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

Answered by
Dr. Chandra Shekhar
and medically reviewed by iCliniq medical review team.
Published on Apr 03, 2018

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 HRCT scan of lungs and GeneXpert sputum. Pulmonologist suggested AFB smear also. HRCT shows effusion, but AFB smear and GeneXpert are negative. Kindly help.

Dr. Chandra Shekhar

Pulmonology (Asthma Doctors)
#

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.

For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist

Thank you doctor,

I have attached the films of X-ray and CT scan.

Dr. Chandra Shekhar

Pulmonology (Asthma Doctors)
#

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.

For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist

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