Could TB Not Cause Symptoms?

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Illustration: Could TB Not Cause Symptoms? health.harvard.edu

Good afternoon .. r nMy brother’s X-ray was diagnosed with tuberculosis, while he did not decrease his appetite, gained weight, and did not experience coughs for more than 3 weeks .. Then he was ordered to have a sputum test but he could not have phlegm because he was not coughing .. What which must be done? How do you get rid of phlegm? What about the accuracy of X-rays?

1 Answer:

Hi Dwiabell,


Thank you for asking HealthReplies.com.

It should be noted beforehand, there are many types of TB (tuberculosis, TB), which can infect the lungs or other organs, such as the lymph nodes, intestines, bones, skin, meninges, and various other organ systems. Each of these types of TB can show varying symptoms. For that, it is necessary to clarify first what TB did your sibling have?


Ideally, TB diagnosis is based on a comprehensive examination, namely by in-depth interviews, physical examinations, and supporting tests, such as sputum tests, X-rays, biopsies, blood tests, and so on. However, given the very high prevalence of TB in Indonesia (number 3 in the world after India and China), often, people with suspicion of TB disease, even though they do not show symptoms and typical test results, for various considerations can still be given OAT therapy (drug anti TB) to reduce the spread of the disease. Of course, the determination of whether or not OAT therapy is needed must be based on careful consideration, by a competent doctor, internist, or pulmonologist.


Typically, TB sufferers will indeed show several symptoms, such as weight loss, swollen lymph nodes, low-grade fever and excessive sweating (especially at night), decreased appetite, and so on. If this TB infects the lungs, the patient will also experience a productive cough that does not heal for more than 2 weeks, often even coughing up blood. However, if TB infects other organ systems, coughing may not be the main complaint. Therefore, back again, TB diagnostics need to be based on a variety of examination results, not just looking at the complaints that arise. If the doctor clinically suspects that your sibling is infected with TB, even if he or she does not show typical symptoms, TB tests still need to be done. Especially if your sibling has a history of close contact with other TB sufferers.


If your doctor has recommended that your brother undergo a sputum examination, and he is having trouble expelling phlegm because he is not coughing, you should urge him to go back to see a doctor. In some conditions, doctors can give several types of sputum thinning drugs if necessary. Doctors can also recommend some special techniques for expelling phlegm, for example by exercising, drinking lots of warm water, and taking a deep breath before expelling phlegm to make it easier to expel phlegm. If that doesn't work, then several other investigations can also be considered.


At first glance, TB is not a dangerous disease. However, the productivity of sufferers can be greatly decreased due to this disease. In addition, the potential for transmission of this disease is very large, especially in infants and children, so it needs to be suppressed. In people with good immunity, TB infection can even spread to vital organs so that it has the potential to cause serious complications and even threaten the life of the sufferer.


Hope it helps ..

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