Sir my question is about lungs.. may be some symptom of TB weight loss continue what to do...

Hello Sintu Ji,

We understand your patient's medical concerns and suggest the following treatment:

1. Hospitalization Consideration – If the patient is extremely weak, dehydrated, or showing signs of complications (confusion, persistent vomiting, abdominal pain, high fever, or difficulty breathing), hospital admission should be considered for IV fluids, electrolyte balance, and close monitoring.

2. Medication & Treatment Plan:  We suggest taking a second opinion from medical specialist so that the current treatment plan can be reviewed and planned accordingly.

3. Symptomatic Management:

   • Fever control
   • Hydration: Encourage oral rehydration with ORS/electrolytes; IV fluids if necessary.
   • Nutritional Support: A soft, easily digestible diet and high-protein foods are recommended to prevent weakness.
     
     

4. Close Monitoring & Follow-up:

   • Daily assessment for warning signs (persistent high fever, confusion, low urine output, jaundice, difficulty breathing).
   • If fever persists beyond 5 days despite treatment, repeat blood tests to check for complications like severe anaemia, liver/kidney involvement, or resistance.
   • If platelets drop significantly, watch for Dengue co-infection.
     
     

5. Rest & Recovery:

   • The patient should avoid exertion, take ample rest, and follow strict hygiene precautions to prevent further infection.

If symptoms worsen or the patient is unable to maintain hydration and food intake, urgent hospital admission is a must.

Dear Bushra Ji,

We're sorry to hear about the challenges you're facing. It's understandable to feel concerned upon discovering white spots on your brain MRI, especially when dealing with seizures. Let's address your concerns systematically:

1. Understanding the MRI Findings:

• White Spots on MRI: These spots, often referred to as white matter lesions or hyperintensities, can result from various conditions. Common causes include small vessel disease, migraines, demyelinating diseases like multiple sclerosis, or even normal ageing processes. The significance of these lesions largely depends on their size, location, and your clinical history. Discussing these findings in detail with your neurologist to determine their relevance to your seizures is essential.

2. Current Medication Regimen:

• Lamitor 100 (Lamotrigine): This anticonvulsant is commonly prescribed to manage seizures. It's crucial to take it exactly as directed by your doctor. Common side effects include headaches, dizziness, blurred vision, and sleep disturbances. If you experience severe or persistent side effects, inform your doctor promptly.

• Antidepressants: Managing the psychological impact of chronic neurological conditions is vital. Antidepressants can help address symptoms of anxiety and depression. However, if you're feeling overly sedated or emotionally numb, or if the medications don't seem effective, it's important to communicate this to your psychiatrist. Adjustments or changes in your medication regimen might be necessary.

3. Addressing Your Concerns:

• Anxiety About MRI Findings: Feeling anxious about such findings is natural. However, not all white matter lesions are indicative of a severe condition. Their significance can vary widely. A thorough evaluation by your neurologist, considering both your MRI results and clinical symptoms, will provide a clearer picture.

• Seeking a Second Opinion: If you remain uncertain or uneasy about your diagnosis or treatment plan, consider seeking a second opinion. Another neurologist might offer additional insights or reassurance.

4. Recommendations:

• Open Communication: Maintain an open dialogue with your doctor. Share your concerns, ask questions, and ensure you understand the rationale behind your treatment plan.

• Regular Monitoring: Attend all scheduled follow-ups. Regular monitoring allows for timely adjustments to your treatment and ensures any new developments are promptly addressed.

• Self-Care: Incorporate stress-reducing activities into your routine, such as gentle exercise, meditation, or engaging in hobbies you enjoy. Adequate rest and a balanced diet can also support overall well-being.

Remember, your healthcare team is there to support you. Don't hesitate to reach out with any concerns or questions.