apollo
  • Male
  • 55 Years
  • 22/01/2025

I'm really worried about my grandfather. He was diagnosed with TB about seven months ago and took medication for six months which ended on December 16, 2022. It's been about a month since then, but for the past ten days, he's been coughing excessively again. Last time when he was on the ATT drug, he felt uncomfortable and his SGPT and SGOT levels were really high. We got some tests done and, thankfully, his LFT and CBC reports are normal now. But the sputum test came back positive again. Our doctor has currently prescribed Amoxicillin 625 mg, Montelukast 10 mg, and a cough syrup. I'm trying to figure out if he should go back on the TB medicine or if there's something else we should consider. Could you give me some advice on what the next steps might be?

Doctor 1

Answered by 1 Apollo Doctors

Pulmonologist opinion is advised to the patient.

Dr. Ibrahim Suggests...

Consult a Pulmonology Respiratory Medicine Specialist

Answered 04/07/2025

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I'm pretty worried right now; I've been a smoker for the past 10 years but quit just last month. Since then, I've had a nosebleed once, but it stopped. However, about three weeks ago, I started experiencing heaviness and some gastric feelings in my heart, along with heart palpitations. The thing that's really freaking me out is seeing blood in my sputum in the mornings when I clean my throat. At first, it was like actual blood drops, but now it's just tiny, hair-like streaks. I'm also frequently getting that blood taste in my throat, and I've been burping a lot after eating or drinking. Lately, there are some black strains in my spit. I went through some tests like a chest X-ray, sputum AFB for TB, ECG, echo, and troponin test, and they were all normal. The arterial blood gases test and CBC, ESR, and ECG reports are attached. What could be going on with me?

You may be experiencing some complications related to your history of smoking. The presence of blood in your sputum, especially with a history of smoking, raises concerns for potential lung issues. Since your TB evaluation and other tests have come back normal, it is important to address the possibility of lung irritation or inflammation. Additionally, to help with the gastric symptoms and burping, you can take Esomeprazole 40mg once daily before breakfast. It is also important to continue monitoring your symptoms and follow up with your healthcare provider for further evaluation and management. If the symptoms persist or worsen, further investigations such as a CT scan of the chest may be necessary to rule out any underlying issues.

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