Primary Complex Thread 2

[Princess_Chill]

Hi Doc!

just want to ask po pag nawala na ba ang kulani sa likod ng ear possible na wala na siya PC? kasi sa case ng anak ko as i mentioned earlier na diagnosed siya na may PC kasi may kulani siya and nakita sa chest x ray. hindi namin tinuloy ang gamot kasi iba naging effect ng gamot sa kanya.

we told her pedia about that and he said na choice namin mag asawa iyon and walang sisihan.. she never had cough and colds. hindi din sinisipon..now she's 2 and ok naman. wala naman na ako nakakapa na kulani, may weight gain naman siya pero hindi siya mukhang mataba. Ayus kasi kumain baby ko e..hindi picky eater.

thanks po!

[leletmd]

^ Hindi clear indication na magaling na ang PC ang pagliit ng lymph nodes sa back of the ears kasi what if the enlargment of the lymph nodes there is due to some other infection? Since you opted not to treat and hindi macocompare ang before and after na clinical activities, in my opinion, the best way to find out if talagang nawala ang PC is to have a repeat chest x-ray done and have the 2 x-rays compared to check if there was any change.

[erl]

hi mga sis.im newbie here samga interactions but actually tagal ko na member dito. [textspeak!] baby ko din kasi under medications sya.nega sya sa skintest and positive sa xray nya pero ubo pa rin ng ubo kaya our pedia advised us to take 3 mos medications..problema ko po kasi since andun [textspeak!] tatay ng asawa ko may ubo kasama namin sa bahay pero hindi naman daw un nakakahawa kasi widrawal from being change smoker tapos tumigil ngaun nakakatakot po feeling ko nga sa knya nakuha [textspeak!] sa baby ko..ang hirap kasi hindi mo naman maitaboy at mapagsabihan na magpaxray uelt para gumaling sya kasi baka hindi ringagaling si baby ko..[textspeak!] shud i do? hindi naman sya umiiwas sa pagkikiss kay baby ko.ayaw ko naman maoffend asawa ko at mga anak nya na sabihin ko un..

[erl]

hi doc let, nakakahawa po kaya [textspeak!] ubo galing sa paninigarilyo? kasi ang bata vulnerable e.Pls advise me po..thanks

[Princess_Chill]

thanks po doc!

[leletmd]

@erl:
Hindi nakakahawa ang smoker's cough per se, since it is not an infection, but, of course, ang daming bad effects ng passive smoking and it can also induce cough sa mga na-expose dito.
Nahanap ba niyo ang source of your child's PC? Napa-xray ba lahat ng tao sa bahay na kasama ng baby mo? Once alam niyo kung sino ang source ng PC and napagamot din ang source, better ang chances na gumaling ang baby mo.

[drex]

good am doc,tanong ko lang po,may cases po ba na 2mos lang papainumin ang bata kung ang ppd nya ay negative and xray is positive?yun po kasi ang sabi ng pedia niya,after two months daw po na magtake siya ng pirazinamide,stop na and then papa xray po ulit kami,pag sa xray daw po negative then stop na kami sa gamutan.ganun po ba talaga?worried lang po ako kasi baka hindi po mapuruhan ang pc nya..pls.advise me po.thank you.

[erl]

doc let thank u so much..doc [textspeak!] lolo po ang may ubo dahil sa pagsmoke dati.may COPD 1 yata un.un po talaga ang iniisip ko na cause kasi wala naman po iba inuubo sa bahay [textspeak!] yaya wala naman po sakit un.constant po ubo nya lalo pag may kinakain na kumakati lalamunan nyaor what.
paano ko po ilalayo anak ko nasa amin po sya nakatira.daddy po sya ng hubby ko e.inaalala ko po talaga un doc baka after medication wala din mangyayari.thank you doc let

[jhenbreak]

My son was diagnosed of primary complex. He is 20 months. Dalawa sila ng cousin nya na 2yo ang merong PC. May nakapa lang kaming lymph  node sa neck ni baby kaya sinuggest na pa-xray.

We are 7 adults in the family na may close contact to them, pero lahat kami clear sa xray. Do we need to have a repeat xray?

Or possible kaya na sa family gathering namin nakuha, kasi madalas may gathering kami sa father-side ko. Sakit pala sa ulo mag-contact tracing.

[gheb]

^doc leletmd,
ang sabi ng pedia eh hindi naman daw lumiliit agad nawawala ang kulani:(

[leletmd]

@erl:
TB ba or COPD ang sakit ni Lolo? Hindi kasi nakakahawa ang COPD, unless meron siyang COPD and TB at the same time.
Aside from Lolo, meron bang iba pang nagpa-xray sa household niyo?

@drex:
Pyrazinamide lang ba ang meds niya? Wala bang kasama na Isoniazid and Rifampicin yung pyrazinamide?
Kasi the usual treatment for PC consists of the 3 meds: Isoniazid, Rifampicin and Pyrazinamide. After 2 months of treatment, we stop the pyrazinamide pero continue pa rin ang Isoniazid and Rifampicin to complete at least 6 months of treatment.
We don't usually do x-rays after 2 months of treatment kasi matagal mawala ang x-ray findings. Hindi rin SOP na mag-xray at 6 months. Stopping treatment at 6 months would depend on clinical improvement.

