OURJEET - SANDOZ | Patients | What I need to do beside taking my Pills

1. Why do I need regular checkups?

Because the doctor or nurse has to see how the pills are working.
You may have a picture taken of your lungs to see how you're healing… a chest X-ray.
You may be asked for a sputum sample. (Sputum is that thick stuff you sometimes cough up.) It will be tested to see if you're coughing up any germs, and whether the pills are working. The doctor or nurse may give you a checkup. Check your weight and temperature, listen to your lungs, things like that. Be sure to tell the doctor if you know of something wrong.

2. What can I eat?

Anything you want. You don't have to stuff yourself or eat special foods. Of course like everyone else, you should eat a balanced diet… not just " junk foods."

3. Can I live like I always did?

Most TB patients can… if they take their medicine. That's by far the most important thing. Most patients live at home and keep working. Some do hard physical labor. Some are professional athletes. The pills won't change your strength… or your sex life either.

4. Dietary Management of Tuberculosis
Objectives Providing sufficient nutrition To prevent and control weakness and loss of weight To accelerate recovery To provide enough proteins Dietary modifications Energy: Energy requirements are increased in order to minimize weight loss and enhance recovery. Proteins: In fevers of long duration, there is considerable loss of body tissues. Serum albumin levels are often low. Therefore, it is essential to increase the protein intake. Carbohydrates: Enough carbohydrates should be included in the food to meet the increased energy requirements. Fats: Too much fat should be avoided as it frequently causes stomach upset and diarrhoea. Minerals: A liberal amount of calcium should be included in the diet to promote healing. Enough milk and milk products should be added in the daily diet. Iron supplements may be required, if the patient suffers from anaemia. Vitamins: The diet should provide adequate vitamins. Antibiotics and some other drugs interfere with the synthesis of vitamin B in the intestines. So, vitamin supplements may have to be given along with these medicines.

Sample diet plan
Meal	Menu
Early morning	Tea in milk Biscuits / rusk
Breakfast	Milk / suji porridge / sewian kheer Bread with butter or jam/ besan chila / stuffed roti
Mid-morning	Fresh fruit juice Fruit chat / sprouted moong chat
Lunch	Chapatti Arhar dal / any other washed dal Palak paneer sabzi / methi aloo sabzi / any other sabzi Curd / raita
Evening tea	Tea Suji upma / bread poha / idli / cheese sandwich / paneer sandwich
Dinner	Chapatti / rice Chapatti / rice Paneer matar curry
Bed time	Fruit custard
To remember Meals should be made simple, easily digestible, well prepared and tempting to encourage the patient to eat. Force feeding is harmful. Small meals should be given at frequent intervals. Sufficient intake of fluids and salt should be ensured. Diet should be bland, low fibre, soft diet (easy to digest and absorbed). As the condition improves larger meals may be given.

5. Patients’ Responsibilities

Share Information

The responsibility to provide as much information as possible to health-care providers about present health, past illnesses, any allergies and any other relevant details.
The responsibility to provide information to health-care providers about contacts with immediate family, friends and others who may be vulnerable to TB or who may have been infected.

Follow Treatment

The responsibility to follow the prescribed and agreed treatment regimen and to conscientiously comply with the instructions given to protect the patient’s health and that of others.
The responsibility to inform health-care providers of any difficulties or problems in following treatment, or if any part of the treatment is not clearly understood.

Contribute to Community Health

The responsibility to contribute to community well-being by encouraging others to seek medical advice if they exhibit symptoms of TB.
The responsibility to show consideration for the rights of other patients and health-care providers, understanding that this is the dignified basis and respectful foundation of the TB community.

Solidarity

The moral responsibility to show solidarity with other patients, marching together towards cure.
The moral responsibility to share information and knowledge gained during treatment, and to share this expertise with others in the community, making empowerment contagious.
The moral responsibility to join in efforts to make the community free of TB.

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