Question 1

I'm currently on treatment for tuberculosis, and I've been running a fever between 99.5 and 100.3 during the day, but at night it's spiking up to 102-103. It's been almost 27 days since I started the treatment. I'm just wondering if this level of fever is normal and when I might see some improvement. Could you shed some light on what's going on?

Accepted Answer

start taking dolo650mg at night if you are facing this issue. If it is still not reducing take injection paracetamol IM for 3 days.

Question 2

I'm a 45-year-old woman and I've been having trouble breathing for the past 3 to 4 years. Sometimes it feels like I have to forcefully inhale and it's quite concerning. I've already seen many doctors and they've prescribed medications like Feliz S Plus and Beloc Plus, but nothing seems to really help. I'm really worried and not sure what to do next or who else I can see about this. Can you give me some advice on who else to consult or what other steps I might take?

Accepted Answer

refer to pulmonologist

Question 3

I'm really worried about my TB diagnosis. It's been three months since I found out I have tuberculosis, confirmed by an FNAC test with these zn and he stains. But a different doctor mentioned I should get tested with GMS or PAS stains, to check if it's related to fungi. I'm struggling to find labs that offer these specific tests. Do you think it's necessary to explore this angle, and could you help me figure out where to get these tests done?

Accepted Answer

To find labs offering GMS (Gomori's Methenamine Silver) or PAS (Periodic Acid-Schiff) stains for TB confirmation:

Government Laboratories

1. National Institute of Tuberculosis and Respiratory Diseases (NITRD)
2. Regional Tuberculosis Training and Research Centre (RTTRC)
3. State Tuberculosis Centers

Private Laboratories

1. Metropolis Labs
2. SRL Diagnostics
3. Quest Diagnostics
4. Thyrocare

Online Platforms

1. Medlab Services
2. LabCorp

Contact Methods

1. Visit laboratory websites
2. Call helpline numbers (e.g., TB Helpline: 1800-3000-2737)
3. Consult your treating doctor for referrals

Additional Tips

1. Verify lab credibility and accreditation
2. Confirm availability of GMSPAS stains
3. Ensure sample transportation and handling guidelines

Resources

1. Indian Association of Pathologists and Microbiologists (IAPM)
2. Indian Chest Society (ICS)

I'm really concerned because I've been having chest pain almost non-stop for about a month now. Plus, my cough just keeps coming back every couple of days. Things have gotten worse since I've now developed a fever and my cough has phlegm with it. What could be going on with me?

do CBC ESR CRP AND RTPCR COVID

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