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Why is my diabetic father feeling fatigue, lost appetite and lost sleep?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My father is feeling fatigue, lost appetite, and lost sleep. We have visited multiple doctors. Being diabetic, we suspected diabetic neuropathy and visited a neurologist. As part of tests, he has taken X-ray also and identified pleural effusion and referred to a pulmonologist with high resolution computed tomography (HRCT) scan of lungs and GeneXpert sputum. Pulmonologist suggested acid-fast bacillus (AFB) smear also. HRCT shows effusion, but AFB smear and GeneXpert are negative. Kindly help.

Answered by Dr. Chandra Shekhar

Hi,

Welcome to icliniq.com. All are going towards tuberculosis but if you send me the film pictures then I can say anything. I do not believe in report statements.

Patient's Query

Thank you doctor,

I have attached the films of X-ray and (computed tomography) CT scan.

Answered by Dr. Chandra Shekhar

Hi,

Welcome back to icliniq.com. It is tuberculosis due to the immunocompromised state by diabetes. Kindly go for sputum GeneXpert. If sputum is not produced, then bronchoscopy is necessary and bronchoscopy guided sputum is extracted and sent to GeneXpert.

Answered byDr. Chandra Shekhar

Medically reviewed byiCliniq medical review team

Published At April 3, 2018
Reviewed AtFebruary 21, 2024

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Dr. Chandra Shekhar

Pulmonology (Asthma Doctors)

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