Is tuberculosis contagious?

Written by Yuan Lin Yan
Infectious Disease
Updated on September 27, 2024
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Not all cases of tuberculosis are infectious. Some tuberculosis cases are infectious in the early stages but become non-infectious after proper treatment. Patients with open tuberculosis are highly contagious because their sputum contains tuberculosis bacilli. These bacilli can be released into the air through coughing, sneezing, laughing, or loud speaking, and can cause infection when inhaled by others. Some tuberculosis patients do not have detectable bacilli in their sputum, and their infectiousness is relatively much lower.

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Can tuberculosis relapse?

Tuberculosis can relapse, and the answer is definitely yes. In clinical practice, we see many patients who have had tuberculosis and, years later, experience a recurrence of the disease, even multiple recurrences. However, the probability of this is generally not high. As long as everyone follows the doctor's instructions for standard anti-tuberculosis treatment and completes the full course of treatment, most patients can be cured. However, there are a few people whose treatment process is not standard, or who stop taking their medication on their own, and these actions can increase the risk of tuberculosis recurrence.

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Symptoms of tuberculosis

Tuberculosis of the lung presents in many forms, as there are also various types of pulmonary tuberculosis, each exhibiting different symptoms. However, the most common symptoms primarily include coughing and expectoration, which are the most typical manifestations of pulmonary tuberculosis. The cough in pulmonary tuberculosis is generally mild, either dry or producing only a small amount of phlegm. If the tuberculosis is accompanied by cavities, the amount of phlegm may be larger. If there is a bacterial infection in addition to the tuberculosis, the phlegm may become purulent. Some patients with pulmonary tuberculosis may also experience hemoptysis, which can vary in amount from light to severe. A small number of patients may suffer from chest pain and difficulty breathing. Additionally, there are systemic symptoms associated with pulmonary tuberculosis, such as fever (both low and high fever may occur), night sweats, and fatigue, among others.

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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.

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Can tuberculosis be cured?

Early diagnosis and standard treatment can often cure tuberculosis. Tuberculosis requires anti-tuberculosis treatment. Effective anti-tuberculosis treatment must follow five principles: early intervention, proper dosage, combination therapy, regular administration, and full-course treatment to ensure thorough treatment. Consistency is crucial; one must not stop taking medication, substitute drugs, or alter dosages on their own, as doing so not only makes it difficult to cure the disease but also increases the risk of developing drug resistance and complicates treatment further. Additionally, it is important to supplement nutrition appropriately and maintain a healthy diet in daily life. Since tuberculosis is a chronic, debilitating disease, it is advisable to consume foods rich in calories, proteins, and vitamins. Ensuring adequate rest and sleep is vital. Engaging in moderate physical activities, such as outdoor exercises, while avoiding strenuous activities and factors that could exacerbate conditions, such as overexertion, exposure to cold, and catching a cold, is also important.

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Does tuberculosis get inherited?

Is tuberculosis hereditary? Tuberculosis is not a hereditary disease; it is an infectious disease. Infectious diseases and hereditary diseases are two completely different concepts. Tuberculosis is generally infectious, which means that in a family, if parents are infected, they can easily transmit the tuberculosis bacteria to their children or others around them. Therefore, many people might mistakenly believe that tuberculosis is hereditary. However, this is not the case; tuberculosis is transmitted through the tuberculosis bacteria.