Sputum microscopy is referred to as the microscopic examination of the sputum. It is one of the efficient ways used for the diagnosis of tuberculosis (TB). First, the sputum is collected and cultured before doing the microscopic examination. Then, the expectorated sputum is stained for AFB (acid-fast bacillus) using ziehl-nelson staining, kinyoun, and fluorochrome stains.
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Does a headache, nose block, and ear block indicate sinus infection?
Query: Hi doctor, I have had a cold for just over a week. I have woken up this morning with a headache that throbs with each movement. I blew my nose to find blood in it, and my ear feels all blocked. Could this mean my sinuses are infected? And is it worth seeing a doctor? Or will they not give me anythin... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. You are having upper respiratory tract infection, that might be in the form of sinusitis, bronchitis, or rhinitis. I suggest you get the following tests done:Auscultation. CBC (complete blood count). Nose and ear examination by rhinoscopy and otoscopy.You will be given a ... Read Full »
Is lung biopsy needed to diagnose bronchiectasis?
Query: Hi doctor, I have been referred to a pulmonologist based on the following CT scan report for chronic cough and fatigue. Mild cylindrical bronchiectasis to the lower lung fields with evidence of bronchial wall thickening and mild dilatation. Additionally, ill defined airspace opacities of the extre... Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. Your CT scan report is suggestive of cylindrical bronchiectasis with some infective foci. Usually, the diagnosis of bronchiectasis is made on the HRCT thorax (high-resolution computed tomography) and there is no need of any lung biopsy. Bronchiectasi... Read Full »
I had a cough with wheezing, and my sputum test was positive for pseudomonas. What can be done?
Query: Hello doctor, I had a cough for a few weeks with some wheezing, and I took a clear X-ray. My blood tests were normal, apart from showing that I was fighting an infection. My cough and wheezing are also getting better, but I still have not fully recovered. I recently got my sputum results that show... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. If you have an infection, it is good to take antibiotics. Pseudomonas infections usually are treatable by antibiotics. If you have an additional lung issue, consult a pulmonologist. The choice of antibiotic is based on the sensitivity r... Read Full »
Am I suffering from pneumonia?
Query: Hi doctor, I am having fever for about a month now. So, I have done a master health checkup and the report shows raised PLBS 184, SGPT 121, LDL 112 and fatty liver. My chest x-ray PA view shows right lower zone soft tissue opacity. Because of the soft tissue opacity fever pack, thyroid profile, bloo... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on these reports, you are suffering from pneumonia. As your PPBS (postprandial blood sugar) is high, you need further evaluation and treatment. I would advise you to get a CT chest done. Also, get a sputum fungal stain and culture done. Check H... Read Full »
My wife has had a chronic cough, shortness of breath, and chest pain. What should be done?
Query: Hello doctor, My wife has had a chronic cough. It used to happen early last year and just started back this year. After she climaxes, she begins to cough uncontrollably and gets shortness of breath. She coughs up a thick fatty substance mixed with pinkish fluid. As the substance sits, it begins to s... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Due to excess excitement, mild cough can be present. But she has dyspnea and cough with expectoration; hence the cause needs to be evaluated. The following workup needs to be done to rule out any underlying respiratory or cardiac causes. Auscultation. Spirometry.... Read Full »
Please suggest a remedy for fever, cough and green sputum.
Query: Hello doctor, I have pain all over my body. Last night, I had chills with chest congestion and green sputum. The physician gave me Avelox and Medrol dose packs. Would that be fine? Read Full »
Answer: Hello, Welcome to icliniq.com. Your doctor has given you the medicines of my choice. I would prefer to add an anti-allergic like Levocetirizine once daily for five days and, for fever, I suggest Paracetamol. I am sure your fever will go away in three to five days. But, your cough may take time. ... Read Full »
Can you please help me diagnose why I spit blood?
Query: Hello doctor, I spit blood early in the morning after waking up. I consulted a dentist and then a chest specialist, who advised bronchoscopy and sputum tests. The reports were normal. But, nobody could find the cause for the blood in spit. It is happening from the past two years. Not regularly, but... Read Full »
Answer: Hello, Welcome to icliniq.com. The most common causes of early morning blood in the sputum are: Chest infection or tuberculosis. Cardiac issues like rheumatic heart disease. Reflux esophagitis. Now, if your chest has been evaluated and a clearance has been given by your doctor, then my recommendatio... Read Full »
What could be done for cough and running nose for my five-year-old son?
Query: Hello doctor, My son is 5 years old. Since yesterday, he has a cough and running nose. Yesterday, I gave him Zyrcold syrup. Read Full »
Answer: Hello, Welcome to icliniq.com. Your son is suffering from a cough and running nose from one day. I would like some more information: Is this associated with shortness of breath? Is this associated with whistling sounds? What is the color of the sputum? Does he have a fever or labored breathing? Do... Read Full »
I have been taking TB medicines for three months and now have breathing problems and cough. Why?
Query: Hello doctor, I have tuberculosis and have been taking medicines for three and half months. Now, I have a breathing problem and cough. Read Full »
Answer: Hello, Welcome to icliniq.com. The breathlessness and cough are due to a broncho constriction that is associated with TB (tuberculosis). You can take the following tests: CBC (complete blood count). HRCT (high-resolution computed tomography) thorax. Sputum for AFB (acid-fast bacillus) repeat. I sugg... Read Full »
I am coughing from the past 14 days, do I need a chest x-ray?
Query: Hello doctor, I have had a persistent cough for 14 days. I feel something like phlegm, but I cannot spit it out. I feel shortness of breath also. The doctor has diagnosed bronchitis, but I want to be sure about it. My doctor told me that there is no need for taking an x-ray, do you think the same? ... Read Full »
Answer: Hello, Welcome to icliniq.com. Yes, most likely, you have bronchitis. But it would help if you did sputum microscopy. Please answer the following: 1) What is your age? 2) Do you smoke? If yes, how many packs a day and since when are you smoking? 3) Is the cough more at night and wakes you... Read Full »