Uncle Zhang was sent to the hospital due to trauma. After being hospitalized, he underwent some examinations, including lung CT. It was found that there were " tuberculosis lesions and partial calcification of " in the lungs.
Doctor Zhang asks Mr. Zhang, do you usually cough with ?
Uncle Zhang said, don’t cough.
What about fever?
I occasionally get a fever when I catch a cold, but I rarely catch a cold.
Doctor also asked other questions: sweating, appetite...
Uncle Zhang said that he would sweat when he was hot, but he would not sweat night sweats. He had a strong appetite and no other symptoms.
He was very confused. How could he have tuberculosis ?
Many people, like Mr. Zhang, did not find out because of symptoms, but only did know that they had tuberculosis after physical examination of . This is how most patients in China discovered tuberculosis.
However, most patients with tuberculosis have no symptoms, which does not mean that understanding the symptoms of tuberculosis is meaningless. There is such a special situation where some patients feel that a slight discomfort is not a symptom, such as loss of appetite and weight loss. It is difficult for people to immediately think of tuberculosis, but sometimes it is often the only symptom.
In view of this, today Dr. Long will talk about the symptoms of tuberculosis. Please follow my description to learn about it!
For people who have coughing and phlegm for more than two weeks, you must pay attention to whether there is tuberculosis. Most patients with tuberculosis have a very slow onset. As the lesions of tuberculosis in the lungs expand, will gradually develop cough.
The specific manifestations of coughing are usually as follows: at the beginning it is a dry cough, and occasionally there may be a little white, mucus-like phlegm. Some patients may also have bloody , blood clots in the sputum, or cough up bright red and dark red blood, which is called "hemoptysis". Some patients even came to the hospital with hemoptysis as the first symptom of and were eventually diagnosed with tuberculosis.
If the tuberculosis lesions in the patient's lungs occur on pleura , or the tuberculosis lesions in the lungs affect the pleura, it is called tuberculosis pleurisy , and an irritating cough will occur (meaning a little stimulation, such as speaking and activity will cause cough). There is very little sputum, mostly dry cough, accompanied by symptoms such as chest pain and difficulty breathing. Some people will also develop pleural effusion . Pay attention here, that is, pleural is accumulated in , rather than pulmonary tissue. The pleura is a membrane covered with the outside of the lungs, so the statement "pulmonary effusion" is wrong.
If the patient's tuberculosis lesions occur in trachea and bronchial , such patients will also have irritating coughs. This type of patients still have a lot of sputum and cough for a longer time. When the tuberculosis lesion ruptures towards the bronchial wall, forming bronchitis -lymph leakage, it will cause bronchial stenosis, wheezing and difficulty breathing.
Let’s talk about fever.
Fever is one of the most common symptoms in patients with tuberculosis.
Some patients will initially show upper respiratory tract infection , which is the symptoms of a common cold. This symptoms may occur repeatedly without attracting attention. Fever is usually caused by intermittent or continuous afternoon low-temperature , and also with high fever.
While having fever, there are other systemic symptoms, such as night sweats, fatigue, loss of appetite and weight loss, etc. Many people may not understand the word "
" because this kind of sweating occurs when people fall asleep at night. People vividly call it night sweats, which means "sneaking sweat". I found that night sweats were not difficult. When I woke up in the morning, I touched the bed board to see if it was a little wet.
Due to special physiological conditions, women may have tuberculosis after they have menstruation, resulting in menstrual disorder or amenorrhea .
Then talk about the symptoms outside the lungs.
Tuberculosis is actually a systemic disease, a systemic and systemic disease caused by Mycobacterium tuberculosis infection, but the symptoms of the lungs are the main ones. Of course, since it is a systemic disease, there will also be some symptoms other than the lungs.
, such as tuberculous hypersensitivity syndrome, including nodular erythema , herpes conjunctivitis or herpes keratitis , etc. Have you heard of these? Those who have these manifestations should pay attention to it.
Finally, let’s talk about children’s tuberculosis .
Tuberculosis is very harmful to children. In addition to the symptoms of adults, children's tuberculosis may also affect growth and development , resulting in development delay. Children's primary tuberculosis can be compressed due to enlarged lymph nodes of trachea and side bronchial , and manifestations similar to asthma , so you should pay attention.
To summarize, through the introduction of this article, we need to know that when your cough reaches or exceeds 2 weeks, you should doubt whether you have tuberculosis. If you are accompanied by any symptoms of fever, hemoptysis, night sweats, weight loss, shortness of breath, chest pain, fatigue, loss of appetite, , etc., remember to go to the hospital for a tuberculosis screening!
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