Can people with tuberculosis drink alcohol?

Written by Xiong Hong Hai
Infectious Disease
Updated on April 16, 2025
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Patients with tuberculosis should not drink alcohol. They need to rest well, enhance their nutrition, and abstain from smoking and drinking. Systematic and standardized anti-tuberculosis treatment is necessary. With standardized anti-tuberculosis treatment, the tuberculosis bacteria can be effectively suppressed, symptoms can be controlled, and the patient’s weight can increase. It is crucial to abstain from smoking and drinking during treatment, as drinking can lead to poor treatment outcomes and even the development of drug-resistant tuberculosis. With timely and standardized medication and comprehensive treatment, most patients can generally be cured within a six-month course of anti-tuberculosis treatment.

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Written by Wang Xiang Yu
Pulmonology
2min 13sec home-news-image

How is tuberculosis treated?

The primary treatment for tuberculosis is still chemotherapy, also simply called chemo, but the chemotherapy for tuberculosis is completely different from the anti-tumor chemotherapy we talk about in cancer, and the medications are also completely different. There are about more than ten anti-tuberculosis drugs, which can be divided into first-line and second-line drugs, and currently, there are third-line drugs under research. Chemotherapy for patients with pulmonary tuberculosis should be started early and administered in combination. The types of combined medication for patients with pulmonary tuberculosis generally involve three or more drugs. Some patients may exhibit drug resistance or intolerance to some drugs' side effects, and thus, second-line drugs may be used. Additionally, some patients, due to special conditions, may require four or five types of anti-tuberculosis drugs. It is crucial to strictly follow medical advice regarding how to medicate and treat. Furthermore, patients with pulmonary tuberculosis must ensure complete medication adherence, as the treatment duration for tuberculosis is quite long, typically requiring at least six months, and some patients may need one or even two years. Regular medication intake is very important because some patients might experience symptoms like coughing up blood or others, such as those with pleurisy, who might develop pleural effusion. Therefore, treatments targeted at other symptoms are necessary. Patients who cough up blood might need hemostatic drugs, while those with severe hemoptysis may even require interventional surgery. Some with tuberculous pleurisy might need to have pleural effusion drained. Additionally, some patients with pulmonary tuberculosis might experience adverse reactions to medications, such as liver or kidney failure, visual impairment, or numbness in the hands, which would require adjustments to their medication or changes based on their complications. Treatment should also be targeted toward these adverse reactions.

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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 Xiong Hong Hai
Infectious Disease
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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.

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Written by Wang Xiang Yu
Pulmonology
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How to test for tuberculosis

To examine pulmonary tuberculosis, it is essential to understand that it pertains to tuberculosis changes in the lung tissue, airways, bronchi, and pleura. The pathogen causing tuberculosis is Mycobacterium tuberculosis, also known as the tubercle bacillus. There are multiple tests available for people with pulmonary tuberculosis, as the disease can vary based on location and type. Therefore, such patients generally require numerous tests. The most commonly used are imaging studies for the chest, including X-rays and CT scans. In imaging studies, most patients will show some lesions, but there are instances where tuberculosis in the airways and bronchi might not be clearly visible on CT or X-rays, necessitating more invasive tests like bronchoscopy. Additionally, bacteriological examinations, such as sputum smear and pleural fluid smear, as well as culture for Mycobacterium tuberculosis, are typically conducted for patients. Nowadays, hospitals equipped with the necessary facilities conduct molecular biological tests, namely nucleic acid testing for Mycobacterium tuberculosis DNA. Furthermore, some patients with complex conditions may require a histopathological biopsy, commonly referred to as tissue sampling, at the site of the lesion to observe under a microscope for characteristic changes indicative of tuberculosis. There are also immunological tests that assist in diagnosing tuberculosis, such as the gamma interferon release assay (commonly known as the T-SPOT), tuberculin skin test, and traditional antibody tests against Mycobacterium tuberculosis.

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Written by Wang Xiang Yu
Pulmonology
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Does tuberculosis cause coughing?

Do tuberculosis patients cough? Most tuberculosis patients can experience coughing, and the duration of the cough is generally quite long, often exceeding two to three weeks and in some cases even reaching over six months to a year. However, there is also a small number of patients who might not cough due to the different types of tuberculosis they have. Additionally, not all cases of coughing indicate tuberculosis. A tuberculosis patient might cough, but they might also not cough, and while a person who coughs could possibly have tuberculosis, not all coughs are due to tuberculosis. There is no definitive equivalence between tuberculosis and coughing. I hope this explanation helps you understand the relationship between tuberculosis and coughing. Thank you.