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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Cough, Night Chills And Loss Of Weight?

my father coughed phlegm with blood.i already having the past history of t.b 61 years ago. now he is 77 years old. afg stain negative. pcr mtb culture =ve.dr says in exray there is a marking of calcified scar lesions.according to grams stain result dr prescribed doxycycline 200mg 1 od for 15 days.we are waiting for the result of sputum culture .dr said after two weeks we can get the result. already he prescribed r.cinex 450mg 1 od.my father had severe cough night chills loss of weight.lost his hunger.3 months ago he had severe poly arthirits. please dr guide me further whether we are in the right track of treatment.
Mon, 28 Apr 2014
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General & Family Physician 's  Response
Hello dear,
The complex of prolonged cough,blood stained sputum,poor apatite,and weight loss is highly suggestive of tuberculosis reactivation.Since AFB and PCR reported negative,we have to confirm the result by culture,which take at least 2 weeks.During this period,rifampicin and doxycyclin will take care.
Need not worry.You are in the right track.
Meanwhile,give him a healthy diet with enough fruit and veges.Avoid smoking and cod,dusty environment.Better to keep children from direct contact till the issue is resolved.
I hope you will find this information useful.Thank you.
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What Causes Severe Cough, Night Chills And Loss Of Weight?

Hello dear, The complex of prolonged cough,blood stained sputum,poor apatite,and weight loss is highly suggestive of tuberculosis reactivation.Since AFB and PCR reported negative,we have to confirm the result by culture,which take at least 2 weeks.During this period,rifampicin and doxycyclin will take care. Need not worry.You are in the right track. Meanwhile,give him a healthy diet with enough fruit and veges.Avoid smoking and cod,dusty environment.Better to keep children from direct contact till the issue is resolved. I hope you will find this information useful.Thank you.