getting infection- 24/7

[KUL2014]

Getting upper respiratory infections 24/7, solid mucus, taking 6-7 antibiotic courses during year. Taking sinus allergy tab, low on IgM,lung nodule 5 mm,

[mkh9]

Hi and very sorry you have all these infections. Do you know what the lung nodule is yet? Have you been around any mold?  Did they do any cultures on you to see what the cause of your respiratory infections are from?
mkh9

[KUL2014]

Subpleural nodule within the anterior aspect of right upper lobe 5 mm,
paranchymal fibroises is identified overlying the expected region of right middle lobe ,,
Platelike atelectasis right middle lobe,
tortuous thoracic aorta.
Minor steaky bibasliar atelectasis is present.
You will see  in every report-- impression CT//XRAY , they are mentioning different words, dont know what are those, please clarify these all.
In Calgary there may be some mold--,
previously we were in Newfoundland where moisture is too much and mold along.
Back home from India- having cemented houses ,
Latest they ordered Sputum culture and sensitivity with PCR TB.
thanks.
IgM is low, C4 was low. Suggest

[mkh9]

Firstly, I am not a doctor I am a microbiologist. So, I can only give you information and advise you. You will have to ask your doctor questions as to your condition.
Regarding the CT/Xray
1. Subpleural nodule: most are benign especially when they are small like yours. They can be caused by a previous infection. That is probably why he is testing you for TB to see if it is an active infection or not.
2.Paranchymal fibroses: Scarring  in lung. This may be due to previous job or infection something that occurred to cause some scarring. It may or may not cause you any trouble. They don't treat this.
3. Platelike atelectasis: This is a section of the lung that has collapsed most likely near the nodule. If you can breath ok then there is not a problem if you are having trouble breathing they may give you or have given you oxygen.
4. Tortuous thoracic aorta: This just means your aorta has some structural abnormality in its shape or but it may or may not cause a health problem. Ask your doctor about this.
5. Minor streaky bibasliar atelectasis: Same as #3.
6. Low IgM and low C4 This can be due to a lot of things. Chronic infection or recurrant infections,autoimmune disease like lupus, sometimes no reason or it is hereditary. Upper respiratory tract infection, asthma can cause this. So, this would also make you get a lot of infections.

It is possible if you have TB (active) that your immune system is low and you are getting other infections. Did they do a quantiferon gold skin test for TB yet? Sounds like they are doing the right  thing by doing culture and antibiotic sensitivity testing. Do you get night sweats and low grade fever?

take care,
mkh9

[KUL2014]

Do you get night sweats and low grade fever?
Low grade fever, chilling, cold during day,
night sweats sometimes,
as you said C4 and IgM may be reason.
if you are having trouble breathing they may give you or have given you oxygen.  till date they did not go in this direction.
What you think that should I test for allergies and Immune Complex.
They are not doing quantiferron test on TB ,
Last advise- does Obs Sleep Apnea  and hypothyroid is the reason for all these infections. Taking 0.075 mg one tabl daily.

[mkh9]

It is possible you have active TB. You will have to wait for the results to see. TB can give you night sweats and fatigue. It would explain the nodule as well. I would wait and see what your culture results say. No I don't think hypothyroid or sleep apnea would do this. Lowered immunity may make you more susceptible to getting active TB if you were exposed to it in the past. That is ok if they didn't do the skin test. It will show up on the culture.  You could test for Immune complex. But at this point I would wait and see your results and see what the doctors says. If you are positive for TB they will have to treat you first. If they do treat you be sure to finish the antibiotics even if they make you feel ill. Call the doctor if you feel ill don't go off the antibiotics. They can change them if necessary. Going off the antibiotics will cause drug resistant TB. The doctor may want to raise your immunity. You might want to ask about that. I would get rest and eat well. Healthy foods with fruits and veggies.  If you can add antioxidants such as berries and so forth. The doctor could give you an injection of immunoglobulin possibly. It depends on what they think and how low the IgM is. If it is borderline then it may not matter.
mkh9

[KUL2014]

Great support.
I will wait, have bring container for Sputum- C & S,Cadida and yeast, PCR TB test ,they will check on sputum all these.
I am experiencing pain left front feet on two middle fingers all times. travelling along upper side.
I have read that this pain is due to some medical concern but not gathering that inf, can you guide that does this is concerned with my present signs.

