Answered by Dr. Amol Kumar Wasudeorao Diwan

Answered by Dr. Amol Kumar Wasudeorao Diwan

What is the tuberculosis recurrence rate post-treatment?

Hello doctor,

I had pulmonary TB and underwent six months of continuous medication as suggested by the doctor. There was blood in the sputum a few times and the sputum test showed negative but based on the CT scan (computerized tomography) doctor suspected pulmonary TB (Tuberculosis). I was recommended medicine for six months. I gained 6.61 pounds weight and there was no blood in sputum during this period.

The medicine was completed last week and I visited the doctor. This time again CT scan was done and the report is attached. The doctor says there are significant improvements but still some suspicious nodules that may be active in a rare case of 1 to 2 percent. He suggests extending the medicine for another three months.

I consulted another doctor based on the same CT scan and he says there is no need to extend the medicine. There will always be a 1 to 2 percent chance of TB recurring even after taking medicine for another three months. He says that since TB is detected early and sputum was negative, hence there is no need to extend medicine. I have attached the first and last CT scan reports for your reference. These are some queries in this regard.

1) What does the current CT scan report say about TB?

2) Whether should I take TB medicine for another three months?

3) Is there always a 1 to 2 percent chance of TB recurring even after the completion of medicine?

4) Is there any chance of TB getting drug resistance if it happens again?

5) Can I be sure that I do not have drug resistance TB right now?

10 May 2024 - 1 min read

What foods are advisable for asthma patients to avoid?

Hello doctor,

What are the foods items that should be not given to the asthma patient?

10 May 2024 - 1 min read

How to treat allergic cold and bronchitis?

Hello doctor,

I have been taking intermittent treatment for an allergic cold and bronchitis with my family doctor's pulmonologist and for some time for an ET ear problem with a local ENT doctor. I had allergic sneezing and irritation for about 12 days, but no fever or cough. A local ENT gave me Azithral 500 and Nasivion drops for five days. However, as I got diarrhea on the fourth day, I called my family doctor in another city who prescribed Guncef 325 twice for five days, Montair LC once daily, and Formonide inhaler in case of heavy breathing. I have completed four days and the infection is better and the spitting of whitish phlegm is very less. But I still get nose irritation, sneezing, and intermittent throat sore. I do not have a fever or cough. Kindly advice.

09 May 2024 - 1 min read

How to manage allergic cough and breathing problem?

Hello doctor,

I am 29 years old. Since birth, I am suffering from dust allergy and eosinophils. When the seasons change I get suffers from cold and cough. I live in a city full of trees and dust too. Due to my cough, I get little breathing problems. Before three months, whenever I get these problems with the help of syrup or medicines I get rid of it. But for the last three months, I am not getting any relief. One of my doctor's friends prescribed me Levocetirizine which gave me relaxation for two to three days. Before 10 days I consulted with another doctor and he gave me Formoterol fumarate and Budesonide and Montelukast. He told me that I am suffering from little asthma. I do not have a high problem of breathing but then also I am taking this medicine for the last 10 days. Please help me to get rid of this. I also checked my allergies, the report shows 1100 + IgG.

08 May 2024 - 1 min read

Which drug is good for allergy and throat infection?

Hi doctor,

I am suffering from nose block, throat pain, fever, occasional running nose, and headache. I am taking Nasaflo nasal spray and Fomtide inhaler two puffs every night. What is the drug of choice for the respiratory allergy and throat infection? Kindly help me.

03 May 2024 - 1 min read

Dr. Amol Kumar Wasudeorao Diwan
Allergy Specialist, Pulmonology (Asthma Doctors)
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