How to maintain health after recovering from tuberculosis?

Written by Han Shun Li
Pulmonology
Updated on September 21, 2024
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Now, tuberculosis is a curable disease. Therefore, after recovering from tuberculosis, the first step in maintenance is to stay calm and not to consider oneself as a patient anymore. After recovery, one's health status is the same as before, and it is crucial to maintain a healthy mental state. Additionally, one should have a regular lifestyle, balanced nutrition; avoid overwork and staying up late; avoid smoking and drinking; actively exercise and engage in outdoor activities to enhance the body's resistance and adaptability; with changes in weather, timely adjust clothing to avoid catching cold, and actively prevent colds and so on.

Other Voices

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Is the disease with symptoms of chest tightness, shortness of breath, difficulty breathing, and palpitations tuberculosis?

Tuberculosis can cause symptoms such as fever, night sweats, cough, and hemoptysis, and in severe cases, it can lead to chest tightness, shortness of breath, and palpitations. However, if a patient experiences shortness of breath, difficulty breathing, and palpitations without symptoms like fever, hemoptysis, or night sweats, it is advisable to consider heart disease or chronic lung disease, or pneumonia leading to cardiopulmonary insufficiency. To rule out these conditions, examinations such as a chest CT and cardiac echocardiography should be conducted. Patients experiencing chest tightness and difficulty breathing are advised to seek medical attention at a hospital as soon as possible.

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Does tuberculous pleuritis belong to pulmonary tuberculosis?

Tuberculous pleurisy is not classified as pulmonary tuberculosis. Tuberculous pleurisy is a common manifestation of extrapulmonary tuberculosis, often referred to as tuberculosis of the pleura, typically presenting with pleural effusion. Symptoms can sometimes include low-grade fevers in the afternoon and night sweats, which are typical of tuberculosis intoxication. However, the clinical presentation of tuberculous pleurisy can sometimes be atypical, with some patients experiencing high fevers, and there are cases of tuberculous pleurisy without any fever. Additionally, tuberculous pleurisy often coexists with pulmonary tuberculosis. Sometimes, patients with tuberculous pleurisy who undergo a chest CT scan may find lesions in the lungs, but there are also cases where tuberculous pleurisy may exist independently, without the presence of pulmonary tuberculosis.

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Written by Wang Chun Mei
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Is a shadow on the lung definitely tuberculosis?

Shadows in the lungs are primarily revealed through imaging studies, a characteristic feature found in radiology. Clinically, lung shadows can be caused by tuberculosis, various lung tumors, or inflammatory lesions, which are also detected via imaging studies. Hence, the causes of lung shadows are numerous and complex in clinical settings. Discovering a shadow on the lungs through X-ray does not necessarily indicate tuberculosis. A definitive diagnosis should be based on a detailed patient history, other relevant clinical manifestations, and additional diagnostic tests. While tuberculosis might be a likely cause of lung shadows, it is not the cause in every case.

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The difference between sarcoidosis and tuberculosis

Sarcoidosis and tuberculosis, although only differing by one character in Chinese, are completely different diseases. Sarcoidosis and tuberculosis share some similarities, such as their pathological changes often involving granulomas. However, in tuberculosis, the granulomas are typically caseating, while in sarcoidosis, they are non-caseating. Tuberculosis shows characteristic features under pathological examination, whereas the diagnosis of sarcoidosis is one of exclusion, requiring the ruling out of other various granulomatous diseases. Secondly, their causes are also different; tuberculosis has a very clear cause, being an infectious disease caused by the tuberculosis bacterium. Meanwhile, the cause of sarcoidosis has not been identified clearly and may be related to a variety of factors including genetics, environment, and chemicals, among others. Additionally, the clinical manifestations of both sarcoidosis and tuberculosis are not specific, and both diseases can present symptoms like coughing, expectoration, chest pain, hemoptysis, low or high fever, weight loss, and night sweats. Thus, it is quite difficult to differentiate between sarcoidosis and tuberculosis based on symptoms alone. Moreover, their treatments differ; sarcoidosis is mainly treated with corticosteroids, while the primary treatment for tuberculosis involves anti-tuberculosis therapy.

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Does increased lung markings indicate tuberculosis?

Increased pulmonary markings are not an exclusive indicator of tuberculosis. The increase in pulmonary markings could be a sign of acute bronchitis or chronic pulmonary congestion. Additionally, although patients with bronchiectasis often show characteristics in a chest CT, it might only appear as increased pulmonary markings in a chest X-ray. Tuberculosis can present in various forms of lesions, often coexisting in multiple forms. Such forms may include infiltrative lesions, fibrous strip-like lesions, nodular lesions, or even lesions with calcification. For diagnosing tuberculosis, relying solely on chest X-rays or CT scans is sometimes insufficient. Further confirmation often requires additional tests such as sputum acid-fast staining and bronchoscopy.