[mkh9]

Good regarding the tests.
Regarding the pain, not sure. Are you diabetic? I was wondering if the pain is neuropathic pain due to diabetis?  I would call your doctor tomorrow and ask about this if this is a new symptom that they don't know about.
mkh9

[KUL2014]

yes I am diabetic, taking metformin 750 mg twice daily,
means this is not assciated to lungs and chest concerns

[mkh9]

It might be diabetic neuropathy. You should still bring it up with the doctor. It is something they should know about. I don't know for sure it is that but it could be.
mkh9

[KUL2014]

thanks.
today have sent sample of sputum, in morning this does not comes out solid stuff as of past, it is like liquid only, confused that this sample will be good to test C/S, candida,yeast, TB PRC they were telling TB PCR will also performed on sputum
In past solidified stuff is coming from throat in morning .

[mkh9]

Yes it is better to have the thicker stuff. You can't produce any slightly thicker stuff? If not the lab can tell if it is a good specimen by how many white blood cells they see. They don't need much specimen for the other tests. Hopefully, there will be enough. Did your sputums ever look rusty colored?
mkh9

[KUL2014]

yes sir, some time it is.
And sometime it is yellowish and sticky and some splinets means solidified stuff

[mkh9]

By the way. I am not a sir I am female.Yellow could be a different infection but rusty like reddish or a rusty nail color can be more what TB can look like. Let me know how the results come out.
mkh9

[KUL2014]

I am sorry Mam, ok thanks.
in which city you are in USA.

[mkh9]

San Diego, CA

[KUL2014]

Present I am 56, as far as I remember -I was getting infections ,cold, throat infections,high fevers, severe sinus,severe  deiria - high number of loose mtions- even some time intravenous glucose was also admistered,dry cough and cough with mucus from my birth, during young age we were living in Shimla hilly area in India surrounded by trees and cold temperament.
That time doctors were giving Sulphadiazene, Tetracycline, Cipro, Avil-allergy teblets. Crocin .
Guide that does /may be these past history invite any such serious concerns-
I am sure that some thing is missing in diagnosing  

[mkh9]

Well, you could have Low immunity due to inherited means. If so they may have a way to keep boosting it. Injection of immunoglobulins, and other ways.We'll see.
mkh9

[KUL2014]

thanks.
These injections can be prescribed by family doctors, is this correct,

[KUL2014]

As you said- other ways, please guide for those.
Really you carry tons of knowledge and guidance power, GOD bless you with happiness and all good health

[KUL2014]

As you said- other ways, please guide for those.
Really you carry tons of knowledge and guidance power, GOD bless you with happiness and all good healt

[KUL2014]

great, We pray for good health of yours,
what do you think that I may need IgM injections?
Our health system is very different attitude. anyway.
You are doing super efforts in guiding ailing persons who are illiterate for medical treatment.

[mkh9]

Firstly, I hope they have the same treatments where you live. Also, they generally use IgG not IgM. See link below. I realize this link is for the U.S. but it is a general Idea. IgM Is the first antibody made in response to a particular antigen (bacterial or viral). But you also have white blood cells and other cells that attack "foreign" antigen. So IgM isn't the only thing in your body that attacks or goes after bacteria and viruses. The white cells (specifically polymorphnuclear leukocytes or PMN's) engulf and destroy bacteria. It is possible you may need a boost in your immune system if your heath care provider will give it to you. Some doctors don't like to give it because there are some side effects and also they may think you don't need it (for some reason). I would first get your diagnosis and then go from there. There may be a reason for the low C4 and IgM. Ask the doctor about auto immune diseases also. But before anyone talks you into having Lupus or something like that let me know. It is a whole other conversation. Ok?

http://www.iggamerica.com/patientscaregivers/learn.html

mkh9

[KUL2014]

ok thanks