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Asking For Self, Female 40, Malaysia
past 3 month I have been suffering with coughing 15 days back I have seen blood in my sputum I have done chest x ray and AFB sputum test which is neg waiting for my culture sputum results please dr. guide me is this possible to get tb or cancer with normal chest x ray ??? and what should I do next for me to get proper diagnosis? now I am doing nebulisation with atem +normal sline please reply I amsi worried thanks attaching my x rays
yes this is possible but this would be diagnosis of exclusion.to exclude all other options. As chest x-ray is normal.Is blood continuously coming with sputum or was it just one episode???
Keeping your age and this chest xray.. Cancer is unlikely as chest xray is perfectly normal.. Baqi I would like to ask you additional questions..
Like weight loss.
Night sweats
Fever
And more over a single test of sputum can not exclude TB.. So you needs two more tests.
And hemoptysis that is blood in sputum maybe because of stomach ulcer or TB
So please respond to my questions and do accordingly.
Patient
Post Owner
thanks for replying dr. no I don't have fever or weigh loss i am waiting for my sputum culture results the chest x ray I have done 2 time one is with report is recent and another the film one is done in Aug
3 years ago
MBBS, FCPS, MCPS | Peshawar | Book Appointment
Dnt do xrays more
And please let me know if ur chest wheezy or not? Or u have recurrent flue? Or any family history of chest disease asthma etc.
3 years ago
Patient
Post Owner
my gp check and said my chest is fine but I am having wheezing cough and my grandmother has tb she passed away she got recovered with tb but after that she got breathing problems she was 80 years old
3 years ago
MBBS, FCPS, MCPS | Peshawar | Book Appointment
So please kindly do pulmonary function test that's called PFTs. As I have a strong suspicious that u are having mild asthma and ur cough can be treated with proper treatment.
3 years ago
MBBS, FCPS, MCPS | Peshawar | Book Appointment
Yes of course
3 years ago
So for proper diagnosis you need PFTS with reversiblity test. Culture test will exclude TB.. And ur cough is because of wheezy chest..
Patient
Post Owner
can you explain what is pftc ? and why have to perform and after culture results i need to do this one ???
3 years ago
MBBS, FCPS, MCPS | Peshawar | Book Appointment
Yes pulmonary function tests is basically for diagnosis of lung diseases that either it is obtructive or restrictive pattern.. And moreover to know its grades. Like to show whether mild asthma or moderate or severe... And u can do it right now.. Not waiting for culture report..
3 years ago
MBBS, FCPS, MCPS | Peshawar | Book Appointment
Chest pain and blood sputum are because of either asthma or TB..
3 years ago
MBBS, FCPS, MCPS | Peshawar | Book Appointment
You need to start inhalers, use tansamine tablets and proper cough Syp and short course of steroid
3 years ago
MBBS, FCPS, MCPS | Peshawar | Book Appointment
Dear.. Kindly consult online or on my what's app number so that I can explain everything to you..
Moreover the lungs are like balloons they are situated in the chest.. And u will feel pain front back upper parts mostly if your balloons are not working properly? Got my point?
3 years ago
MBBS, FCPS, MCPS | Peshawar | Book Appointment
Thats good
3 years ago
Patient
Post Owner
blood is always coming,, it is coming more often when I get chest pain
3 years ago
MBBS, Diploma of Cardiology, MD Cardiology Training | Khanewal | Book Appointment
is chest pain left sided or right sided???
3 years ago
MBBS, Diploma of Cardiology, MD Cardiology Training | Khanewal | Book Appointment
is this associated with meals intake???
3 years ago
Patient
Post Owner
its on my left side
3 years ago
MBBS, Diploma of Cardiology, MD Cardiology Training | Khanewal | Book Appointment
this can be stomach ulcer as well.kindly get serum H.pylori tested as well.
3 years ago
Patient
Post Owner
i don't think so when ever I get cough I get the blood
3 years ago
MBBS, Diploma of Cardiology, MD Cardiology Training | Khanewal | Book Appointment
is there any pain in throat???
3 years ago
Patient
Post Owner
some times when I get blood sometimes not
3 years ago
MBBS, Diploma of Cardiology, MD Cardiology Training | Khanewal | Book Appointment
okay.simply get respiratory tract infection medicine first
3 years ago
Patient
Post Owner
can you named the medication my GP has done 1 episode of antibiotics but I didn't notice any difference and when I complained for the chest pain he said must be muscles pain then he gave me med for muscles pain but I didn't get any relief
3 years ago