Tuberculosis was almost non-existent in the developed world, but has been making a recent resurgence. When people with TB in their lungs or throat cough, laugh, sneeze, sing, or even talk, the germs that cause TB may be spread into the air. If another person breathes in these germs there is a chance that they will become infected with tuberculosis. Repeated contact is usually required for infection.
A person with TB infection will have no symptoms. A person with TB disease may have any, all or none of the following symptoms:
1.No symptoms -in early phases; also if they only have latent TB infection
2.Early infection symptoms:
• Night sweats
• Flu-like symptoms
• Gastrointestinal symptoms
• Weight loss
• No appetite
3.Symptoms of chronic lung infection (pulmonary tuberculosis ):
• Persistent cough
• Chest pain
• Coughing up bloody sputum
• Shortness of breath
• Breathing difficulty
• Recurring bouts of fever
• Weight loss
• Progressive shortness of breath
• Urine discoloration
• Cloudy urine
• Reddish urine
Complications- The list of complications that have been mentioned in various sources for Tuberculosis includes:
• Pleural effusion
• Miliary tuberculosis – multiple abscesses in various body parts.
• Spine TB
• Tuberculous meningitis
• Kidney TB
• Lymph node infection
• Fallopian tube infection
• Bowel infection
• Addison’s disease
• Death – high death rate of 40-60% if untreated.
1. Phosphorus [Phos]
Phosphorus is indicated in tuberculosis in tall, rapidly-growing young people. Phos has cough from tickling in throat; worse from cold air, reading, laughing, and talking, from going from warm room into cold air. Sweetish taste while coughing. Hard, dry, tight, racking cough. Congestion of lungs. Burning pains, heat and oppression of chest. Tightness across chest with great weight on chest. Sputum is rusty, blood-colored, or purulent.2. Arsenicum Iodatum [Ars Iod]
It seems probable that in Arsenic iod, we have a remedy most closely allied to manifestations of tuberculosis. In the early stages of tuberculosis, even though there is an afternoon rise in temperature, Ars jod is very effective. It will be indicated by a profound prostration, rapid, irritable pulse, recurring fever and sweats, emaciation; tendency to diarrhea. This remedy is indicated in tuberculosis patients in cases of emaciation with good appetite; in amenorrhœa, with anæmic palpitation and dyspnœa. Cough is dry with difficult expectoration.3. Bacillinum [Baci]
Baci has been employed successfully in the treatment of tuberculosis; its good effects are seen in the change of the sputum, which becomes decreased and more aerated and less purulent. The patient expectorates less. On examination patient has bubbling rales and muco-purulent expectoration. This muco-purulent expectoration of TB patients is poly-bacillary; it is a mixture of diverse species and hence Bacillinum is truly indicated in cases of MDR TB (Multi Drug Resistant Tuberculosis). Often relieves congestion of the lungs, thus paving way for other remedies in Tuberculosis. 4. Tuberculinum [Tub]
Tub is of undoubted value in the treatment of tuberculosis. It is especially adapted to the light-complexioned, narrow-chest subjects who have Lax fiber, low recuperative powers, and very susceptible to changes in the weather. Patient is always tired; motion causes intense fatigue; there is aversion to work; wants constant changes. When symptoms are constantly changing and well-selected remedies fail to improve, and cold is taken from the slightest exposure. Expectoration is thick with easy and profuse discharge. There is also shortness of breath with sensation of suffocation, even with plenty of fresh air. Patient longs for cold air. There is hard, hacking cough, profuse sweating and loss of weight, rales all over chest. Deposits begin in apex of lung. 5. Stannum metallicum [Stannum met]
The chief action of Stannum met is centered upon the respiratory organs. Debility is very marked when Stannum is the remedy, especially the debility of chronic bronchial and pulmonary conditions, characterized by profuse muco-purulent discharges upon tuberculosis basis. Violent, dry cough in evening until midnight. Cough excited by laughing, singing, talking; worse lying on right side. During day, with copious green, sweetish, expectoration. Chest feels weak; can hardly talk. Respiration short, oppressive; stitches in left side when breathing and lying on same side.6. Allium Sativum [Allium Sativa]
Allium sativa is mainly adapted to fleshy subjects with digestive and respiratory affections. Pulmonary tuberculosis with constant rattling of mucus in bronchi. Cough in the morning after leaving bedroom, with mucous expectoration, which is tenacious and difficult to raise. Dilated bronchi with fetid expectoration and darting pain in chest.7. Calcarea fluorica [Calc fluor]
Indicated in advanced cases of tuberculosis where Induration is threatening of suppuration. Also indicated when fibrosis has taken place. Cough with expectoration of tiny lumps of yellow mucus with tickling sensation and irritation on lying down. Calc. Fluor removes fibroid deposits and restores normal structure.8. Gallicum Acidum [Gallic acid]
Gallic acid should always be remembered as a remedy in tuberculosis. There is pain in lungs with pulmonary hæmorrhage and excessive expectoration. There is much mucus in throat in the morning and dry at night.
9. Ammonium Carbonicum [Amm Carb]
Ammonium carb is indicated in cases of pulmonary tuberculosis wherein there is violent cough at night, especially at three or four in morning; with expectoration of bloody mucus; with asthmatic oppression of the chest and sometimes with stitches; as if from particles of dust in the throat; worse by ascending. Often there is much rattling as of large bubbles in the chest; chest feels faint, it is tiresome to breathe; when standing, sensation as if lungs were drawn down; many stitches in the chest, Sternum cracks on bending backward. Much oppression of breathing, worse on physical effort, and much worse still on entering a warm room. Bloody taste followed by cough and spitting bright red blood; with burning in the chest.
10. Kreosotum [Kreosote]
Kreosote is indicated in cough which is worse in evening, with efforts to vomit and pain in chest. Raw burning in chest; pains and oppression. Cough after influenza and with heavy pressure on sternum. After every cough, copious, purulent expectoration.
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