is this symptoms of TB
for how long has this been going on?
chest pain from past one wee
these are symptoms of tuberculosis
He needs to be tested immediately
as its possible that he's spreading the infection to others
Till then he must use a handkerchief or mask while coughing
The tests that need to be done are sputum for acid fast bacilli, sputum culture for AFB and a chest Xray
tel me somthng
if ek baar tb ho jaaye
too dubara ho sakta hai kya
and wht r the symptoms of TB
And he smoke also
TB can occur again and aagain
These are the symptoms of lung TB
other organs may be involved as well
So the symptoms would depend on the organs involved
as they decrease the immunity
wht cn we cn hve to confirm whether person hvng tb or not
As I said
He needs a chest Xray, a sputum microscopy for acid fast bacilli and a sputum culture for acid fast bacilli as well
A rapid TB test can also be done
as of now he diabetes doc is out of town
so he can have these tests now
and once doc is bk he cn cnsult
They are done for free at a local DOTS centre
test cn be dne without his diabetc doc advice
Here the treatment will also be free
Any immediate precaution for this
he is not hvng much cough but normal tytpes
He should use a mask and stay away from work
Also, have a high protein diet
So thats lot of dal, non veg, soyabean, rajma, chana
but he is diabetic
It doesnt matter
OK that ways !
Cook in less oil and have small meals at ssmall intervals
Thanks for your help .
Does he have childrenxxxxxxxxxxx
but this chest infectn wht he is tellng me is chest pain n cough
His children may need prophylaxis
if he does have tuberculosis
They also would need to see a physician once his diagnosis is confirmed
And i hve heard that TB doesnt happn agan n agan
No it does
and in fact it does so very commonly
If there is unintentional weight loss, we need to rule out tuberculosis
It doesnt happen in just any chest infection
Is there anything else I can help you with?
no thanks .
Have a nice day
Bye for now
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