अगर मुझे बचपन में टीबी हुई थी और पिछले 5-6 सालों से मेरा बलगम लाल आ रहा है, तो इसका क्या मतलब है?

Question #30294

24 days ago

अगर मुझे बचपन में टीबी हुई थी और पिछले 5-6 सालों से मेरा बलगम लाल आ रहा है, तो इसका क्या मतलब है?

Client_dab684

Mujhe bachpan m lungs TB hua approx 11 12 sal ki thi jb se to mere 1 left side ka lungs weak h to abhi mai 23 years ki hu to karib 5 6 saalo se mere sputam m red red kuchh aata h kbhi kbhi to mujhko ye janna h ye kya h .....kyunki bs 1 vhi chij h aur uske alawa mujhe koii dikkat nhi h kuchh b nhi kchh b nhi h .....mai healthy hu weight mera 52 h motib hu bs ye mujhe janna h vo kya h

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

23 days ago

Hello
Agar sputum me kabhi kabhi red ya blood jaisa aa raha hai aur aapko bachpan me Tuberculosis hua tha, to isko ignore nahi karna chahiye. Purani TB ke baad lungs me scarring, weakness, ya damaged blood vessels reh sakte hain jisse kabhi kabhi halka blood aa sakta hai. Kabhi ye sirf purane damage ki wajah se hota hai, lekin kabhi infection, bronchiectasis, ya TB dobara active hone ka sign bhi ho sakta hai.
Aapka healthy weight aur dusre symptoms na hona reassuring hai, lekin 5–6 saal se repeated red sputum aa raha hai to ek chest specialist ko dikhana important hai. Usually doctor chest X-ray ya CT scan aur sputum test karne bol sakte hain taaki exact cause pata chale.
Agar blood ki quantity badhne lage, fresh red blood aaye, fever, weight loss, chest pain, breathing difficulty, ya zyada cough ho to jaldi medical care lijiye. Smoking ho to avoid kariye aur bina checkup ke cough medicines ya antibiotics repeatedly mat lijiye.
Take care

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

23 days ago

Aapko bachpan mein lung TB hua tha aur agar ab bhi kabhi-kabhi sputum (balgam) mein red ya blood-like streaks aa rahe hain, to ise lightly nahi lena chahiye, even agar baaki koi symptoms nahi hain. Yeh purane TB ki wajah se lungs mein hui scarring, weak blood vessels, chronic inflammation, ya bronchiectasis ki wajah se ho sakta hai, jisme kabhi-kabhi halka blood sputum mein aa jata hai. Kyunki yeh problem 5–6 saal se chal rahi hai, ek chest physician (pulmonologist) se check-up karwana important hai taaki ensure ho sake ki koi active infection, recurrent TB, ya dusri lung problem nahi hai. Doctor chest X-ray ya CT scan aur sputum test recommend kar sakte hain. Agar blood ki quantity badhe, chest pain, fever, weight loss, breathing difficulty, ya frequent cough ho, to turant medical attention lena chahiye.

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

22 days ago

Agar sputum (बलगम) me kabhi-kabhi red/red streaks ya khoon jaisa aa raha hai, to ye purani Tuberculosis ke baad lungs me bachi hui weakness, scarring, ya damaged blood vessels ki wajah se ho sakta hai, especially since aapko bachpan me TB hua tha. Lekin 5–6 saal se baar-baar aisa hona normal maan kar ignore nahi karna chahiye, even if aapko aur koi symptoms nahi hain aur weight bhi stable hai. Please chest physician/pulmonologist se consult kijiye for chest X-ray/CT scan and sputum testing, especially agar blood zyada ho, cough badhe, fever aaye, weight loss ho, ya breathing problem start ho.

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Dr. Nikhil Chauhan

I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.

23 days ago

👋 नमस्ते
(बचपन में TB हुआ था, अब 23 साल की, पिछले 5-6 साल से बलगम में लाल लाल आता है, बाकी बिल्कुल healthy)
यहाँ आपका crisp & attractive जवाब है – बिना डराए, सटीक।
🩸 यह लाल बलगम (red sputum) क्या है?
संभावित कारण (क्योंकि और कोई लक्षण नहीं):
कारण समझाइश
पुराना TB निशान (bronchiectasis) सबसे आम – TB से फेफड़े में खिंचाव, छोटी नसें फटती हैं → थोड़ा खून आता है
Residual cavity TB के बाद खाली जगह में सूजन/बलगम, कभी-कभी हल्का रक्त
कोई और बीमारी बहुत कम संभावना (जब तक नया TB, फोड़ा, या कैंसर न हो)
✅ अच्छी बात: आपको बुखार, वजन घटना, सांस तकलीफ, या थकान नहीं है – मतलब कोई बड़ा खतरा नहीं लगता।
📌 अब क्या करें? (क्योंकि 5-6 साल हो गए)
कदम क्या करना है
1️⃣ Chest X-ray या CT scan (निशान/ब्रोन्काइक्टेसिस देखना)
2️⃣ Sputum AFB + culture (TB एक्टिव तो नहीं – चांस बहुत कम)
3️⃣ CBC + ESR/CRP (सूजन तो नहीं)
4️⃣ Pulmonologist से मिलें – सिर्फ एक बार चेकअप करा लें
🚨 डॉक्टर कब जरूर दिखाएँ?
अगर कभी बहुत ज्यादा खून आए (चम्मच भर), बुखार, सांस फूले, या वजन गिरे – तुरंत।
✅ नीचे की रेखा (Bottom Line)
· यह सबसे ज्यादा पुराने TB के निशान से हल्का रक्तस्राव है – खतरनाक नहीं अक्सर।
· पर 5-6 साल से चल रहा है → एक बार जांच करा लेना चाहिए।
· आप healthy हैं – इसलिए घबराएँ नहीं, लेकिन आंख बंद न करें।
— डॉ. निखिल चौहान

