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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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 »


Dr. Anshul Varshney

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 »

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...  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 »


Dr. Chandra Prakash Tanwar

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 »

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 »


Dr. Anshul Varshney

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 »

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 »


Dr. Shitla Prasad Upadhyay

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 »


Dr. Mohammad Aamir

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 »

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. Dhamankar Amit Shivraj

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 »

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