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Pulmonary tuberculosis
How is tuberculosis treated?
The treatment of tuberculosis generally involves two aspects: etiological treatment and symptomatic management. Etiological treatment targets the tuberculosis bacteria with medication. Modern anti-tuberculosis chemotherapy regimens are quite mature, employing strategies such as early and combined use, appropriate dosing, regular administration, and full-course treatment, which result in a very high cure rate. Additionally, there is symptomatic management, for example, cough suppressants for patients with a cough, expectorants for those with excessive sputum, antipyretics if there is fever depending on the situation, and hemostatic drugs for patients coughing up blood, among others. The treatment of pulmonary tuberculosis is comprehensive and must be conducted under the guidance of a physician. It is crucial not to interrupt treatment casually to avoid affecting the effectiveness of the therapy, increasing the recurrence rate, and the emergence of drug resistance.
Is tuberculosis contagious?
Actually, not all cases of tuberculosis are contagious; only those in which tuberculosis bacteria can be found in the sputum are infectious. Many cases are non-infectious. Among all cases of active tuberculosis, only about 30% have detectable tuberculosis bacteria in their sputum. The remaining 70% do not have detectable tuberculosis bacteria and thus are not contagious. Whether tuberculosis is contagious or not, once the diagnosis of tuberculosis is confirmed, scientific and rational comprehensive anti-tuberculosis treatment is required.
Does early-stage pulmonary tuberculosis cause fever?
Early stage tuberculosis patients generally exhibit clinical symptoms such as fever, primarily low-grade fever in the afternoon, along with coughing, hemoptysis, chest pain, chest tightness, and additional symptoms like weight loss, fatigue, and night sweats. These are very common and typical clinical symptoms of tuberculosis. Therefore, fever is very common in the early stages of tuberculosis. Consequently, once tuberculosis is accurately diagnosed in patients, it is crucial to promptly administer antitubercular drugs for systematic treatment. Usually, with a treatment duration of 6-9 months, the symptoms of early-stage tuberculosis and fever can be effectively controlled.
Local symptoms of pulmonary tuberculosis
The local symptoms of tuberculosis primarily require us to understand where tuberculosis occurs. Currently, tuberculosis in the lung tissues, trachea, bronchi, and pleura are all classified as pulmonary tuberculosis. The primary local symptoms are still respiratory symptoms, with the most common being cough and expectoration. Patients with tuberculosis generally have a slow onset, with most experiencing cough and expectoration that can persist for two weeks or more. Some patients may also exhibit symptoms like blood in the sputum or hemoptysis. Additionally, some patients may experience other symptoms; for example, those with pleural involvement might have irritative cough, chest pain, and difficulty breathing, while those with tracheobronchial involvement might exhibit a prolonged irritative cough. Some patients may also develop bronchial stenosis, which can lead to difficulty breathing.
Does tuberculosis cause a runny nose?
Do patients with tuberculosis have a runny nose? First, we need to understand what tuberculosis is. The pathogen of tuberculosis is Mycobacterium tuberculosis, commonly referred to as TB bacillus. Its primary site of infection is the lungs, but now we also classify and manage tracheobronchial and tuberculous pleurisy under pulmonary tuberculosis. However, these sites do not include the nasal part. Generally, patients with pulmonary tuberculosis show symptoms of the respiratory system and systemic symptoms. The most common respiratory symptoms include coughing and phlegm production for more than two weeks. Some patients may also experience hemoptysis, with varying amounts from mild to severe. A few patients may also experience chest pain. Additionally, patients with caseous pneumonia or significant pleural effusion may experience difficulty in breathing. Systemic symptoms of tuberculosis include fever, mainly characterized by afternoon tidal fever, with some patients exhibiting high fevers, and other general symptoms such as loss of appetite, weight loss, night sweats, and fatigue. However, the majority of patients with pulmonary tuberculosis do not exhibit nasal symptoms, meaning a runny nose is generally not a manifestation of tuberculosis. It could be possible that a tuberculosis patient might also have other infections or causative diseases, such as allergic rhinitis.
Does tuberculosis cause fever in its initial stage?
Tuberculosis is caused by an infection of the lungs by the bacterium Mycobacterium tuberculosis, and it is a very common infectious respiratory disease clinically. Typically, the early stage of tuberculosis is accompanied by mild fever to varying degrees, usually occurring in the afternoon, along with coughing, expectoration of blood, chest tightness, shortness of breath, and even chest pain, weight loss, fatigue, and night sweats as accompanying clinical symptoms. In the early stages, the diagnosis of tuberculosis in patients is generally made through these specific clinical symptoms, along with some sputum culture and chest X-ray examinations. Usually, most patients with early-stage tuberculosis will experience symptoms of low-grade fever, but these patients have a characteristic of fever that occurs in the afternoon and does not require antipyretics as it can return to normal by itself in the evening.
Is tuberculosis serious?
Tuberculosis is a relatively serious disease, but if it is treated and managed promptly in the early stages, it often can be brought under control and most cases can completely recover. If the disease is allowed to progress unchecked, it can develop from ordinary tuberculosis into an especially severe form of the disease, even endangering life and leading to extrapulmonary tuberculosis. The severity of tuberculosis depends largely on the extent of damage to the lungs and whether there is extrapulmonary tuberculosis. Once tuberculosis is confirmed, scientifically sound and appropriate anti-tuberculosis treatment should be undertaken.
Does tuberculosis cause coughing at night?
Patients with tuberculosis often experience coughing at night, as well as in the early morning. Coughing and expectorating phlegm are common symptoms of tuberculosis. They are often accompanied by low-grade fever, night sweats, afternoon fever flush, weight loss, and blood in the sputum. In severe cases, symptoms can include chest tightness and difficulty breathing. Tuberculosis can be completely cured. Once it is confirmed as a tuberculosis infection, it is necessary to undergo scientific and reasonable anti-tuberculosis treatment, taking into account the actual circumstances.
Does tuberculosis cause headaches in its initial stage?
Tuberculosis is a highly contagious respiratory disease caused by the infection of Mycobacterium tuberculosis in the lungs, generally transmitted through respiratory droplets or direct contact. When infected with tuberculosis, symptoms that often appear include low-grade fever in the afternoons, coughing, expectoration, hemoptysis, chest pain, chest tightness, and shortness of breath. Some may experience weight loss, fatigue, and night sweats. Therefore, when patients with pulmonary tuberculosis exhibit an afternoon low-grade fever, it often leads to the occurrence of headaches. Therefore, it is very common for patients in the early stages of pulmonary tuberculosis to exhibit various symptoms, primarily due to the rise in body temperature.
Does tuberculosis cause fever?
Does tuberculosis cause fever? The answer is definitely yes. Fever is one of the most common clinical manifestations of tuberculosis. Many tuberculosis patients experience low fevers, and a minority of patients, such as those with caseous tuberculosis or tuberculous pleurisy, may experience high fevers that can recur and persist. Moreover, tuberculosis patients may sometimes also have concurrent bacterial infections, which can cause the fever to last longer and be more difficult to control.