follow up lang po... ngayon always nako masakit ang ulo, nanlalabo ang mga mata at nahihilo, lage pa mataas ang bp ko at lage nako kinakabahan... patulong nmn po....
follow up lang po... ngayon always nako masakit ang ulo, nanlalabo ang mga mata at nahihilo, lage pa mataas ang bp ko at lage nako kinakabahan... patulong nmn po....
Thanks Doc Kram. Doc Kram okay lang po ba uminom ng biogesic, tuseran, neozep, and bio flu. Minsan kasi yun iniinom ko pag feeling ko magkakalagnat at magkakasipon ako, lalu na po ngayon tag ulan, uso ubo't sipon. Tapos doc uminom ako mefenamic acid kanina, dahil 2days nang masakit ngipin ko? Okay lang po ba inumin yung mga gamot na yun while taking anti tb meds? Ano po ba yung mga usual na bawal inumin na gamot while taking anti tb meds, para maiwasan namin. Thanks Doc.
hi doc. ask lang po if side effect din ba yung blurry vision. not sure pero parang medyo nagiging blurry. ano pong gamot if ever? thanks doctors!
Thanks Doc Kram. Doc Kram okay lang po ba uminom ng biogesic, tuseran, neozep, and bio flu. Minsan kasi yun iniinom ko pag feeling ko magkakalagnat at magkakasipon ako, lalu na po ngayon tag ulan, uso ubo't sipon. Tapos doc uminom ako mefenamic acid kanina, dahil 2days nang masakit ngipin ko? Okay lang po ba inumin yung mga gamot na yun while taking anti tb meds? Ano po ba yung mga usual na bawal inumin na gamot while taking anti tb meds, para maiwasan namin. Thanks Doc!
mel2314: In my opinion, if you have findings on your chest x-ray, though it is not the usual presentation, I think you should be screened to be sure that you do not have it. A sputum test will tell us if have asymptomatic PTB or not. It is better to be sure when it comes to PTB. It won't hurt to do a sputum examination.
aliyah012: Having a high blood pressure and diabetes is not linked with PTB. These are separate entities. Have yourself treated for your diseases.
Bontoe: It is basically okay to take over the counter medicines, but do take precautions. Also, tell your attending physician about it.
Medee: Yes, it may be a side effect of ethambutol. Please do see your physician about it.
[QUOTE=K_r_a_m;64129526]mel2314: In my opinion, if you have findings on your chest x-ray, though it is not the usual presentation, I think you should be screened to be sure that you do not have it. A sputum test will tell us if have asymptomatic PTB or not. It is better to be sure when it comes to PTB. It won't hurt to do a sputum examination.
aliyah012: Having a high blood pressure and diabetes is not linked with PTB. These are separate entities. Have yourself treated for your diseases.[/QUOTE]
k_r_a_m: sorry ha? kala ko experto ka when it comes to tb... wrong person
i need help. in my recent medical exam it says "there are no active parenchymal infiltrates in the visualized lung fields. The pulmonary vessels are within normal limits" ano po ibig sabihin nito?
eto po medical history ko last 2010 the result of my med exam was "ptb of undetermined activity" then i took the prescribed medicine but not religiously. madalas din pumapalya tapos last year ganun padin ptb of undetermined activity then yung latest result released yesterday eto na po ang sinasabi "there are no active parenchymal infiltrates in the visualized lung fields. The pulmonary vessels are within normal limits" ..i need to be enlightened po. thanks
[QUOTE=aliyah012;64098489]follow up lang po... ngayon always nako masakit ang ulo, nanlalabo ang mga mata at nahihilo, lage pa mataas ang bp ko at lage nako kinakabahan... patulong nmn po....[/QUOTE]
Dumaan din ako sa ganyan. Marami ka talaga mararamdaman pag nagtake ka na anti TB meds. Lahat ng sinabi mo possible side effects ng anti-TB meds pwera yung high blood and laging kinakabahan. Sa tingin ko yung lagi kang kinakabahan, anxiety lang yan or panic attack. Ganyan din kasi ako dati. Konting mali sa nararamdaman ko nagpapanic or kinakabahan kagad ako. Lalo na nung nalaman ko na PTB sakit ko. Okay lang yan. Huwag ka magpanic or kabahan basta importante inumin mo araw araw yung anti TB meds mo, at sure na gagaling ka. Tama rin po ang taong pinagtanungan mo. Mga Doctor po sila Dr. Kram, Dr. Les, and Dr. Marbles. Sila ang nagstart ng forum na to. Everyday ko kasi chinecheck ang forum na to and mga reply nila Doc Kram and Doc Les. Madami ka matutunan sa kanila, basahin mo lang mga reply and posts nila sa mga previous page.
