Tuberculosis

Tuberculosis (TB) is a highly contagious bacterial infection, that usually affects the lungs and can spread to other body parts like the brain, spine, stomach, etc. The bacteria Mycobacterium Tuberculosis causes it. The symptoms include persistent cough, blood in cough, chest pain, weight loss, chills, fever, and loss of appetite.

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Can tuberculosis infect organs other than the lungs?

Query: Hello doctor, My recent chest x-ray showed some suspicious infiltrates in the lung. I am currently under thyroid cancer treatment. I got two CT scans done for both neck and chest. I have attached both reports here. Please help me in clarifying few terms which I did not follow. I would like to know, ...  Read Full »


Dr. Amolkumar W. Diwan

Answer: Hello, Welcome to icliniq.com.  I went through both your CT scan reports (attachment removed to protect patient identity). According to your CT report, there is no defect in the lungs. It only shows collapse in certain parts. As you have mentioned you are currently under treatment for thyroid canc...  Read Full »

In chest x-ray, what is the meaning of bilateral apical inhomogeneities?

Query: Hi doctor, I have applied for a job in abroad. I was asked to get a complete medical checkup. In the chest x-ray report, it was mentioned as bilateral apical inhomogeneities. What does it mean?  Read Full »


Dr. Amolkumar W. Diwan

Answer: Hello, Welcome to icliniq.com. A chest x-ray is a routine part of any pre-employment checkup. Your query regarding reporting of x-ray as bilateral inhomogeneous opacities suggests old or active infection most probably tuberculosis. So, it is advisable to do sputum AFB test (acid-fast bacilli) to rul...  Read Full »

What is the treatment for lung calcification?

Query: Hi doctor, I was diagnosed with pulmonary nodule calcifications in my upper lung early this year. They were not present in the same report investigations performed last year. I want to get these removed through surgery, since they keep posing problems while applying visa and abroad work permit. Can ...  Read Full »


Dr. Amolkumar W. Diwan

Answer: Hi, Welcome to icliniq.com. As you said, you have pulmonary nodule with calcifications in the upper lung, it suggests old infection of the lung and calcification denotes it as a benign lesion. Any healing in our body has a tendency of getting calcified over the period of time. But, that does not ...  Read Full »

What is the treatment for inhaling drywall dust?

Query: Hello doctor, I have a question in regards to pulmonology and exposure to crystalline silica. I have done a ton of research on the internet regarding this subject and probably know as much as anyone can know based solely on internet information. So I am hoping someone with a more advanced knowledge ...  Read Full »


Dr. Amolkumar W. Diwan

Answer: Hello, Welcome to icliniq.com. I have surfed your links and understood your problem in detail. (attachments removed to protect patient identity) After silica exposure you are suffering from what is called as acute silicosis. Acute silicosis results from short term exposure to very large am...  Read Full »

Please suggest treatment for chronic dry cough.

Query: Hi doctor, I am suffering from chronic dry cough originating primarily in bronchial area. I feel fatigue, vertigo, lack of appetite and periodic nausea. Please help.  Read Full »


Dr. Amolkumar W. Diwan

Answer: Hello, Welcome to icliniq.com. Chronic cough since long time suggests some allergic condition like asthma. For proper diagnosis you should do a chest x-ray and spirometry test. Other symptoms can be suggestive of some infective cause like tuberculosis. So, ultimately after an x-ray and spirometry...  Read Full »

Is there always 1 to 2 percent chance of TB recurrence even after completion of medicine?

Query: Hello doctor, I had pulmonary TB and undergone six months of continuous medication as suggested by the doctor. There was blood in sputum few times and sputum test showed negative but based on CT scan doctor suspected pulmonary TB. I was recommended medicine for six months. I gained 3 kg weight and ...  Read Full »


Dr. Amolkumar W. Diwan

Answer: Hello, Welcome to icliniq.com. I have gone through both the CT scans and reports (attachment removed to protect patient identity). It is good that you have completed six months of TB treatment in spite of the sputum test being negative. Even though the sputum test for AFB was negative, the symptoms ...  Read Full »

How is multidrug-resistant tuberculosis treated?

Query: Hello doctor, I have been diagnosed with multidrug-resistant tuberculosis. I have attached the reports. Please suggest a way to treat this.  Read Full »


Dr. Amolkumar W. Diwan

Answer: Hello, Welcome to icliniq.com. I have seen both the reports (attachment removed to protect patient identity). Sputum report is positive and has also grown Mycobacterium tuberculosis. But the sensitivity test for all five first-line drugs is not done. Patient weight is also not mentioned. If it is...  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. Amolkumar W. 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 »

My mother in law is suffering from cough and breathlessness.What does her CT scan report say?

Query: Hello doctor, My mother in law is 75 years old and she is diabetic. She had been treated for ulcer one year back. She is suffering from cough and breathlessness for more than two weeks. Doctor advised for a CT scan. Please see the attached report and guide us further. What does the report say? How...  Read Full »


Dr. Amolkumar W. Diwan

Answer: Hello, Welcome to icliniq.com. I have read the history and CT scan report (attachment removed to protect patient identity). Your mother in law is a known diabetic. Now, she is suffering from cough and breathlessness since last 2-3 weeks. This can be due to COPD which is chronic obstructive pulmonary...  Read Full »

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