HomeAnswersPsychologist/ CounselordepressionI am a TB patient, feeling hopeless. Please help.

How can one cope with chronic illness?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ashok Kumar

Medically reviewed by

iCliniq medical review team

Published At September 4, 2017
Reviewed AtApril 22, 2024

Patient's Query

Hello doctor,

I am a 27-year-old female TB patient. For the last three to four years, I have been unwell. Earlier, I consulted doctors in my town. But, they were unable to treat me. I ultimately went to a bigger city for my treatment. For the last year, they have been treating me. There is a very slow improvement. There is an almost complete blockage in my nose. I am bedridden. My career is ruined. My dad has a small business. I am fed up with my blockage. Only weight gain is there. How can a person live happily with such a disease? I am feeling totally hopeless. Kindly help.

Answered by Dr. Ashok Kumar

Hello,

Welcome to icliniq.com.

I read your query and understand your concerns. I am sorry to know that you are suffering for years with little success to date. Firstly, I would like to inform you that weight gain is a good sign of treatment responsiveness. Secondly, unlike other infective illnesses, TB (tuberculosis) is a serious illness and takes time to respond. This could be the reason for the nil improvement in nose block. It is natural to feel sad after such an illness but, we all suffer from one or the other form of treatment. The positive thing about TB is that it is a curable illness in most cases. At the same time, once you achieve optimum health, you can achieve your career success albeit after a little while. It is important to keep your faith intact and have confidence in your ability to recover, your health professionals. I hope this helps you. Feel free to write back to me if you have more questions.

Thank you.

Patient's Query

Hello doctor,

There is someone to whom I have to go almost every six months. He offers his hand for a shaking hand. He then holds my hand for seven to eight seconds. Once he rubbed his fingers on my upper back. Sometimes he just gives a pat on my back. He even comments on my looks. Due to this, I get seduced. I feel like contacting him on social media. He is an aged fellow. My family is extremely conservative. If Dad comes to know then he will definitely not like it. So nowadays I am emotionally disturbed. From the inner side, I am extremely afraid. Due to this, my BP and pulse rate shoot up. I am not going to job due to sickness. But the positive thing is that I have almost recovered from sickness. How do I get out of these feelings? Am I a criminal? I feel like I am a criminal. Or are my feelings towards him natural? Family and society will definitely treat me like a criminal.

Answered by Dr. Ashok Kumar
Dear Reshma, Thanks for follow up. Before I answer your post I like to state that following your instinct is not considered criminality unless it harms someone who is innocent. I mean to say that it is completely normal for a 27 year young female to get seduced by a caring guy irrespective of his age. If I say that fatherly love is one of the similar form where the girl child gets better attachment to him in compare to mother. This happens because we as human beings are wired in a way where we have better connection with opposite sex irrespective of age and social status. Now regarding your feeling as criminal I think this need to be acknowledged that you are neither criminal not have anything against law in your mind. If I speak as per social norms I would like to comment that our thinking in particular way is responsible for such feelings and there is nothing which can be considered criminal on your part. Having said this I would like to comment that your feeling toward him is natural and without any coercion. However considering age differences and your career status I will recommend to focus on career rather than relationship. I mean to say that treasuring the relationship is important but not at the cost of your career. I also feel that distant relationships (as you see him every six months) have little less potential in compare to one to one relationships. This facts need to be considered as excessive emotional disturbance likely to affect your health as well as career adversely. Now regarding your question about coming out of this emotional turmoil I would suggest that start your job. In case you does not have search for one as soon as possible. This will engage your mind and will reduce the emotional suffering.In addition confiding to close friends may also help. I feel that your engagement in job and career is extremely important as you have better physical status in compare to past. In addition to working it is also important to have a partner. I do not mean male partner. It could be a simple diary where you can write your thoughts when feeling upset or otherwise. This will help in channelizing negative energy without emotionally disturbing you. I hope this helps you. Feel free to write back to me if you have more questions. Thanks again.

Patient's Query

Dear doctor, The person to whom I have to go every 6 months is in a little authority position. Means that I can't open my mouth in front of him. He doesn't know what is there in my mind. I haven't expressed my feelings to him. And also I would never express. Now I have known that he is just a flirt. He is not a good person. Positive thing is that now only one time I have to go to him and that is the last time. After that I will not need him. It's good that I didn't express my feelings to him. Going on job makes me feel tired and weak. Dad has business but it is related to chemicals which is harmful for my health. In free time I kept thinking about him and due to stress my health is also a little ruined. Job is not possible so please let me know the way to throw him out of my mind forever. He is not at all serious. I think he was trying to take advantage of my need. Please let me know the best possible way to throw him out of my mind.
Answered by Dr. Ashok Kumar

