My husband is 48 yrs. Old.in 2015 he suffered from tb .he took complete treatment course. In Dec 2015, he was operated for pericarditis. Now he is OK, regular eco, ecg& x-ray are normal. But he soon becomes tired even after daily routine works. How can he again be as energetic and strong as before. Second problem is that he is a tobacco chewers from last 22 years. How can he be deaddicted ?is there any medicine for deaddiction which can be given without telling him.

Anil S BilimalePreventive Medicine Specialist14yrs exp

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There have been multiple challenges you and your family have undergone in past few years. I appreciate that you stood up for each other. He has recovered from a chronic illness like Tuberculosis and now has weakness and also habit of tobacco chewing. Weakness can be a result of under nutrition, chronic infection, chronic inflammation or weak heart. Since his echo is normal, check his cardiac stress level through TREAD MILL TEST. Consult a physician to rule out recurrent Tb and carcinomatous changes due to Tobacco chewing. If all of this is normal, then high protein diet with regular exercise for 45-60 min/day will bring endurance. Also, with positivity he can reduce tobacco chewing. Even cognitive behavioral therapy also helps. Giving tablets is a passive method which won't sustain longer.  

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Dr. Mool Chand GuptaPulmonologist42yrs exp

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Should join a deaddiction center and quit chewing tobacco. Get all basic tests to r/o anemia.  

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