Early symptoms of tuberculosis

Written by Han Shun Li
Pulmonology
Updated on May 03, 2025
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In the early stages of tuberculosis, as the condition is relatively mild, many patients have no symptoms or only mild symptoms. Typical symptoms include coughing, expectoration, night sweats, fatigue, low-grade fever, poor appetite, and weight loss, but these are not specific to tuberculosis. If these symptoms persist for more than two weeks, tuberculosis should be suspected, and a chest x-ray or other examinations should be performed for further clarification. If the x-ray suggests tuberculosis, further tests such as a tuberculin skin test should be conducted to confirm the diagnosis.

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Written by Wang Chun Mei
Pulmonology
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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.

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Written by Wang Chun Mei
Pulmonology
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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.

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Written by Wang Chun Mei
Pulmonology
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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.

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Written by Ye Xi Yong
Infectious Diseases
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Is tuberculosis contagious?

Firstly, pulmonary tuberculosis is contagious, but it also depends on the type. Generally, pulmonary tuberculosis is most contagious during its active phase, but some patients with fibrosis and in a stable phase are not contagious. The transmission of pulmonary tuberculosis is mainly through droplets, spread by talking, sneezing, or spitting from a tuberculosis patient to a healthy person. However, this droplet transmission has a distance requirement. We believe that a distance of more than 1 meter is relatively safe, and 2 meters is absolutely safe. To prevent the transmission of tuberculosis, it is essential to maintain a distance from tuberculosis patients, wear masks, and ensure frequent ventilation by opening windows.

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Written by Wang Xiang Yu
Pulmonology
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Can people with tuberculosis drink alcohol?

Whether patients with tuberculosis can drink alcohol, first of all, it is important to know that tuberculosis is a chronic infectious disease and a consumptive disease that consumes the body's calories. Drinking alcohol can affect the body's absorption of energy. Moreover, most patients with tuberculosis need to take anti-tuberculosis medication, most of which are metabolized through the liver and can cause varying degrees of liver damage. Drinking alcohol can exacerbate liver damage and reduce the effectiveness of the medication. Additionally, since there are many types of anti-tuberculosis medications for tuberculosis patients, some medications may cause adverse reactions when drinking alcohol. Therefore, all tuberculosis patients must strictly abstain from drinking alcohol during treatment.