Does tuberculosis cause headaches in its initial stage?

Written by Wang Chun Mei
Pulmonology
Updated on November 02, 2024
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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 Xiang Yu
Pulmonology
1min 13sec home-news-image

What is tuberculosis?

Tuberculosis is a disease where the bacterium Mycobacterium tuberculosis infects the lungs. It is a persistent bacterium that grows slowly. Tuberculosis is an infectious disease and quite common historically, often referred to as consumption in the past, as mentioned in the novels of Lu Xun. In modern times, tuberculosis is relatively manageable if the infection has not developed resistance to drugs. Proper anti-tuberculosis treatment can result in a cure rate exceeding 90% on the first attempt. However, if the treatment is not adhered to correctly—if the patient stops taking the medication prematurely or does not follow the prescribed regimen—the bacteria may develop resistance, reducing the effectiveness of the treatment. This is particularly problematic in elderly patients, who might also experience adverse reactions to tuberculosis medications, making treatment difficult. Thus, while tuberculosis is generally treatable, infections with drug-resistant strains can be fatal if not managed properly.

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Written by Xiong Hong Hai
Infectious Disease
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Does tuberculosis cause a runny nose?

Individuals with tuberculosis, if accompanied by a cold and rhinitis, will also experience a runny nose. However, simple tuberculosis, without any upper respiratory infections or rhinitis, does not lead to a runny nose. Therefore, it is important to accurately analyze the issue. Common symptoms of tuberculosis include persistent coughing, coughing up phlegm, low-grade fever, night sweats, bloody sputum, chest tightness, and difficulty breathing, among others. Once tuberculosis is definitively diagnosed, it is essential to commence timely and scientifically sound anti-tuberculosis treatments. Most cases can be completely cured.

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Pulmonology
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Can tuberculosis be cured?

Can tuberculosis be cured? First, we need to understand that tuberculosis is a chronic infectious disease caused by Mycobacterium tuberculosis. In recent decades, many drugs have been developed for anti-tuberculosis treatment. As long as one strictly follows the doctor's advice and adheres to the medication schedule, the vast majority of tuberculosis cases can be completely cured. However, it is crucial to recognize that the treatment duration for tuberculosis is lengthy. Typically, patients need at least six months, while those with recurrent tuberculosis might need eight months. Some patients with multidrug-resistant tuberculosis may even need to take medication for two years. Therefore, it is essential to undergo standardized anti-tuberculosis treatment. Nevertheless, some patients, due to non-adherence to medical advice, irregular medication intake, or discontinuation of treatment on their own without completing the full course, may face treatment failure. In severe cases, this can lead to multidrug resistance, significantly prolonging the treatment duration and drastically reducing the cure rate, and may even cause infertility. Additionally, some patients may experience severe adverse reactions to tuberculosis drugs, such as significant liver and kidney damage, or have comorbidities like diabetes, liver cirrhosis, or HIV/AIDS. Others may develop severe complications, such as cardiopulmonary disease or respiratory failure, which greatly reduce their chances of recovery and can even lead to death.

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Written by Xiong Hong Hai
Infectious Disease
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Can people with tuberculosis drink alcohol?

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
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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.