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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Breathing Problem And Phlegm While On TB Treatment

Hi my Father is 68 years old,he has not been feeling well for last tow months,ultimately we found has got T B He is been given medicine against TB its called DOTS he has to take seven tablets together thrise a weak .

its been two weak he is not getting any better, having breathing problem and a lot of flame coming out spl in night time, please advice.
Tue, 2 Feb 2016
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General Surgeon 's  Response

Hi Dear !! Thanks for your query to HCM.
Read and reviewed query.
Based on facts of your query, You seem to suffer from-
Pulmonary TB with debility with advanced age and chronic disease.
In your case where there is lot of productive phlegma,
I would suggest you to wait for another 2-4 weeks till the drug effect would controll the aggressive inflammation from the Tubercular process in lungs.
check for HIV status also,as it could be missed and could cause late response in few cases.
Good High Protein /Bland Diet,
Plenty of fluids
Supportive symptomatic medicines-like Antibiotics to reduce secondary accompanied lung infections with Pain/ fever drugs / with Bronchodialators and vitamins would go a long way to recoup fast.
Don't worry for all this. Act like suggested.
Avoid smoking / drinking as the drugs interact with alcohol and could cause liver inflammation in few cases.
Recheck with X-ray chest- and timely AFB sputum / or PCR of sputum would fix its infectivity to other population around in family.
You have to have -"Protective BARRIER-Nursing "with Partitioned nursing with NASAL MASKS and Gloves to be used by Patient and attending family members.
Hope this would resolve your health issues early.
Welcome for any further query in this regard.

Good Day !!

Dr.Savaskar M.N.

Senior Surgical Specialist and Thorasic / Chest Surgeon
M.S.Genl-CVTS
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Suggest Treatment For Breathing Problem And Phlegm While On TB Treatment

Hi Dear !! Thanks for your query to HCM. Read and reviewed query. Based on facts of your query, You seem to suffer from- Pulmonary TB with debility with advanced age and chronic disease. In your case where there is lot of productive phlegma, I would suggest you to wait for another 2-4 weeks till the drug effect would controll the aggressive inflammation from the Tubercular process in lungs. check for HIV status also,as it could be missed and could cause late response in few cases. Good High Protein /Bland Diet, Plenty of fluids Supportive symptomatic medicines-like Antibiotics to reduce secondary accompanied lung infections with Pain/ fever drugs / with Bronchodialators and vitamins would go a long way to recoup fast. Don t worry for all this. Act like suggested. Avoid smoking / drinking as the drugs interact with alcohol and could cause liver inflammation in few cases. Recheck with X-ray chest- and timely AFB sputum / or PCR of sputum would fix its infectivity to other population around in family. You have to have - Protective BARRIER-Nursing with Partitioned nursing with NASAL MASKS and Gloves to be used by Patient and attending family members. Hope this would resolve your health issues early. Welcome for any further query in this regard. Good Day !! Dr.Savaskar M.N. Senior Surgical Specialist and Thorasic / Chest Surgeon M.S.Genl-CVTS