@jhenbreak:
Aside from chest x-ray, meron bang nagpaPPD sa inyong 7 to determine exposure? How about AFB smear (examination of phlegm to determine activity of TB)?
Since 2 kids ang nagkaroon sa household, then most likely kung sino ang pinakamadalas nilang kasama ang source. Para magkaTB, usually repeated exposure yun over a long period of time.

@gheb:
As I said in my earlier post, hindi mawawala ang kulani since it is part of the lymphatic system and lahat tayo meron kulani, except na lang ang patients na may problem sa immune system.
As to kung kailan liliit or hindi na makakapa, it would depend on the cause of the paglaki ng kulani. Usually kung bacterial infection at nagtreat na ng antibiotics, after a few weeks, liliit na ito or babalik sa original size. Sa TB, it takes months for it to go back to its original size.

[drex]

^doc lelet,3 meds po siya,rifampicin,isoniazid and pyrazinamide..nag stop na po kami ng pyrazinamide kasi 2 months lang daw.last sept.20 po ang last medication namin ng pyrazinamide..but until now nagtetake pa kami ng rifampicin and isoniazid..thank you so much po kasi na enlighten ako about stopping the pirazinamide,atleast alam ko na tama naman po yung ginawa ko..God bless and more power...

[erl]

@erl:
TB ba or COPD ang sakit ni Lolo? Hindi kasi nakakahawa ang COPD, unless meron siyang COPD and TB at the same time.
Aside from Lolo, meron bang iba pang nagpa-xray sa household niyo?

@drex:
Pyrazinamide lang ba ang meds niya? Wala bang kasama na Isoniazid and Rifampicin yung pyrazinamide?
Kasi the usual treatment for PC consists of the 3 meds: Isoniazid, Rifampicin and Pyrazinamide. After 2 months of treatment, we stop the pyrazinamide pero continue pa rin ang Isoniazid and Rifampicin to complete at least 6 months of treatment.
We don't usually do x-rays after 2 months of treatment kasi matagal mawala ang x-ray findings. Hindi rin SOP na mag-xray at 6 months. Stopping treatment at 6 months would depend on clinical improvement.

@jhenbreak:
Aside from chest x-ray, meron bang nagpaPPD sa inyong 7 to determine exposure? How about AFB smear (examination of phlegm to determine activity of TB)?
Since 2 kids ang nagkaroon sa household, then most likely kung sino ang pinakamadalas nilang kasama ang source. Para magkaTB, usually repeated exposure yun over a long period of time.

@gheb:
As I said in my earlier post, hindi mawawala ang kulani since it is part of the lymphatic system and lahat tayo meron kulani, except na lang ang patients na may problem sa immune system.
As to kung kailan liliit or hindi na makakapa, it would depend on the cause of the paglaki ng kulani. Usually kung bacterial infection at nagtreat na ng antibiotics, after a few weeks, liliit na ito or babalik sa original size. Sa TB, it takes months for it to go back to its original size.

doc let COPD lang po.pero matagal na hindi sya nagpapa x ray...wala na pong nagpapa xray sa bahay e kasi wala naman sakit kami at si yaya.maraming salamat doc.

[leletmd]

@erl:
If COPD lang ang findings sa father in law mo, then hindi ka nakakasiguro na siya ang source ng PC ng anak mo.
The first thing na dapat na ginawa nung nalaman na may PC ang anak mo is to find the source so that means dapat nagpa-xray lahat ng kasama sa bahay kahit walang nararamdaman. Sa adults kasi, it is possible na walang nararamdaman, e pala, may TB na.
Once nahanap ang source, dapat magtreat din ito for TB.

@drex:
You're welcome.
2 months lang talaga ang PZA. Isoniazid and Rifampicin should be continued to complete at least 6 months of treatment.

[jedijeah]

Hi po.  Just want to ask.  Tapos na po ng treatment ang anak ko ng primary complex.Pano po malalaman kung healed na po sya from primary complex? May indicators po b etc.?  4 years old po sya and weight is 15.5 kilos.  Thanks po.

[pryce cassue]

Hi po, newbie here. Just want to have an idea if how much are the medications for PC. My son kc who will be 15 months next month ay nag-positive sa skin test nya yesterday. He has undergone chest x-ray kanina pero bukas pa namin makukuha result. According kc sa mga nababasa ko sa net medyo costly daw pero di disclosed price ng gamot. Share naman po.

[leletmd]

@jedijeah:
Did you bring your child for follow up during the time he was undergoing treatment for PC?
Sa follow up kasi ma-aassess if there is improvement in the clinical findings like weight gain, increase in appetite, decrease in size of lymph nodes, improvement in well being, etc.
Your doctor will be the one to say if there was clinical improvement and treatment can be stopped na.

[Kermy]

@Doc Lelet just a clarification, the purpose of the BCG vaccine is to prevent the TB bacteria/virus from spreading to different organs of the body right? So why are you saying opposite?

[leletmd]

@kermy:
When did I say otherwise? Would you mind providing the link so I can post a clarification?
As I mentioned in the PC thread 1 page 29, BCG protects against extra-pulmonary TB, which means it protects against spread of the infection to other areas of the body such as the liver, bones, meninges, etc.

[mom.of.inchikoy]

mga sis,i will backread in a while.. just need to ask lang... my 2nd son is positive of PC. i have a 4mos old baby and my eldest is 6yro. i wanted to have our xray asap, including our helpers. meron ba kayo ma-irerecommend na lab na maayos, reliable yet not expensive ang fee for the chest xray? unahin ko na sana yung helpers asap...