It's all in your lungs

[Duncan]

My B/L [ for all unknown reasons I call him my brother-in-law ] who spent most of his life from 12years old to now 42 years old, sitting on a old Honda Daelim sucking ciggies and working as a moto-dop. A year ago it all caught up with him and his weekly visits from Sa-aang to stay with me was to ask for money to buy medicine to cure the lung cancer the Dr was treating him for. I started looking at the medicine prescribed and one week it was Paracetamol , a asthma inhaler , meds for arthritis and a handful of multi coloured placebo pills.
The following week it would be Panadol , another inhaler , blood pressure pills and vitamin C tablets and the cure all Prenklar to rub on the chest.
As time went by , like 6 months, and a 2 week stay in a hospital at Takhmau, the diagnostics and x ray changed to treatment for TB .He then was prescribed Rifampicin , a tb drug, along with the usual rubbish he had been getting.
It was obvious to me the TB had become drug resistant because of the time laphs late treatment and his not taking the medicine every day.

A 2 week stay at the Soviet- Khmer hospital ended with the Dr telling him to go home and die ,,,, so I am told,,,

I visited the Pasteur laboratory by the Camelett hospital and they explained to me the tests they do for TB and the first line of drugs and the second line of drugs for drug resistant tb.

Booked the B/L into the hospital and he stayed there for one week. He was given a cough medicine, x-rays taken, which I saw and they dont look good, and today he was sent home with a script for.

Hydryllin supplement [ vit C ]

Paracetamol

Unicontin-E Tablet CR
uses
Uses of Unicontin-E Tablet CR

Unicontin-E 400mg Tablet CR is used in the treatment of chronic obstructive pulmonary disorder and asthma.
uses
Side effects of Unicontin-E Tablet CR
Common
Nausea, Vomiting, Headache, Abdominal upset, Restlessness.
uses
How to use Unicontin-E Tablet CR
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. It is better to take Unicontin-E 400mg Tablet CR with food.
How Unicontin-E Tablet CR works
Unicontin-e 400mg tablet cr works by relaxing the muscles in the walls of the airways. This opens the airways and makes breathing easier.
In Depth Information on Unicontin-E Tablet CR
Expert advice for Unicontin-E Tablet CR



Uses
This combination medication is used to relieve coughs caused by the common cold, bronchitis, and other breathing illnesses. Guaifenesin belongs to a class of drugs known as expectorants. It works by thinning and loosening mucus in the airways, clearing congestion, and making breathing easier. Dextromethorphan belongs to a class of drugs known as cough suppressants. It acts on a part of the brain (cough center) to reduce the urge to cough.

If you are self-treating with this medication, it is important to read the package instructions carefully before you start using this product to be sure it is right for you. (See also Precautions section.)

Cough-and-cold products have not been shown to be safe or effective in children younger than 6 years. Therefore, do not use this product to treat cold symptoms in children younger than 6 years unless specifically directed by the doctor. Some...

Erazole Capsule - Precautions & How to Use
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Do not chew or crush the tablets
Do not take double dose for making up forgotten dose
Do not use if you are allergic to omeprazole

What is Dinar?
Dinar capsule is used for Bacterial infections, Community-acquired pneumonia, Chronic bronchitis, Acute maxillary sinusitis, Pharyngitis and tonsillitis, Skin and skin structure infections and other conditions. Dinar capsule may also be used for purposes not listed in this medication guide.
Dinar capsule contains Cefdinir as an active ingredient.
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Pharmacy's didn't have the Dinar, but the rest cost $32 for what ? Is there a doctor in the house ?

[frank lee bent]

so is there a defintive diagnosis of TB?
it is common here

and if that don't get you- the liver flukes and arsenic will.

[cptrelentless]

Well, at least he's not got indigestion

[AndyKK]

Duncan I am no doctor. Rifampicin I do know is a drug used to treat TB.
You quoted this " It was obvious to me the TB had become drug resistant because of the time laphs late treatment and his not taking the medicine every day".

I had multi drug resistant TB. Diagnosed in 2001. It took many years of treatment to cure. I had to take 57 tablets per day. Injections every second day.
I understand this is not the west and medications for this treatment maybe hard to come by. Also I don't know who and where, specialises in TB treatment in Cambodia.
But I would suggest if you are sure of the brother in laws diagnoses. He will need the right meds. Also be aware at some stage he will or have been infectious.
All people in contact with him would be worth having a TB test.
I hope things work out Duncan.

[frank lee bent]

yes- it is quite contagious, and dangerous. by all means test close contacts urgently, and isolate him from spreading it.
he is a danger to those around him if he has it.
My "father in law" had it and he still has scarring on his lungs that sometimes cause him to cough up blood.
he takes a tea made from moringa leaves ( Kh Marum ) and also eats the seeds.
they have a cough reflex supressant alkaloid and i personally found it very effective for bronchitis.
there are many clinical studies showing this as valid and effective symptom alleviation
as mentioned by andykk it is a lengthy period to treat TB

[Duncan]

Duncan I am no doctor. Rifampicin I do know is a drug used to treat TB.
You quoted this " It was obvious to me the TB had become drug resistant because of the time laphs late treatment and his not taking the medicine every day".

I had multi drug resistant TB. Diagnosed in 2001. It took many years of treatment to cure. I had to take 57 tablets per day. Injections every second day.
I understand this is not the west and medications for this treatment maybe hard to come by. Also I don't know who and where, specialises in TB treatment in Cambodia.
But I would suggest if you are sure of the brother in laws diagnoses. He will need the right meds. Also be aware at some stage he will or have been infectious.
All people in contact with him would be worth having a TB test.
I hope things work out Duncan.

Thanks Andy, that just confirms everything I know about TB. Also some of those meds taken in combination for the treatment are pretty potent and can create other problems in your body. I have told everyone in the family including the B/L a hundred times that you can catch tb from him coughing and spitting ,, but it means nothing to them. [ Still trying to convince them to wear a helmet when riding a moto. ]

Surely there must be a specialized place for diagnosis and treatment of tb in Cambodia.

[Username Taken]

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[AndyKK]

Frank is right about this matter and urgency to have tests for the people in contact. Leaving this illness without testing or meds! It won't just go away.
Yes it would be better for him to spit in a jar, this is how the illness spreads. Also to wear a surgical mask when with people. I was put in isolation for 6 weeks, when infectious. All hospital attendances I had to go by private ambulance. If its drug resistant stain TB it is very serious.
My sister died in 2010 of TB related illness.

[AndyKK]

Cambodia turns a TB health crisis into an opportunity
October 2012
Twenty years ago, Cambodia had one of the world’s highest tuberculosis (TB) rates and a health system weakened by decades of conflict and economic hardship. Over the past decade, however, new approaches that provide universal access to TB care through primary health centres have halved the number of new cases and helped the country meet global targets for detection and treatment.
“These results are a major achievement for TB control. They prove that in low-income settings persistence, commitment and competence do succeed in saving lives,” says Dr Mario Raviglione, Director of WHO’s Stop TB Department. Cambodia’s success story is highlighted in the Global Tuberculosis Report 2012 published by WHO.

http://www.who.int/features/2012/tb_cambodia/en/

[frank lee bent]

yes, take control of this and test them all.
you will find some have it and are infecting others i guarantee you.
clean that shit up quick or it will cost a heap more in the long term as ppl become symptomatic.
nip it in the bud
so common in cambodia, largely due to apathy, neglect, and ignorance.