Cough With White Phlegm During Tuberculosis Treatment At 7 Months?

Illustration of Cough With White Phlegm During Tuberculosis Treatment At 7 Months?
Illustration: Cough With White Phlegm During Tuberculosis Treatment At 7 Months? Bing

Dear Doctor.rnI’m Tivanny, 20 years old female. I was declared infected with tuberculosis and I have been taking OAT for 7 months (complete, no one has forgotten). I think I caught my father who had TB. During the treatment I did not live with my parents because I migrated to college. During treatment my condition improved, coughing began to be rare, even if the cough was no longer accompanied by green phlegm, I was gaining weight, and no longer sweating at night (until my hair was wet with sweat). In the 7th month of treatment I did a second x-ray and underwent lab tests (results: Hb 11.8 g/dl; Leukocytes 6800/mm3; 1 hour ESR: 23 mm; platelets 362,000; hematocrit 39%; SGOT: 28; SGPT : 24) According to the doctor who treated me, the X-ray results: my right lung has a hole, which can cause coughing up blood if there is a strong vibration in that area. And now I continue OAT in the 8th month. The drugs I take are Rifampicin 450 mg, Pehadoxin Forte Isoniazid 400 mg and Curcuma°FCT, the same as what I took 2 months before. But on the first day of the 8th treatment, I started to cough again, coughing accompanied by white and slightly green phlegm. At night I also feel hot and sweaty but a little, in the morning I feel a bit sticky and my hair is also limp (because of sweat). Today is the second day of the 8th treatment, and this morning I was coughing and coughing more often with phlegm accompanied by a slightly green yellow phlegm.rnThe second X-ray that I read stated:rnCor: CTR u0026lt; 50%rnThe shape and location of the heart is normalrnPulmo: increased vascular markingsrnSpots appear in the upper right lung field with cavities.rnRight hemidiaphragm at the level of the 10th rib posteriorrnThe right costophrenic sinus is sharpr nSkeletal normalrnIMPRESSION:rn-Cor not enlargedrn-Lung TB picture (still visible infiltrates)rnrnWhat I want to ask is, has my 7 month treatment with OAT failed ? How would you explain my current situation and why? Does the cough indicate there is still bacteria in the lungs? Or just coughing from the flu (because I have a slight cold)? What should I do to be healthy again and declared fully recovered?rnI ask for your help,. Thank you for your time.rnGreetings

1 Answer:

Dear Tivanny,

Tuberculosis is a disease caused by a lung infection by the bacterium Mycobacterium tuberculosis which is transmitted through particles contained in a splash of liquid that comes out when a person with TB coughs or sneezes. Tuberculosis bacteria are unique bacteria and are quite strong against treatment, so it requires a fairly complex treatment strategy so that a person can recover completely. The diagnosis of TB is made by examining sputum from patients suspected of having TB three times. Sputum is checked whether it contains acid-fast bacilli (BTA), namely the tuberculosis bacteria itself. A positive sputum smear containing smear at least 2 out of 3 times the examination, indicates a person is infected with tuberculosis. The examination is also supported by other modalities such as lung X-rays, blood tests and so on.

The TB treatment strategy is to take Anti Tuberculosis Drugs or OAT, for at least 6 months without stopping. Stopping treatment without a doctor's indication increases the risk of resistance to these bacteria. Evaluate whether the treatment is successful or not, seen by re-examination of sputum, at certain periods of examination. The result of a change in sputum to negative indicates the treatment succeeded in getting rid of the bacterial infection, and vice versa. In addition, it is also important to see if there are symptoms of the infection such as a persistent cough, night sweats, and decreased appetite. Physical examination directly by a doctor is also very important to evaluate the results of treatment. Therefore, we cannot simply based on your exposure alone, to be able to determine the outcome of your tuberculosis treatment. We advise you to re-examine your condition with your doctor while bringing the results of the examinations that have been carried out. TB is not impossible to cure, as long as a person obeys the rules of taking medication, and supports his life with a healthy lifestyle such as eating nutritious food, exercising, getting enough sleep, and consuming fluids according to the body's needs. Here we attach an article about TB. Hope it is useful.

dr. N. K. Arief

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