Recently Answered Questions
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Why did my doctor suggest surgery for spinal TB, despite improvements in symptoms with medication?
Query: Hi doctor, I was diagnosed with spinal TB five years ago in the middle of the year. The pain began at the end of the year, and I have been under medication for the past seven months. Initially, my pain was so severe that I could not get out of bed, but my pain is subsiding now. My weight was 53 kgs... Read Full »
Answer: Hi, Welcome to icliniq.com. I went through your query and understood your concern. I am glad to know that your condition has improved, and I assume you are still on Anti-TB (tuberculosis) treatment drugs. 1. Your X-rays and scan reports show your TB is healing (attachment removed to protect the ... Read Full »
Why am I having continuous dry cough for a month?
Query: Hi doctor, I am having continuous dry cough for a month. I took antibiotics and cough syrup, still no improvement. What should I do next? Need to undergo TB test or X-ray. Please advice. Read Full »
Answer: Hi, Welcome to icliniq.com. I have read through your query in detail. Please find my observations below. In the pictures sent, there is no obvious large abnormality seen (attachment removed to protect patient identity). However the X-ray image quality is not very clear and if you are having dry c... Read Full »
Query: Hi doctor, My mother has lung cancer. It is in the fourth stage. Currently, the doctor has advised her to take targetted therapy. She is taking Gefitinib tablets every day. Is there anything serious? Please help me. Read Full »
Answer: Hi, Welcome to icliniq.com. Please say about the histopathology report. Please explain the condition briefly. Please state whether there was a mutation done before starting Gefitinib. All these things are essential for deciding the response to Gefitinib. In general, on taking Gefitinib, the averag... Read Full »
A 67-year-old osteoporotic female has wrist swelling. Is it tuberculosis?
Query: Hello doctor, My mother who is 67 years old is an osteoporosis patient. She has been recently operated for carpal tunnel in the left hand. A few months back, she had developed an ankle effusion which subsided after starting osteoporosis injections. She is on Gemtide and calcium. Recently, she has de... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your attachments (attachment removed to protect patient identity). An ultrasound cannot diagnose whether she has tuberculosis or not. This requires an MRI (magnetic resonance imaging) scan and also a needle biopsy under ultrasound guidance which n... Read Full »
Am I positive for tuberculosis infection, if TB skin test is positive?
Query: Hello doctor, I hope you are doing well. I had a TB skin test five days ago and went back today for the results, and it showed as positive. I took a blood test for TB 14 days back, and it came negative. My doctor said this does not confirm that I have active TB, and an x-ray scan is needed to con... Read Full »
Answer: Hi, Welcome to icliniq.com. I hope you are doing well, and thanks for your query. Looking at your x-ray (attachments removed to protect the patient’s identity), everything looks fine, and I do not see any evidence of active TB (tuberculosis). TB skin test comes positive in many individuals and... Read Full »
What support should be given before onset of hypercapnia in a TB patient?
Query: Hello doctor,I have TB disease, type1 respiratory failure. Oxygen was given, oxygenation improves but falls to LVL on presentation. What support should be given before the onset of hypercapnia? I have dry cough for two weeks, blood in sputum, fever, sweating and weight loss. Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. As you said, the patient has TB, hypoxia is more common which leads to type 1 respiratory failure. So only supplemental oxygen is not enough. We should start noninvasive ventilation as early as possible before hypercarbia sets in. So the possible options for NIV are ... Read Full »
I coughed blood and am being treated for TB. I need expert advise.
Query: Hello doctor, I was positive for hepatitis B four years ago, and recently I was rushed to the hospital for coughing up blood from my lungs. The CT chest shows that there are some bleeding areas in my lungs. The Gene expert test shows that I have very low tuberculosis. My kidneys are normal and my li... Read Full »
Answer: Hello, Welcome to icliniq.com. As your gene Xpert report (attachment removed to protect patient identity) shows you have been tested positive for MTB which is sensitive to Rifampicin. Means you have pulmonary tuberculosis and it is sensitive to first-line drugs. The standard treatment in this case... Read Full »
Why do I feel difficulty breathing?
Query: Hello doctor, I feel difficulty breathing and take long deep breaths nowadays. Please recommend me some medicine. Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Shortness of breath has many causes, like anemia (low hemoglobin) and diseases of the heart, lungs, and kidneys. I need more information to help you out. Is there chest pain and cough during shortness of breath? ... Read Full »
Can hypertension cause dilated cardiomyopathy?
Query: Hello doctor,I have a medical question actually. There is a 30-year-old obese female with no known history who comes to the emergency room. She presents with a 2-month history of shortness of breath and pedal edema. When she comes to the emergency room she is found to be in a hypertensive emergency ... Read Full »
Answer: Hello, Welcome to icliniq.com. She is having HTN (hypertension) which may cause concentric LVH (left ventricular hypertrophy). EF (ejection fraction) 20 to 25 % with both pericardial and bilateral pleural effusion. You need to evaluate the cause of effusion both cardiac and pleural and need to exc... Read Full »
What do Mycobacterium Avium Complex and carcinoid tumor mean?
Query: Hello doctor, My grandmother was diagnosed with MAC (Mycobacterium Avium Complex) plus carcinoid tumor. Can you please tell me what this means? Read Full »
Answer: Hello, Welcome to icliniq.com. MAC (Mycobacterium Avium Complex) is bacteria related to tuberculosis and is a disease of the lung where bacteria affects the lungs. In simple words, it is abacterial infection of the lungs. A carcinoid tumor is nothing but cancer that mostly starts either in the lun... Read Full »