I'am 25 year old, usually not take proper diet. Didn't had any health issue in past but last month I was having some chest pain in my chest while deep breath, cough, sneeze etc. As per my doctor i'am suffering form tuberculosis pleural effusion. He confirmed this by analysing x-ray and pleural fluid (approx 1litr fluid was collected from my chest) in which my A.D.A level was 83U/L. He prescribed me to take 4 akurit4 tablets (containing front line drug to cure tb) with empty stomach, to be taken before at least 2 hours from having breakfast. After 1 month of starting medicine course I did an ultrasound in which it is found that there is still 560 ml fluid present in my chest which will drain automatically as per doctor. Although i'am not having any serious pain but I have some query's in which I want expert opinions and my query's are -: 1: Is tuberculosis pleural effusion is communicable disease, should I need to stay away from my family and friends if so than for how much time? 2: Is it enough to conclude that someone is suffering from tuberculosis pleural effusion by only seeing x-ray and testing pleural fluid (by checking ADA level). 3: The drug i'am currently taking is good enough to treat this disease? 4: How much will it take to drain this fluid (560 ml) naturally? 5: Should I need do some test to confirm which tuberculosis is this, whether it is normal or mdr or any other before any further treatment? If there is any suggestion or prescription by your side please feel free to share. Please help me by answering the above query's if you can. I will be thankful for your kindness. Eagerly waiting for reply Thanks in advance.
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You are suffering from pulmonary tuberculosis with pleural effusion in my opinion you should visit your district hospital district tuberculosis for proper management and follow up. Here you will get free and complete course of medicine with regular follow up. You are taking incomplete treatment which is not good.
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TB is a communicable disease can spread to persons in close contact yes you should stay away from close contact of your family and friends till your cultures are negative. Yes composition of plueral effesion can be suggestive of tb, X ray is also very sensitive to rule out tuberculosis. Yes drugs are good enuogh follow the advise of your pulmonologist 300-500 ml fluid is mild collection of fluid it will absorb automatically in few months. Sputum culture ansd sensitivity ,sputum for afb ,TB gold should be done My suggestion is make a pdf file of all your invesstigation take pictures of all xrays, medicines you are on and get a full review ,we can not treat a serious problem just by making assumptions. IF you can not then follow advise of your respiratory medicine doctor take the full couse of medicine, TB will take months to settle down.
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