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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Long Medicines Should Be Taken For A TB Patient?

two years back I have treated with TB and taken medicine for 9 months...Now i got severe cough and sneeze ....My doctor says i got the TB infection again as my Ig G and Ig M test result are equivocal even though manatous test and AFB test are negative. now i have take AKT2 , esogard, Augumentin 625 and Nutrolin B tablet?
How long i need to take this medicine.......
Tue, 9 Feb 2016
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Pulmonologist,  's  Response
Thanks for your question on Health Care Magic.
I can understand your concern.
In my opinion, you should first consult TB specialist and check whether you are having tb or not.
No role of IgG and IgM because you had tuberculosis in the past. Your AFB examination is also normal, so I don't think you are having tuberculosis.
You are having cough and wheezing. These can be seen in post tubercular bronchitis.
So consult tb specialist and get done CT thorax, bronchoscopic evaluation and PFT (Pulmonary Function Test).
CT and Bronchoscopy are needed for the diagnosis of tb. If these are suggestive of tb then your may need 9 months of treatment.
If both are negative for tb, then no need for anti tubercular drugs.
PFT is must for the diagnosis of bronchitis. If it is positive then you will need inhaled bronchodilators and inhaled corticosteroid (ICS).
So better to first diagnose yourself and then start appropriate treatment.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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How Long Medicines Should Be Taken For A TB Patient?

Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, you should first consult TB specialist and check whether you are having tb or not. No role of IgG and IgM because you had tuberculosis in the past. Your AFB examination is also normal, so I don t think you are having tuberculosis. You are having cough and wheezing. These can be seen in post tubercular bronchitis. So consult tb specialist and get done CT thorax, bronchoscopic evaluation and PFT (Pulmonary Function Test). CT and Bronchoscopy are needed for the diagnosis of tb. If these are suggestive of tb then your may need 9 months of treatment. If both are negative for tb, then no need for anti tubercular drugs. PFT is must for the diagnosis of bronchitis. If it is positive then you will need inhaled bronchodilators and inhaled corticosteroid (ICS). So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.