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stages of Tuberculosis

Hi,Can anyone please comment on the stages of TB .
Like how does Patients body behave during first 1-4 months. Does he get chills,fever and is there frequent vomiting.When does the body come to some stable state.
****Doctors...plz revert..****
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First Helper Jgill
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replied December 12th, 2010
Experienced User
Hi Jgill,

I had meant to respond earlier but got just a bit busy. As a "TB Survivor," I know how important your question is to you and others like you. So, here goes:

6 mos before "breaking point" ("breaking point" is the date when I couldn't bear the symptoms anymore and demanded urgent medical attention):

I began experiencing general malaise and very mild flu symptoms, even if it wasn't the typical flu season where I live. I didn't feel like exercising, and I was a regular trail-biker and runner. I even felt discomfort and mildly irritated just being under the sun.

5 mos prior:

I began having afternoon fever (better described as a warm, prickly, and unsettling sensation in the head; not a regular fever) for maybe 30 minutes/episode. I didn't have the night sweating.

On waking up, my voice would be very hoarse; whatever voice I had was "squeaky" and I had to clear my throat hard a number of times before attaining a near-normal voice. It was a big problem to me as my work entailed speaking with people. I think the hoarseness was caused by phlegm creeping up to my vocal chords during sleep.

If I remember correctly it was at this time that my doctor said it was probably just a simple respiratory infection and he prescribed a regular antibiotic for it, which cleared up 90% of the symptoms for about a week.

4-3 mos prior:

Coughing began. It was productive, meaning I could expel phlegm although there were no blood streaks. My malaise and hoarseness of voice continued in the meantime. I continued antibiotics, which always gave temporary relief.

"Breaking Point (6 months after initial symptoms):"

One day, after a coughing episode, I felt a wave of strange weakness come over me, and although I was still maybe "in denial," I became really concerned. All this time, of course, I'd been researching TB on the web, and became convinced that I had it.

I went to my doctor, who sent me to a pulmonary specialist. On my x-ray, they saw a spot and had me undergo a bronchoscopy to make sure. The findings confirmed that I had it.

Almost immediately after confirmation, I began my 6-month treatment. Where I live, the public Health Department handles treatment, and strictly requires that patients take the medication at their clinic every day except weekends. That's so they're sure that the patient is following the regimen, recognizing how serious a threat to general society TB is.

1-6 mos. during Treatment:

To be honest, I felt perhaps only 10-20% better during treatment. This made me doubt if indeed I was being cured. The answer is yes: the medication is extremely potent to kill the bacteria during the 6 or 9 month treatment.

However, the old TB symptoms remain because of damaged lung tissue and the other physiological effects of the disease. During treatment, the medication first kills then sustains our immunity to the bacteria (that's why it's important to take it religiously). But, during treatment and recuperation, the body is still repairing itself. Serious damage is caused by the TB bacteria to whatever organ it infiltrates. That repair time brings with it the same symptoms during disease time. Remember, our symptoms were caused by tissue damage, not the bacteria itself.

6 months after end of Treatment (1 year from diagnosis):

I'm probably 70% back to normal. Maybe I experience the afternoon/evening fever once or twice a week. I still had a little phlegm production, frequently clearing my throat.

I try to overcome the residual feeling of malaise and start my sport and other outdoor activities again. I'm convinced that the fresh air, the sun (Vitamin D source), and physical exercise have been very beneficial. In fact, to this time I always feel better outdoors than indoors.

1 year after end of Treatment:

My feeling is that I'm 90-95% back to normal based on absence of symptoms.

18 months after end of Treatment (2 years from diagnosis):

I'm very close to feeling normal. Very rarely and briefly I have that warm, prickly sensation (almost but not a fever) in the afternoons. I clear my throat maybe 5-6 times a day. I run 6.4 kilometers/week and have my other outdoor activities. I love the feeling of almost complete recovery. Best of all, I know that I've gotten rid of the TB bacteria which I probably had for many, many years but which became active only when my immunity was poor.

My recommendation to you and everyone else is to seek 2nd or 3rd opinions from doctors. It's easy to confuse TB with other diseases. But once a doctor says, "yes, there's a big chance it's TB," jump into the treatment 100%. The post-treatment period will have continuing symptoms as I've described but be assured that your body is in the repair process. Help the body by getting enough sleep, eating nutritiously, and exercising. Just as important, keep a positive attitude. Say to yourself that you have many years ahead, more fulfilling than the years of inactive and active TB.

Hope this helps.
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replied May 22nd, 2011
Your information has been very helpfull. Thank you. My brother is suffering from MDR-TB and my father got infected too. They both have been on medication, my brother has been longer and my father for the last 5 months. My father continues to have the same symtoms, mild fever, phlem and fatigue, we were thinking that maybe the medication is not working but since you mentioned that the symptoms continue due to the tissue damage and that it does not mean that the medication is not working, that was a relief. My brother's case is more severe. He had liver problems due to drug side effects and has recuperated but still fighting the tb bacteria's. The doctor says that it is going to be a long treatment since he is resistant to the strong first line anti-tb drugs. I dont know if he will get better or not all we can do is pray.
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replied January 18th, 2012
TB diagonising
I have a doubt...My close relative is having breathing problem...While seeing the result of Chest Xray..its very white almost hiding the ribs..Even a CT scan result reveals the same...

Is it TB or cancer...Doctors not sure...
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replied January 19th, 2012
Experienced User
gpachai,

X-rays and other images are best interpreted by a good doctor, and even then, second opinions are recommended.

My uncle is a Doctor of Radiology in New York, and he explained to me that 1) some images are easy to interpret with confidence, but 2) some images may be inconclusive to the radiologist because, for example, some lines in the x-ray can cross, and the intersection shows as a "tumor" but actually isn't.

The large-area "white" haze or cloud to me, who's not a doctor, can be anything from pneumonia to advanced cancer.

What I can say is that based on current lung problems in my family, the doctors have recommended bronchoscopy and biopsy to ascertain the condition.
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replied July 17th, 2012
hi my father is 55 yrs old.he has chorinc dry cough since last 2 months.we go to my M.d doctor he suggest some blood test and x ray of chest rediologist found enlarge lymphnoads in midiastinal part..then we did CAT scane of thorex.concusion of cat sacne was midiastinal bilatral hilar lymphadenopathy and more chances of lymphoma..then our counsulting oncosurgon has suggest biopsy through thoracoscopy..result came after 1 week it was granulo lymphaditis and more chances of tuberculosis..we have started AKT tratment but my father has loss of apatite laoss of weight so i m worried for hia halth can u help me???
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replied August 16th, 2013
hi everyone my uncle is suffer from lungs tuberculosis since last 7 to 8 months .we go to the m.d doctor in mumbai he treat him about 5-6 month but after complete the course doctor said that he is fine but after 1 month later
he is suffer that way so can u plzzz suggest the doctor in maharastra and uttarpradesh states who can treat him and make him well ....................
the m.d doctor said that the tuberculosis reach in the 3rd stages suggest me plzzzz
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Tags: vomiting, fever, tb
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