Diagnosed With Pulmonary TB But Did Not Feel The Symptoms?
Excuse me, I did a couple of examinations last night and one of them included the lung, so the x-rays showed that the suspected pulmonary tuberculosis was active, I was confused, because I didn’t feel any symptoms or complaints, so I was advised to do a phlegm test, but now I’m having a hard time. to expel phlegm because right now I’m not coughing at all let alone coughing up phlegm, so is there any chance that I have active tuberculosis?
Pulmonary tuberculosis is a bacterial infection of Mycobacterium tuberculosis in the lungs. These germs can be transmitted through cough, sputum, and sneezing droplets. Indonesia is a tuberculosis endemic country.
The main symptoms of pulmonary tuberculosis are coughing for at least 2-3 weeks, in addition it can be accompanied by the following symptoms:
Coughing up blood
Long-lasting fever or chills
Out of breath
Microscopic sputum examination is useful for establishing the diagnosis of pulmonary tuberculosis, assessing the potential for transmission, and evaluating the results of treatment. Culture and discovery of the bacterium Mycobacterium tuberculosis can also be carried out on sputum samples taken from bronchoscopy or pleural fluid samples (lung membrane space). Diagnosis of adult pulmonary TB based on government programs is through the discovery of TB germs on sputum. X-ray examination is only supportive, because the picture of a lung that suspects TB infection can resemble a lung infection due to other germs too. Patients who after phlegm examination turn out to be negative germs but from X-ray suspicious of eating TB will be further evaluated by a specialist to determine the need for treatment with anti-tuberculosis (OAT) drugs.
If sputum examination is not possible, then investigations such as lung X-rays, pulmonary CT scans, blood tests (IGRA), Mantoux tests are done to help the diagnosis coupled with the doctor's evaluation of the results of the history (asking for a history of complaints, risk factors such as close contact with patients with active pulmonary TB, immune disorders, etc.) and physical examination. Therefore, in your case, please consult your doctor again if it is not possible to issue a sputum sample for examination, so that other tests can be determined that can be used as a diagnostic consideration. Thus the explanation from me, hopefully useful.