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Chronic cough fiver body pains
Dear Doctor
I have been experiencing a persistent dry cough and breathing difficulty for the past 8–10 years. I also have headaches, body pain, and unexplained fever.
I have undergone the following tests:
Chest X-ray: Normal.
HRCT Chest: Normal.
PFT: Slightly low.
ESR: 40.
CRP: Positive.
ANA, RA Factor, and Anti-CCP: Normal.
Other blood tests: Normal.
Despite these investigations, the cause of my symptoms remains unclear, and my problems continue.
I would like to investigate whether there is any hidden inflammation, infection, or other disease in my body.
Kindly review my reports and advise whether a Whole Body FDG PET-CT scan is use d.
Thank you ,
Answers (24)
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Would recommend to do sputum AFB and CBNAAT. PET CT isn't advised
Next Steps
Would like to evaluate with detailed history. I'd be happy to assist you on further treatment plan. For personalised medical guidance and a detailed assessment of your concerns, kindly book an online consultation with me through the Practo app!
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CRP RAISED ITS HIDDEN INFLAMMATION.
STEAM INHALATION WITH VICKS OR EUCALYPTUS OIL TWO TIMES BEFORE MEALS.
MONTEK LC ONE AT NIGHT AFTER DINNER FOR 5 DAYS.
AZEE500 ONE PER DAY AFTER FOOD FOR FIVE TO SEVEN DAYS.
ZERODOL SP THREE TIMES A DAY AFTER FOOD FOR 3TO5 DAYS.
CHERICOF SYR 5ML TWICE N 10ML AT NIGHT. DUOLINE N BUDECORT RESPULE TWO TIMES FOR 3TO5 DAYS.
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A normal chest X-ray, HRCT and autoimmune panel, but a raised ESR and positive CRP, means there's some ongoing inflammation that hasn't been pinned down yet, even though the common causes have been ruled out. A PET-CT is a significant scan usually reserved for specific situations, so it isn't something to decide without a specialist reviewing your full case first.
Next Steps
Please see a rheumatologist or physician, who can review your reports together and decide whether a PET-CT or a different, more targeted test fits your case better. Carry all your reports to that visit.
Health Tips
Symptoms lasting 8 to 10 years need proper follow-through, so please don't let this go untreated further.
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