Tuberculosis is a serious infectious disease which is spread from one person to another through air. Though BCG Vaccine is known to prevent tuberculosis in many people, it does not give 100% protection just like any other vaccine. Tuberculosis is mostly found in the developing and the underdeveloped world where people are malnourished.
Tuberculosis of lungs is caused by bacteria that spreads from person to person through microscopic droplets released into the air. This can happen when someone with the untreated, active form of tuberculosis of lung coughs, speaks, sneezes, spits, laughs or sings. Although tuberculosis is contagious, it's not easy to catch. You're much more likely to get tuberculosis from someone you live or work with than from a stranger. Most people with active TB of lung who've had appropriate drug treatment for at least two weeks are no longer contagious.
Tuberculosis is mostly found in the lungs but other organs can also get affected by TB. These organs are spine, kidneys and brain. The symptoms of TB are cough which lasts for more than 3 weeks, blood in the sputum, low grade fever mostly in the evenings, fatigue, unexplained weight loss, night sweats, chills and loss of appetite etc.
Tuberculosis complications include back pain, joint damage, swelling of brain membranes, liver or kidney problems, respiratory disorders etc.
Diagnosis of Tuberculosis starts by seeing a good lung specialist who would examine and prescribe a skin test called - Montoux Test. Other tests that can be prescribed by the chest or lung specialist include Chest X-Ray, Sputum Test, TB Gold and TB Platinum blood tests. These days TB Gold or TB Platinum tests are considered to be best and almost confirmatory. Advanced imaging tests like CT Scan of the body part where TB is suspected gives very clear picture of the tuberculosis in that organ.
The treatment for TB should start immediately under a good lung or chest specialist after the diagnosis. The treatment for tuberculosis lasts for 6-9 months for normal cases and 20-30 months for drug resistant TB. If the patient has active TB, then 2 weeks after the commencement of the treatment, the patient is not likely to infect others. During this period the patient should best be kept in isolation at home in a well ventilated room. Anybody interacting with the patient must take all precautions as they take in case of Covid patients. Both Covid and TB are infectious diseases which spread through air droplets from the cough or sneeze of an infected person.
The treatment programme for TB is controlled by District TB Cell which is present in each district of the country. Every patient is closely monitored to ensure that they do not skip any medication or stop the treatment in between. If the patients do this then the normal TB can become drug resistant TB and the treatment become longer and more difficult. India is seeing more cases of drug resistant TB with every passing year.
Most of the TB patients have tuberculosis of the lungs and therefore the best treatment is provided by pulmonologists or lung specialist. Dr Kuldeep Kumar is one of the best pulmonoloigst or lung specialist in Gurgaon. Dr Kumar has treated thousands of TB patients in a career spanning more than 14 years. The treatment for tuberculosis is provided free of cost by the government of every state and also by the central governemnt. The patients who do not wish to get their medications from the government hospital or PHC can take treatment in private hospitals and buy their medicines from private pharmacy. The details of all TB positive patients have to be sent to the government by each hospital. Even if you are taking treatment from a private hospital, you would get calls from the government TB Cell to monitor the progress of your treatment and to ensure that you take the complete treatment and do not drop out in between.
Dr Kuldeep Kumar is the Chief Pulmonologist and Incharge of ICU at CK Birla Hospital, Sector-51, Gurgaon. He can be consulted in the OPD for Covid-19 treatment or Post Covid Complications. The consultation fee is Rs. 1000 and the timing for consultation is from 11 am - 3 pm. Dr. Kuldeep Kumar is also available for consultation at Miracles Mediclinic, Sector-14 from 5 pm - 6 pm in the evening for the patients who are still scared of going to big hospitsls.
We have developed the most advanced Pulmonology department at CK Birla Hospital which is fully equipped to take care of all kinds of Pulmonary conditions.
We have the most advanced Intensive Care Unit equipped with the latest Ventilators, Monitors and other Life Saving Equipments. Our services run round the clock so that we are there when you need us the most.
Dr Kuldeep Kumar
Chief Pulmonologist and Critical Care Specialist
CK Birla Hospital, Gurgaon
The Air Quality Index of North India is very bad at most times of the year. This air pollution is extremely dangerous for young children and senior citizens. Dr Kuldeep Kumar is talking about the ways to protect your lungs in such air.
Asthma is an allergic disease and can be treated successfully in most of the patients. Dr. Kuldeep Kumar, Pulmonologist is talking about the causes and the treatments available for permanent cure of this highly debilitating disease.