[QUOTE=aliyah012;64133527]k_r_a_m: sorry ha? kala ko experto ka when it comes to tb... wrong person[/QUOTE]
You're right, I'm the wrong person to ask.
hi doc, what do you think about malunggay tea/capsule as health supplement for tb patients because i was told and based on my research it is helpful for many medical conditions including tb.
hi doctors and readers.
gusto ko lang sana mag ask ng opinion nyo regarding my situation, A scar was found in my upper left lung and it was caused by TB and now may nodule na daw.
nag apply kasi ako sa isang cruise ship and i passed the series of interviews. bukas i'll be having my medical exam which ofcourse include xray. but last month, nag medical din ako sa other company na napag apply-an ko and the doctor said na my spot ako since last year from my last year xray result caused daw ng tuberculosis and now my nodule na daw. the doctor told me to take fixcom3 for precautionary purposes since i was healed from Tuberculosis without undergoing medication before. last week i visited a pulmonologist tapos my reseta ako ng quadtab and vitamins and scheduled me for another xray next month.
my question is, is it ok na mag xray every month?? i heard daw na harmful ang radiation ng xray.
the previous doctor noted that insignificant na ang TB and "im fit to work" but hindi ako tinanggap ng napagapplyan ko na company last month dahil sa nodule. sa cruise ships ba ganun din ka strict?
it is possible mawala ang nodule na ang size is 1.5x0.9cm with medication?
im worried kasi baka hindi ako makapag trabaho.
juno22: Malunggay may be helpful but it has not yet been studied fully in a big randomized clinical trial for PTB. More studies must be done to know malunggay's full potential in patients with PTB. It may be taken as a supplement but it is not a drug for cure.
issaledesma: Yes x-rays are harmful, but the benefits outweigh the risks. It is the easiest way to visualize the lung infiltrates and to assess your lung condition. If the nodule is PTB, then the medicines should work and it should cure the infection. Sometimes even after treatment, scars on the lungs develop, making them visible in chest x-rays. But since these are already treated, the patient is not contagious anymore and do usually work and live normally.
Thankyou Doc K_r_a_m :)
Hi Dr. Kram,
Nakatapos na po ako ng 6 months treatment last 2011 para sa TB for both lungs.
Ngayong nag-annual physical exam kami, meron pa rin pero sa left lung n lang.
Ang inireseta po sa akin ng doctor ay 2 months na fixcom4 pati injection.
Negative naman po resulta ng sputum exam ko pero sabi ng doc ko, kelangan pa rin uminom dahil kitang kita sa xray ko ang cavity sa left lung.
Ano po masasabi niyo dito? Di kaya mas malala pa sa tb ang sakit ko?
Di naman po ako inuubo or nilalagnat.
Maraming salamat po.
Jude14: You're welcome.
wabitoy: It is difficult to comment on this because your physician has a better view than I have. After 6 months of treatment, one can be considered treated. But, there are instances that one has to extend the usual treatment duration. It would be best to know the activity of the PTB (if it is just a scar or is it still active) before extending the treatment.
hello im just new here. Yung x-ray result ko is may spot ibig sabhin ba TB na yun? Hindi pa ako nagpapa consult sa doctor, dahil sa natatakot ako. Pero wala naman po akong nararamdaman na mga sintomas katulad ng pag-ubo, at hindi nilalagnat, normal naman po. Sana po ay matulungan nyo ako.
^^ A spot in the chest x-ray can vary from PTB to a lung mass to a localized infiltrate. It would depend on the size, location and other factors such as prolonged exposure to a person with PTB. It would be best to seek a physician as soon as possible for further assessment of the spot. Don't be afraid of the findings. I hope I'm wrong but if ever you have PTB, it can be treated with medicines.
doc.ok lang po ba magpaxray every 6months?thanks
^^ If it is really needed for monitoring, then it is okay. Some even do it every month for a few months.
Doc. Tama ba na ang maintenance is Myrin (Isoniazid, Rifampicin and Ethambutol)? May nabasa kasi ko dito na dapat rifampicin and isoniazid nalang? Thanks.
got my 2nd xray result:
after 2 months of taking anti tb-drugs,
PTB, both Upper Lungs Decreasing.
pano po ba ito? makakapekto ba to sa iinumin kong gamot? ang alam ko kasi after 2 months, yung 4 months na iinumin na anti tb drug is "maintenance" nlng, yung smaller dosage. Kung gnito ba ang result, mapapahaba ba yung take ko ng medicine? instead of 6months ***? Thank You :)
Medee: Usually, rifampicin and isoniazid are the maintenance medicines. You may want to clear up your concern with your physician.
