apollo
  • Male
  • 47 Years
  • 22/01/2025

I'm trying to understand my mom's X-ray report better. It mentions "Prominent bronchovascular markings in bilateral lower zones" and raises concerns about pneumonitis. They suggested an RTPCR test because of the current pandemic, but her test came back negative. Her oxygen levels are good at 99, and although she had a cough and fever, she's okay now with just a slight cough every now and then. Can you help explain what this all might mean?

Doctor 1

Answered by 1 Apollo Doctors

report indicates that there was some inflammation or infection in her lungs (possibly pneumonitis), but since her RT-PCR test is negative, it's likely not related to COVID-19. The fact that her symptoms have improved (fever gone, only occasional cough) and her oxygen saturation is normal is a good sign of recovery.

Dr. Mubarak Suggests...

Consult a Pulmonology Respiratory Medicine Specialist

Answered 04/07/2025

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I'm pretty worried right now; I've been a smoker for the past 10 years but quit just last month. Since then, I've had a nosebleed once, but it stopped. However, about three weeks ago, I started experiencing heaviness and some gastric feelings in my heart, along with heart palpitations. The thing that's really freaking me out is seeing blood in my sputum in the mornings when I clean my throat. At first, it was like actual blood drops, but now it's just tiny, hair-like streaks. I'm also frequently getting that blood taste in my throat, and I've been burping a lot after eating or drinking. Lately, there are some black strains in my spit. I went through some tests like a chest X-ray, sputum AFB for TB, ECG, echo, and troponin test, and they were all normal. The arterial blood gases test and CBC, ESR, and ECG reports are attached. What could be going on with me?

You may be experiencing some complications related to your history of smoking. The presence of blood in your sputum, especially with a history of smoking, raises concerns for potential lung issues. Since your TB evaluation and other tests have come back normal, it is important to address the possibility of lung irritation or inflammation. Additionally, to help with the gastric symptoms and burping, you can take Esomeprazole 40mg once daily before breakfast. It is also important to continue monitoring your symptoms and follow up with your healthcare provider for further evaluation and management. If the symptoms persist or worsen, further investigations such as a CT scan of the chest may be necessary to rule out any underlying issues.

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I'm a bit worried because my doctor just switched my TB medication from AKT 4 to RCinex 450300 and Mycobutol 1000 without doing any tests. I've only been on the meds since the beginning of March, and he mentioned that TB doesn't spread after 15 days of treatment, so it's okay to resume normal activities. Could you please let me know if this change is safe and if it's really true that TB isnt contagious after just 15 days on meds?

Yes ,TB will not spread at present since 15 days treatment is completed .Continue all the medications.

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Doctor 1Doctor 2

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Hey, my mom's 45 and she's had TB twice, in 2013 and 2014. She followed the anti-TB schedule, but her coughing just won't stop, and she gets colds super easily. She's been feeling pretty unwell, especially after bleeding episodes, which have happened four times. Sometimes it's a lot of blood, other times, just a bit. We got an X-ray done and visited a doctor who said there's nothing to worry about, but I'm still really concerned. The doctor prescribed some pneumonia meds, but I'm anxious to know how long it'll take for her to fully recover. Any advice or insights would be a big help.

Usually it takes around 6-9 months for a tb patient to recover.Rest continue all the medications as advised by the physician.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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