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Diabetic. Cough, chest pain, weight loss. Advice - Online Doctor Chats

Date : 30-May-2013
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2581 Questions
Doctor:This is Dr XXXXXXX
Doctor:How are you?
User:I am good
Doctor:How can I help you?
User:I hve a fren of mine
User:he is diabetic
Doctor:he needs some help?
User:he is hvng chest pain
User:n reducing weight day by day
User:hvng cough also
User:is this symptoms of TB
Doctor:for how long has this been going on?
User:weight loss is from almst 20 days
User:chest pain from past one wee
Doctor:these are symptoms of tuberculosis
Doctor:He needs to be tested immediately
Doctor:as its possible that he's spreading the infection to others
Doctor:Till then he must use a handkerchief or mask while coughing
User:as in
Doctor:The tests that need to be done are sputum for acid fast bacilli, sputum culture for AFB and a chest Xray
User:tel me somthng
User:if ek baar tb ho jaaye
User:too dubara ho sakta hai kya
User:and wht r the symptoms of TB
User:And he smoke also
Doctor:TB can occur again and aagain
Doctor:Symptoms of TB are long standing cough, low grade fever, chest pain, weight loss, loss of appetite
Doctor:These are the symptoms of lung TB
Doctor:other organs may be involved as well
Doctor:So the symptoms would depend on the organs involved
Doctor:Smoking and diabetes increase the risk of TB
Doctor:as they decrease the immunity
User:wht cn we cn hve to confirm whether person hvng tb or not
Doctor:As I said
Doctor:He needs a chest Xray, a sputum microscopy for acid fast bacilli and a sputum culture for acid fast bacilli as well
Doctor:A rapid TB test can also be done
User:ok .
User:as of now he diabetes doc is out of town
User:so he can have these tests now
User:and once doc is bk he cn cnsult
Doctor:They are done for free at a local DOTS centre
User:test cn be dne without his diabetc doc advice
Doctor:Here the treatment will also be free
User:Any immediate precaution for this
User:he is not hvng much cough but normal tytpes
Doctor:He should use a mask and stay away from work
Doctor:Also, have a high protein diet
Doctor:So thats lot of dal, non veg, soyabean, rajma, chana
User:but he is diabetic
Doctor:It doesnt matter
User:OK that ways !
Doctor:Cook in less oil and have small meals at ssmall intervals
User:Ok Ok
User:Thanks for your help .
Doctor:Does he have childrenxxxxxxxxxxx
User:he has
User:but this chest infectn wht he is tellng me is chest pain n cough
Doctor:His children may need prophylaxis
Doctor:if he does have tuberculosis
Doctor:They also would need to see a physician once his diagnosis is confirmed
User:as in
User:He has this TB when he was in 9th Std .
User:And i hve heard that TB doesnt happn agan n agan
Doctor:No it does
Doctor:and in fact it does so very commonly
Doctor:If there is unintentional weight loss, we need to rule out tuberculosis
Doctor:It doesnt happen in just any chest infection
User:ok .
Doctor:Is there anything else I can help you with?
User:no thanks .
Doctor:Have a nice day
Doctor:Bye for now
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