Dr. Manish Aggarwal, Senior Pulmonologist & Interventional Chest Specialist in Pitampura, Delhi, provides comprehensive evaluation and treatment for pulmonary and extrapulmonary tuberculosis (TB), including difficult-to-diagnose and recurrent TB cases.
Tuberculosis may present with chronic cough, fever, weight loss, blood in sputum, breathlessness, recurrent chest infections, or abnormal chest imaging. Early and accurate diagnosis is essential for effective treatment and prevention of complications.
The clinic offers advanced diagnostic support including bronchoscopy and Bronchoalveolar Lavage (BAL), which are especially useful in patients who are unable to produce sputum, have sputum-negative TB, persistent lung shadows, suspected drug-resistant TB, or unclear CT chest findings. BAL samples can improve microbiological diagnosis and help guide targeted anti-tubercular therapy.
Advanced diagnostic and treatment services are offered for pulmonary tuberculosis, featuring bronchoscopy, BAL, CT chest interpretation, drug-resistance assessment, and long-term respiratory care.
Special attention is given to accurate diagnosis, treatment adherence, monitoring for drug side effects, nutritional counselling, and long-term follow-up to reduce recurrence and lung damage.
Book consultation for expert tuberculosis diagnosis, bronchoscopy-guided evaluation, and advanced respiratory care in Delhi.
Get answers to common questions about tuberculosis (TB), sputum-negative TB, bronchoscopy, Bronchoalveolar Lavage (BAL), drug-resistant TB, post-TB lung disease, and advanced respiratory care at Delhi Lung & Bronchoscopy Center.
Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. It most commonly affects the lungs but can also involve lymph nodes, pleura, bones, abdomen, brain, and other organs.
Common symptoms include persistent cough lasting more than two weeks, fever, night sweats, unexplained weight loss, fatigue, blood in sputum, chest pain, and breathlessness. Some patients may also have abnormal chest imaging findings.
Yes. Some patients have sputum-negative TB, where routine sputum tests fail to detect the infection despite clinical and radiological evidence. Additional investigations such as bronchoscopy and BAL may help establish the diagnosis.
Bronchoscopy is a minimally invasive procedure that allows direct examination of the airways using a flexible camera. It helps obtain samples from the lungs when sputum tests are inconclusive or when the diagnosis remains uncertain.
Bronchoalveolar Lavage (BAL) is a procedure performed during bronchoscopy in which sterile fluid is introduced into a part of the lung and then collected for laboratory testing. BAL can improve the diagnosis of tuberculosis, infections, and other lung diseases.
Bronchoscopy may be recommended in patients with sputum-negative TB, persistent lung shadows, abnormal CT findings, recurrent respiratory symptoms, suspected drug-resistant TB, or when sputum samples cannot be obtained.
Drug-resistant TB occurs when tuberculosis bacteria become resistant to one or more anti-tubercular medications. Early detection and appropriate testing are important to ensure effective treatment and prevent further spread of resistant disease.
Yes. Tuberculosis can cause pleural effusion, which is the accumulation of fluid around the lungs. Patients may experience chest pain, breathlessness, fever, and cough, requiring specialized evaluation and treatment.
Diagnosis may involve sputum testing, chest X-rays, CT scans, bronchoscopy, BAL analysis, molecular tests, blood investigations, pleural fluid analysis, and other targeted investigations depending on the clinical presentation.
Post-TB lung disease refers to persistent lung damage that remains after successful tuberculosis treatment. Patients may continue to experience breathlessness, chronic cough, recurrent infections, bronchiectasis, or reduced lung function.
Completing the full course of anti-tubercular treatment is extremely important. Poor adherence can lead to treatment failure, disease recurrence, ongoing transmission, and development of drug-resistant tuberculosis.
You should seek specialist evaluation if you have persistent cough, fever, weight loss, blood in sputum, unexplained breathlessness, recurrent chest infections, abnormal chest imaging, or suspected tuberculosis that remains undiagnosed.
We are available to answer queries, schedule urgent EBUS sessions or arrange Sleep diagnostic devices.