Question 1

I'm currently on medication for lymph node tuberculosis, and it's been around 2 and a half months. Recently, I've noticed that the nodes in my abdomen have become enlarged, whereas before it was just the ones in my neck and groin. I'm a bit worried and was wondering how long I might have these enlarged nodes and when this treatment course will be done. Can you help explain what's going on?

Accepted Answer

Enlarged lymph nodes can persist throughout TB treatment, but they typically start to shrink within 3-6 months; the standard treatment course for lymph node TB is 6-9 months, but it may vary depending on your response to treatment, so consult your doctor to assess your progress and determine the best course of action.

Question 2

I'm a bit concerned about my x-ray report showing prominent broncho vascular markings, especially since I have a history of bronchitis. I'm 51 years old and commute for 2 hours daily. My previous PFT report was okay, but could this be something serious?

Accepted Answer

Your x-ray report showing prominent broncho vascular markings could be indicative of bronchitis or inflammation in the airways. Given your history of bronchitis and daily travel of 2 hours, it is important to manage this condition to prevent any exacerbation. I would recommend using an inhaler like Salbutamol (Ventolin) 2 puffs every 4-6 hours as needed for bronchospasm. Additionally, you can use an inhaled corticosteroid like Fluticasone (Flovent) 2 puffs twice daily to reduce airway inflammation. It is also important to stay hydrated, avoid exposure to smoke or pollutants, and consider wearing a mask during your daily commute to protect your airways. Regular follow-up with your doctor for monitoring and possible repeat PFT testing is advisable to ensure optimal lung function.

Question 3

I'm a bit worried because I had a fever of 101 four days ago, but now the fever's gone. However, my COVID test came back positive, and I also had a chest X-ray done. The report mentioned something about bilateral lung fields showing prominent broncho...

Accepted Answer

Probable diagnosis is upper respiratory tract infection.Patient is advised tab augmentin duo 625mg thrice daily, for 5 days, tab pan d,orally once daily for 7days ,syrup sucralfate 10ml thrice daily for 7 days.Also avoid spicy and hot items is advised to the patient.

Question 4

I've been having a fever every evening for the past three months. It's been a bit of a worry and I'm trying to figure out what might be causing this. Could you help shed some light on what might be going on or suggest what steps I should take next?

Accepted Answer

It's important to identify the cause of your recurring evening fever over the past 3 months. It could be due to various factors like infections, inflammation, or other underlying conditions. I recommend consulting with your doctor for a thorough evaluation and appropriate tests to determine the cause and provide proper treatment.