Jude14: We don't know how fast the medicines work from the time it has been started, but the usual course is 6 months. You may still see improvement after the whole treatment course.
Ask ko lang kung ilang buwan ang medication sa PTB? Kase yung friend ko nagkaron daw siya base sa diagnosis ng clinic for pre-employment nya. Wala naman siya symptoms ng ubo, lagnat at iba pa. Medyo mahigpit ba ang mga companies pag ganun?
Does that mean na mali yung nireseta nya?
gesamtkunstwerk: The usual treatment course is for 6 months. Companies are really strict when it comes to PTB. They either treat the patient first or they don't hire them at all.
Medee: It's not exactly wrong. Most studies were conducted using only isoniazid and tifampicin. Ethambutol maybe recommended depending on the results of susceptibility testing.
Doc may tanung ulit po ako. 3 months na po ako nag aanti tb meds sa DOTS, pangalawang sputum exam ko na po, negative naman. Tapos po every night po nagkakabackpain po ako. Tapos may chest pain pa din. Pansin ko po Doc tuwing mabigat yung dala ko sa bag ko na backpack, sumasakit lague dibdib ko. Tapos yun nga po sa gabi may mid backpains po ako na nararamdaman. Okay naman po ang paghinga ko. Wala din akong phlegm and cough, hirap nga po ako magbigay ng sputum pag may follow up sputum exam ako eh. Tanong ko Doc sa tingin nyo po ba yung nararamdaman kong chest pain and backpain symptoms ng PTB yun? Yung backpain parang mainit po na makirot, pero pag pinahinga ko, nawawala naman. Lumalala po kaya PTB ko? Wala na din po akong night sweats, fever, malakas na po ako kumain, and feeling ko wala na po akong sakit. Chest pain and back pain na lang po problema ko. Gano din po ba katagal bago mawala yung chest pain pag under meds ka. Sensya na po Doc maraming tanong, natatakot po kasi ako baka hindi po ako gumagaling.
aside from myrin pforte? ano daw po pdeng gamot?
Bontoe: Back and chest pains may be symptoms of PTB, but it may also be that of other causes of pain. The pain usually subsides along with the other symptoms of PTB. In theory, you are supposed to be getting better since you are on your 3rd month of treatment and your sputum exam is negative. It seems that your pain may be due to a musculoskeletal type of pain. It would be best for your physician to have you examined just to be sure that it really is musculoskeletal pain. For the meantime, it would be best to avoid lifting heavy objects.
gesamtkunstwerk: Myrin-P forte is a brand name. The other drugs used for 2nd/3rd line are aminoglycosides, fluoroquinolones, macrolides, etc.
hi doc,i just finished my 6 months tb meds and i had my xray yesterday. My pulmo said my xray shows fibrosis but she decided to extend my medications for 3 months just to be sure. She told me that my fribrosis can still lighten during this 3 month extension.What do you think ?
^^ If it really is fibrosis, then I think it will stay the same even if you extend the medicines for 3 more months. But since she has seen and treated you before, your pulmonologist will still call the shots.
Doc Kram. May i just ask, saan po yung clinic nyo?
And also, ano ano ba yung side effects ng RIFAMPICIN, ETHAMBUTOL, PZA, ISONIAZID? I mean, each of them?
Medee: I'm from a tertiary hospital in Quezon City but I'm sorry, I cannot give you my exact address. I only answer queries from the web to help people. Anyway, Rifampicin can cause liver toxicity, rashes and discoloration of the urine, tears and other bodily fluids. Isoniazid can cause rashes, liver toxicity and neuropathy. Ethambutol can cause visual problems, rashes, liver toxicity, neuropathy and joint pains. Pyrazinamide can cause liver toxicity, joint pains and rashes.
[QUOTE=K_r_a_m;64459613]^^ If it really is fibrosis, then I think it will stay the same even if you extend the medicines for 3 more months. But since she has seen and treated you before, your pulmonologist will still call the shots.[/QUOTE]
Hi doc, if there is a need for extension, is it always 3 months extension?not less than that? im a bit worried about the effects of taking tritab for another 3 months. Thank you
Hi everyone. Hi Doc. This is going to be a long post, so I apologize in advance. I'm new here and joined the forum hoping you could help me. I was hospitalized 6 months ago due to Pneumonia and Asthma. The doctor prescribed a short course treatment of Prednisone (about 2 weeks if I remember correctly) along with other antibiotics and I'm currently using Seretide/Ventolin inhalers for maintenance of my asthma. Everything was well until last week when I decided to go for a check-up, X-ray and blood work (I also was diagnosed with Hepatitis B). I have never felt any of the usual signs and symptoms of TB and my past X-rays have been clear but with the latest one, the doctor said there was a tiny scar on my left lung which I cannot see from the film, and prescribed 3 tabs/day of Myrin P Forte. About 5 days into taking it, I developed rashes, very similar to measles rash and bungang araw on my face, neck, chest and back. Hindi siya makati but it's very annoying since madami sila. Pinatigil muna ng doc ang Myrin, 3 days na ako hindi umiinom pero parang dumadami pa din sila. I cannot go and see my doc because he is out of the country at the moment. I want to get Sputum test done but the problem is, I cannot hack up phlegm sa umaga since wala akong plema so walang mailabas. I also want to have PPD skin test done. Will this determine if I really have TB?