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

23 days ago

Hello
Aapne jo symptoms bataye—kabhi-kabhi sputum (balgam) mein laal-laal (red) cheezein aana, aur bachpan mein TB ke baad left lung ka weak hona—yeh kaafi important hai. Aapko abhi koi aur takleef nahi hai, aap healthy feel karti hain, lekin yeh symptom ignore nahi karna chahiye.
### Yeh ho kya sakta hai?
- Old TB ke baad lung mein permanent changes (jaise scarring, bronchiectasis) ho sakte hain, jisse kabhi-kabhi blood aa sakta hai.
- Bronchiectasis: TB ke baad lungs ke kuchh hisson mein sujan ya damage ho jata hai, jisse balgam mein blood aa sakta hai.
- Lung infection ya allergy: Kabhi-kabhi infection ya allergy se bhi aisa ho sakta hai.
- Rarely, koi naya problem: Jaise ki lung mein koi naya infection, polyp, ya growth.
### Kya karna chahiye?
- Doctor se milke ek baar chest x-ray aur sputum test karwana zaroori hai. Yeh confirm karega ki koi nayi problem toh nahi hai.
- Agar aapko fever, weight loss, raat ko paseena, saans lene mein dikkat, ya blood ki quantity badh jaye, toh turant doctor ko dikhayein.
### Aapko tension lene ki zarurat nahi hai, lekin yeh check karwana important hai, taaki koi nayi problem na ho.** Aksar purane TB ke patients mein aisa hota hai, lekin ek baar specialist (chest physician/pulmonologist) se milna best rahega.
Thank you

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

23 days ago

Hello dear
See it seems recurrent tb infection.
It is primarily targetting
Stomach
Smalll intestine
Extremities
Blood in sputum or haemoptysis is a warning sign for tuberculosis
Besides affecting respiratory system
So it will require
Supplements therapy
Clinical evaluation
Extention of dots therapy
Please get in person consultation with general physician medicine or pulmonary surgeon for better clarity
Regards

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

23 days ago

Aapko bachpan me lung TB hua tha, isliye lungs me purane infection ke baad kuch permanent changes/scarring reh sakte hain. Sputum me kabhi-kabhi red ya blood-stained material aana purane TB ke baad kai reasons se ho sakta hai, jaise:
• Purane TB ki wajah se lungs me scarring ya weak blood vessels
• Bronchiectasis (lungs ki hawa ki naliyon ka permanent weakness/widening)
• Purane cavity changes
• Kabhi-kabhi infection ya irritation ki wajah se halka bleeding
Agar 5–6 saal se kabhi-kabhi sirf halka red sputum aa raha hai aur:
• Weight loss nahi hai
• Fever nahi hai
• Night sweats nahi hai
• Continuous cough nahi hai
• Breathing problem nahi hai
toh ye zaruri nahi ki active TB ho. Lekin blood in sputum ko completely ignore bhi nahi karna chahiye, especially previous TB history me.
Ek baar proper evaluation karwana better rahega:
• Chest X-ray
• Possibly HRCT Chest (if doctor advises)
• Sputum test if cough present
• Pulmonologist consultation
Agar fresh blood zyada quantity me aaye, breathing difficulty ho, chest pain ho, fever aaye, ya weight kam hone lage toh immediately doctor ko dikhaiye.
Prescription:
1. Steam inhalation 5–10 min twice daily if sputum present
2. Adequate hydration maintain karein
3. Smoking/passive smoke/dust avoid karein
4. Chest X-ray PA view advised
5. Pulmonologist consultation advised for evaluation of recurrent blood-stained sputum
Dr. Nirav Jain
MBBS, D.Fam.Medicine

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

22 days ago

Seeing red sputum can be concerning, especially considering your history of childhood TB. The red color in your sputum could indicate the presence of blood. This might happen due to several reasons, including minor issues like inflammation or more serious conditions such as persistent infection, or bronchiectasis which sometimes follows TB. Although your only symptom seems to be the red sputum, it’s crucial not to overlook it. Generally, after TB, the lungs can have residual effects like scarring. These can sometimes cause irritation or bleed a bit. However, coughing up blood, even if occasional, warrants investigation to ensure there’s no active lung infection or other complications at play. Being in overall good health is encouraging, but this symptom needs medical evaluation. Please consult with a pulmonologist. They will likely recommend an imaging study like a chest X-ray or CT scan to understand your lung’s current state. They may also want to do a sputum analysis to rule out infections. TB can have long-term impacts on lung capacity and structure, which might explain why you’re experiencing this symptom. If you’re smoking or exposed to irritants, avoiding them would be beneficial, as they can exacerbate lung issues. Stay attentive to any changes in your symptoms, such as increased frequency or volume of blood in the sputum, difficulty breathing, or unintended weight loss. If such changes occur, seek immediate medical attention. While the situation may not be dire right now, it’s essential to promptly identify and address potential underlying problems to maintain lung health.

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