I'm really confused about my test results for TB. On December 27th, I got a sputum test, and it was positive. But then the next day, I did another sputum test, and that came back negative. The Truenat test on the 29th and the CBNAAT on the 30th were also negative. My chest X-ray is normal according to my local doctor, and some symptoms like weakness have gotten better, though I still have a mild chest pain. My blood report was normal except for ESR being 26, lymphocytes at 43, and cholesterol at 216. With my initial test being positive and all the following ones negative, I'm really unsure whether I have TB or not and whether I should start taking any medication. Could you help me figure out what's going on?

Answered by 1 Apollo Doctors

Dr Mubarak Parveez B

General Practitioner

MBBS
2+ Yrs

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Answered 04/07/2025

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I'm feeling really under the weather with this cold I've had for the past five days. I went ahead and got a chest X-ray, and the results mentioned something about mildly prominent bronchovascular markings in the bilateral lower zone. Does this sound serious to you, and is there a chance it could be related to tuberculosis? I'm a bit worried and would really appreciate some insight on this.

The mildly prominent bronchovascular markings in your chest X-ray typically indicate mild inflammation or irritation in the lungs, often seen with respiratory infections like the common cold. It is not a specific sign of tuberculosis. However, its best to follow up with your doctor for a complete evaluation and to rule out any other concerns.

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I'm really worried about this pleural empyema situation. If there's a 100ml buildup, do antibiotics alone help clear it up, or would it definitely need to be drained? I've heard different things and I'm not sure what to expect.

antibiotics alone not be alone

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My friend is currently getting treated for lung TB, and shes still having a cough. Is it okay for her to eat ice cream during this time? Could it make her symptoms worse or interfere with the treatment in any way?

better to avoid cold substances during this treatment period to avoid further complications

Answered by 1 Apollo Doctors

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.