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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 (17)
Sputum for AFB
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consult
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You must have to go for
CBNAAT
sputum for AFB
After these reports further investigation will be decided.
Please consult with report.
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in-person consultation with a pulmonologist for further evaluation
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Would recommend to do sputum AFB and CBNAAT. PET CT isn't advised
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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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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Hello,
Take Balanced diet. Do sputum examination for AFB at lab and send report.
For diet details and ePrescription consult by practo app.
Time: 09:00 to 12:00 and 19:00 to 20:00.
Thanks.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Karan Suneja
General Physician
4 yrs exp
Delhi
Consult pulmonologist.
Next Steps
Check eosinophils levels and also get allergy panel tests done as well and take Syrup zedex 10 ml twice a day and steam inhalation with tablet karvol plus in it .
Health Tips
Better to consult
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
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Dr. Marupilla Avinash Teja
General Physician
6 yrs exp
Vizag Muralinagar
Is there any weight loss recently
And hemoptysis
Cough with sputum
If so the colour of sputum
Next Steps
Semd for sputum AFB and cbnaat
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Dr. Konica Gupta
General Physician
6 yrs exp
Ghaziabad
Kindly consult for diagnosis and treatment
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
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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