Another thing is I got the result of my Hepa-B Profiling. Please shed some light on me regarding this. Sana matulungan nyo din ako since I am very clueless. The results are as follows:
HBsAg 6,027 (Reactive)
Anti HBs 2.0 (NonReactive)
HBeAg 0.161 (NonReactive)
Anti HBe (reverse) 0.275 (Reactive)
Anti HBcIgM 0.107 (NonReactive)
AntiHBCIgG (reverse) 0.488 (Reactive)
I know that's asking for too much but I really hope someone could help me. Nadedepress ako dahil may medical ako for U.S. Visa on October 15, 2012. :( Feeling ko ang dami kong sakit at nalulungkot po talaga ako.
Doc Kram. Thank you. Btw, whats with neuropathy?
Hi Doc, 2 months nagpamedical yung friend ko for employment.
(I just typed the results)
Examination Requested: CHEST PA
Density is noted in the right upper lobe partially obscured by overlying bony structures. An apicolordotic view is suggested for further evaluation. Heart is not enlarged.
Examination Requested: Apicolordotic View
Apicolordotic view shows minimal ill-defined opacities in the right apex which may relate to PTB. Please correlate with clinical and laboratory data.
After two months, nagpa xray siya, may improvement ba na nangyari sa lungs?
Results After 2 Months sa ibang clinic naman to:
Examination: CHEST PA (ADULT) – X
There are suspicious infiltrates in the right upper index.
Heart is not enlarged. Aorta is unremarkable.
Hemidiaphragms, costophrenic sulci and the visualized bones are intact.
Impression: Suspicious Infiltrates, Right Apex. Take Apicolordotic View.
Examination: Apicolordotic –X
There are fibrotic and hazy infiltrates in the right upper lung.
Koch’s Infection, Right Upper Lung.
juno22: Extending the medicines may depend on your physician. Some may give it for 1 or 2 months.
kitty_cupcake: It is essential to see another physician if your rashes are increasing in number. It may be a serious one, prompting you to take anti-histamines. If you cannot give a sputum sample, then a physician can give a medicine which can help you give out phlegm. The sputum examination will determine if you have PTB. The PPD test and chest x-ray will also help in the diagnosis. The hepatitis profile looks like a chronic hepatitis B.
Medee: It is a condition in which the nerves are damaged due to metabolic causes, auto-immune causes, medicines, etc. The usual feeling is the tingling sensation and numbness of the hands/feet.
gesamtkunstwerk: It is hard to say since the impression is very vague and general. It would be better to let a physician take a look at the films for a better interpretation.
Good eve po sa lahat,
Sana po may sumagot sa akin dito.
Ask ko *** po kung ano ang difference ng myrin at tres pack kasi poh pinapapili lang po ako ng doctor ko kung saan sa dalawa i asked him alin mas effective at kung ano ma esasuggest nya he told me tres pack daw kung konti lang naman difference ng price. Tsaka bakit po kaya 2 capsules lang yung sa trespack isang maroon na kulay at isang pink samantalang pag myrin 4 capsules/day?
Hindi ko pa poh nauumpisan inumin yung nabili kung tres pack since inuubos ko muna yung myrin p ko, tsaka nga po pala before po 45kgs ako then nung bumalik ako sa doctor ko last week for x-ray sabi nya scar nalang daw ang natira and I really thank God for that, then from 45kgs po 113 pounds na ako ngayon :) tumaba na po agad. Wala naman pong side effects yung myrin p sakin kasi iniinom ko ** 2hrs after breakfast. Ang worries ko lang po talaga ay yung sa tres pack kung bakit dalawa lang **. Parehas lang po kaya epekto nun sa myrin na 4capsules/day?
Salamat po in advance sa mga sasagot.
Thanks for thar Doc Kram. Also, ask ko na din. May issues ba pag hindi same time inom ng gamot? I mean, religiously naman morning. May differences lang sa time. Minsan 7am, pinakalate na yung 10am. Or okay lang naman?