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It is very rare case. When this happens, there will be pain in the backbone and the bone may become stiff and the person may get hunchback. Near the part where T.B. has attacked, there may appear cold abscess. Like any other abscess, this pains less. If it is not cured, it may lead to stroke. All parts of the bones at the joints in the hands, legs, feet, shoulders, wrists may get T.B. There is chance of the bone getting affected excepting the joint. The person feels pain in those parts attacked by T.B.

This fever is present during nights only. In a week, the patient feels very weak. The body takes every protective measure to control T.B. with the result he will lose weight and appetite. When he spits phlegm, blood may be seen in it. The patient realizes he is suffering from some illness, unable to work, he becomes bedridden. A number of lymph glands are there in our body. When some part of the body is affected, the lymph glands produce defense cells and send them to that part. When the defense system becomes weak, some part of the body is attacked by T.B. germs and there lymph glands swell. Usually the gland at the neck swells when T.B. attacks and they spread to armpits and thigh joints.

It all depends on the part affected by T.B. germs. T.B. attacks not only the lungs but also the lymph glands, bones, joints, skin, intestines, brain, kidneys etc. Usually the immune system of the body tries to prevent the attack of T.B. But, in some, this system can be weak and they get the attack. When it attacks the lungs,, the most important system is cough. This cough cannot be cured by ordinary drugs. If anyone is suffering from cough for more than 2 weeks, and if in this period it is not cured by any cough medicines, T.B. can be suspected. In addition to cough, the person will have fever.

In the beginning, when the T.B. germs try to establish themselves in the body, white blood cells swallow them up and take them to some special glands and see that they don’t spread to other parts of the body. Whether a person succumbs to T.B. or not is decided by the fact that the T.B. germs or white blood cells gain the upper hand. If the T.B. germs are many and powerful, white blood cells are defeated in the fight and he gets T.B. otherwise, he resists T.B. Once he gets T.B. the T.B. germs multiply enormously. On that part where T.B. infects; a small tumor appears. This tumor is called tubercle. This suggests primary infection.

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The moment such symptoms appear, the patient should sit up and take rest. Breathlessness is severe. When there is cough without any reason. Feet and the fingers swell with water. He will prescribe medicines in order to force out the extra fluids from the body through urine- which are called Diuretic medicines – Lasix, Dytide, Frusemide, Aldactone, Lasilctone are some osuch medicines. Excessive uses of these are also dangerous. So, the doctor will prescribe the dose according to the condition.

The patient will be able to breathe properly only when he comes to sitting posture, leaning on the cot. Sometimes, the patient, be it man or woman, suddenly gets up from sleep, feeling breathless, coughing and sweating. Feet and legs swell by evening but come to normal condition by dawn. Nails and lips turn blue. Water enters the entire body and the patient looks bloated up. These symptoms of heart failure may disappear without any treatment or necessitate some treatment. In the right-sided heart failure, breathlessness may not be severe but feet and legs will be very much swollen. Indigestion may also sometimes result because of the swelling of the liver and congestion. Left- sided heart failure is more serious than the right- sided heart failure. If proper medication is not followed, there is the danger of brain, kidneys and liver getting damaged.

Increase blood pressure in the lungs (pulmonary Hypertension). This may be because of the failure of the left- side heart or because of Bronchitis or Emphysema and such other lung diseases also. Defective heart valves (Tricuspid Incompetence) Diseases by birth in the heart (Septal Defect, Pulmonary Stenosis or Tetrology of Fallot). The prime symptom of heart failure is fatigue. General feature of the left- sided heart failure is breathlessness. This breathlessness will be present in the beginning while doing some physical exercise or manual work, but, it will come and may intensify even when rest is being taken, as time goes on.

The bad blood coming from various parts of the body reaches the right side of the heart. This part pumps the blood into the lungs for purification. When the right sides of the heart- for whatever be the reason – becomes weak, it fails to pump the blood completely into the lungs. And because of back pressure, the quantity of blood in the right part of the heart increases, and the liver suffers from extra pressure. As a result, water and salt enter all the tissues of the body, and inflammation of the legs and expansion of the liver result. Lower abdomen loses its strength and looks distended. Inflammation of neck veins also takes place and they look visible. This disease of inflammation of the tissues with water is called Oedema. In some serious cases, even the face looks swollen.