Sputum Microscopy

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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My wife's blood report shows abnormal monocytes and ESR. Is this cause for concern?

Query: Hello doctor, Me and my wife got an annual blood test done. Few of my wife's results are off the radar. She is 30 years old, and she had a mild cough when the tests were done. She becomes tired very easily. In the attached hemogram report, her monocytes are 0 and ESR is 80. Rest of the tests inc...  Read Full »


Dr. Rahul Rathee

Answer: Hello, Welcome to icliniq.com. I can understand your concern, but after a detailed evaluation of your wife's reports (attachment removed to protect patient identity), I would say there is nothing to worry. Only monocytes levels are low, it does not mean much. It does not cause anything serious if ...  Read Full »

I suffer from a stuffy nose and fever. What is wrong with me?

Query: Hello doctor,I have been sick for over a month. It started with a sore throat, chest tightness and followed by bronchitis. Now I have stuffy nose and fever. I have taken bronchitis medications (Methylprednisolone, Amoxicillin and BREO inhaler). I have used a nebulizer with Albuterol. I am taking vit...  Read Full »


Dr. Pooja Pardhi

Answer: Hi, Welcome to icliniq.com. I have gone through your query and can understand your health concern. You might be having chronic obstructive pulmonary disease with superadded lower respiratory tract infection. In my opinion, you can taper and stop Methylprednisolone as it is a steroid and it further r...  Read Full »

Even after taking antibiotics for cough and stomach pain, there is no relief. Why?

Query: Hi doctorI have been sick on and off for two months. I have had a cough, stuffed nose, body aches, fever and burning when I urinate. I also have had a sharp pain in the stomach and headache. I have taken antibiotics, but they did nothing to me. I am a 45 year old male.  Read Full »


Dr. Amit Dhamankar

Answer: Hi, Welcome to icliniq.com. I have gone through your query and symptoms. I feel you need to get evaluated for infectious as well as autoimmune disorders. As per chronicity of the symptoms cough of more than three weeks and stomach ache with burning micturition fits more for infectious disease. As yo...  Read Full »

I have stabbing pain in the lower left back after coughing up with phlegm. Why?

Query: Hi doctor, I am a male weighing 76 kg and 5.10 feet tall. Since the past month, I have been having issues with my chest. When I wake up in the morning, I cough up a lot of clear and white phlegm and get a stabbing pain in my lower left back. I am suffering from loss of appetite and often fall short ...  Read Full »


Dr. Jeremy David O'kennedy

Answer: Hi, Welcome to icliniq.com. A productive cough associated with shortness of breath and chest pain always indicates a need for clinical examination and appropriate special investigations as follows. Clinical examination with auscultation (using a stethoscope). Chest x-ray. Sputum specimen for cultur...  Read Full »

Does coughing up sputum with silver specks indicate bacterial respiratory infection?

Query: Hi doctor, I am coughing up sputum with silver specks. I have been feeling unwell, and lab results show bacteria. My doctor says it is nothing to worry about. I cough up thick sputum with silver in it. It drys really hard like plastic. It is coming up from my lungs. I am attaching my reports. I am ...  Read Full »


Dr. Sugreev Singh

Answer: Hi, Welcome to icliniq.com. Your reports show that you have a bacterial infection (attachments removed to protect the patient's identity). Do not worry. It can be treated with antibiotics. There are both types of infection in your sputum, gram-positive and negative, which is common. But moreover, ...  Read Full »

Can sinus problems cause cough with bloody sputum?

Query: Hi doctor, I am a 21 year old female, who weighs 80 kg and I am 6.1 feet tall. I have a sinus problem and coughing up blood. The blood is bright red in color, and the sputum is white. I got treatment for sinus yesterday, and they gave me Betnesol and Levbrox. I also have pain in my colon. I am taki...  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. According to the history that you have given, it looks like you have bronchitis and upper respiratory tract infection, which causes blood in the sputum. You have been prescribed steroid, which will be beneficial as a decongestant and give inflammation relief. Continue...  Read Full »

Why is a sputum culture test taken?

Query: Hi doctor, I have been feeling unwell for months, coughing up thick white grey sputum with glue-like stick bubbles. My sputum lab results say I have many gram-positive cocci, few gram-negative rods, rare gram-negative cocci. I do not know what these results mean. Please guide me.  Read Full »


Dr. Bn Bhagat

Answer: Hello, Welcome to icliniq.com. Can you please send the microbiology lab report of sputum to guide you better? Thanks.  Read Full »

My X-ray shows nodules in my right lung. Does it indicate cancer?

Query: Hi doctor, I have a persistent cough with phlegm, chest pain, exhaustion after a short duration and nodules in the right lung. The x-ray revealed that signs of atelectasis are present. After using three different types of medicine and steroid inhaler, the symptoms are still present. The most recent...  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. You have not mentioned the CT scan report that you had done. The x-rays are showing nodules; hence, it might be pneumonic consolidations that should be considered first rather than directly thinking about malignancy. Sputum cytology and examination study should be done i...  Read Full »

How to treat sputum secretion due to bronchiectasis in an elderly patient.

Query: Hello doctor,My question is about a 90-year-old woman with a 10-year history of bronchiectasis complaining of increased clear sputum production/secretions for two weeks, but no fever, malaise, weakness, decreased sensorium, and headache. Already she is on Fluticasone + Salmeterol, n-acetylcysteine, ...  Read Full »


Dr. Zubayeralam

Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from clear sputum production for the last two weeks. She has a history of bronchiectasis for the last ten years. As her sputum color has not changed yet or become yellowish or greenish ...  Read Full »

Should I go back to the doctor for my cough and wheezing?

Query: Hi doctor, I was coughing up dark yellow mucus with blood streaks. So, I went to my doctor and she prescribed Keflex. After about two days, I broke out a rash from head to toe. So, I went back and she put me on Roxithromycin and three days of Prednisolone. I am on my second day of new antibiotics an...  Read Full »


Dr. Arun R Kaushik

Answer: Hi, Welcome to icliniq.com. The asthmatic attack might be due to the drug allergy, which you might have had. I suggest you to get a sputum culture to identify which antibiotic suits. Also, I suggest you to take nebulization with Asthalin which will ease the breathing. My suggestion for you to be und...  Read Full »

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