Dear Reshma, Thanks for follow up and letting me know that you have decided in favour of your career rather than affection (??). Since you already know that he was not serious and probably had vested interest to take advantage of your emotional needs the half job of leaving the stressful thing is already done. I mean to say that making it clear to your mind what is normal and what is abnormal itself is enough to make the half success. Now regarding further success I need to repeat some of the past answer which I provided to you two months back. One of the fact that you need to understand is that relationship is best suited for similar minded people or similar status people. I do not mean status means money but it includes everything including your needs, age, social status, thinking pattern among others. As you know in the past you needed him every six months (may be more frequently) but this kind of need often arises for various reasons other than the emotional needs. For emotional support you need someone which is very close to you and to whom you can confide everything which you want. As you know he does not qualify as per emotional needs feeling stressful about his is wastage of time and energy and this need to be stopped as soon as possible. Secondly you need to have meaningful engagement in one or another activity. This could be anything including thinking about your career, thinking about relationship, meaningful engagement with family members and spending time with friends and family. In addiction to all other efforts this is one of the most important thing to forget about some stressful things of past. Unfortunately there is nothing which can help you directly from coming out of that relationship other than the healing power of time. But fortunately healing power of time becomes more effective once it is used in some meaningful activity. I understand that chemicals are aversive to your health status but it does not mean that you can not be part of your father's business. I am sure that some of business activity can be carried out by you without exposing yourself with chemicals. Thirdly doing some work for society (may be for orphan children, rape victims, TB patients) can help you immensely to come out of negative feelings. Finally I like to inform you that weakness and tiredness due to stress often decreases when you start working. In case this continues to persist that means there is need to take nutritional supplements which could be deficient due to recent tuberculosis. I hope this helps you further. Thanks and regards Dr Ashok Kumar drashok2k@gmail.com

Patient's Query

Dear Doctor,He is in a monopoly position. The service which he is providing no other person in India can provide. He knows this. He is doing a very skillful job for me. He is also a very high profile person and has very high social status.I am going to him with my parents not in alone. But still he used to make small small physical advances towards me. He knows very well that we both can never have relationship. Still he is trying to touch me unnecessarily. That means as per my opinion he cannot be even called a flirt. I must say that he is a teaser. Where I feel bad is I am the victim of his teasing. This cannot be even called relationship. It was teasing done by him. I was being fooled.In a way I was healthy minded. The problem is there with his mind. Sad that I can't raise my voice against him.Does he get any pleasure by touching me or what? He is perverted minded. I mean I hadn't shown any response to him.Then why he touched me unnecessarily just on the name of formalities? As a woman I must be respected.

Answered by Dr. Ashok Kumar

Dear Reshma,Thanks for follow up. Regarding your question whether he felt pleasure by touching you, my answer is definite yes. I am sure he is aware of his skills and monopoly status and having the superior position he expected more from you. However probably he had some fear that lead to not advancing his dirty thoughts to relationship level. By acting as teaser he has given you some indications about his intention but I am glad to know that you had healthy thinking pattern which probably thwarted his advancements at the early stage. I also feel that knowing your emotional needs he sensed your vulnerability more easily. However I feel that calling him pervert is something more than what he deserves. As stated above I have seen this phenomenon across this country and I think it that sense we will be calling everybody as pervert. I hope this answers you. Thanks and regards.

Patient's Query

Dear doctor, My mental condition is all right now. For last one year I am taking one tablet of Libotryp ( Amitriptyline Hydrochloride 12.5mg & Chlordiazepoxide 5mg ) at night. I also take Sompraz D 20 on empty stomach for last one year. Libotryp is an anti depressant. But I was prescribed this for stomach TB. It worked miracle on my stomach. Therefore for stomach TB I need to take this regularly. But for last 3-4 months, I have observed that my pulse rate is on higher side. Sometimes my pulse rate is 123, 110 or sometimes 100. Also I almost have sleeplessness. I don't get sound sleep. I repeat that my mental condition is okay. Then why I have high pulse rate and sleeplessness. Yesterday night I even experienced 2-3 irregular heartbeats. I take duonase nasal spray two times. I also have slight blockage in my nose due to TB. BP is normal it was 72 and 116. Worried about pulse rate please help.

Answered by Dr. Ashok Kumar

Dear Reshma, Thanks for follow up. I am glad to know that your mental condition have been improved a lot over the last one year and hope that same will be maintained over the coming time. Regarding the high pulse rate I think there is need to do following tests. 1. Complete blood count 2. FT3, FT4 and TSH 3. ECG The purpose of above test is to rule out the cardiac causes, thyroid and anemia. In my opinion there is high possibility that increase pulse rate, irregular heart beats, sleeplessness is due to some thyroid ailment as increased thyroid level (hyperthyroidism) can cause all the symptoms mentioned above. The second possibility is heart related problem as both increase pulse rate and skipping of heart beats can occur in heart related problems. However the possibility is low as sleeplessness can not be explained on the basis of heart ailments. The third possibility is severe anaemia as both increased heart rate and missing beats can occur in severe anaemia. However the possibility is low as sleeplessness can not be explained on basis of it. Once these tests are completed in my opinion you should see a local doctor as these issues can be managed by any competent physician. I hope this helps you. Feel free to write back to me if you have more questions. Thanks and regards.

Patient's Query

Dear doctor, Recently I was diagnosed with a spot on retina in left eye. It is there since birth. Also I have dry eyes problem since 3-4 months. As you told in my CBC reports, haemoglobin was 9.9 L g/dL. I am taking Orofer XT for that. Now for eyes I want a tablet which contains Lutein and Zeaxanthin. Ilaz capsule was unavailable. Give me alternate 2-3 names of medicines which contain Leutin, Zeaxanthin and Omega 3 fatty acids. I will show the names of these medicines to my TB specialist. After his permission I can take these.
Answered by Dr. Ashok Kumar

Dear Reshma,Thanks for follow up and extremely sorry for delay. I am sorry to know that you are suffering with another medical ailment and hope that prescribed medicine will work properly to remove the spot over retina. Although Lutein and Zeaxanthin were never used by me and so enquired about it from my friends in relevant field. One such capsule is available as SETU The another option is Alspar tablet . The third option is Retinox CapsuleThe fourth option is Novoret Soft Gelatin Capsule

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ashok Kumar
Dr. Ashok Kumar

Geriatrics

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