### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Dear doctor, I have been diagnosed with patchy lesion in my chest xray & hence my doctor has said that i am suffering from pulmonary t.b. She has prescribed me AKT4 tablet along with dolo 650 and mahacef plus as iam also suffering from typhoid. She has advised me the dosage as follows :Before breakfast : ethambutol tablet After breakfast : dolo 650 & mahacef plusAfter lunch : pyrazinamide 2 tabletsAfter dinner : rifampicin capsule + dolo 650 & mahacefDolo 650 & mahacef i have been adviced to continue for 5 days.Kindly advice me on the same.Thank you

### output:

Hi Welcome to ChatDoctorPatchy lesion may suggest Pulmonary tuberculosis but not a confirmatory diagnosis. For every pulmonary tuberculosis need1 Chest X-ray PA view2. Sputum Examination of 2 consecutive days at least. (very important test)3 Mounted Test 4 CBC with Sputum examination is very important and essential test because every Positive test report indicate with grading. And required repeat test at least on 2, 4, and6 TH months. If it comes positive of Tuberculosis then need to work up on M Chat Doctor. IF no expectoration or sputum is negative and X-ray is suggestive for tuberculosis then no need to start Anti Tuberculosis Treatment (ATT). Then need High does of antibiotic for 14 days and repeat X-ray and sputum. IF symptom like cough still persistent and patchy lesion still persistent then start ATT. But in my opinion Do CENT CHEST and sputum examination . If patchy lesion is suggestive for active tb then start same AKT4The way which she prescribed is wrong. Try all Capsule in Kit within 30 minutes and Rifampicin in empty stomach.  Don't start ATT only on chest X-ray. If you resident of Delhi please visit LRS hospital in Hérault or any Chest Physician in Private Hospital. Because the way of taking ATT is wrong, so she may be over diagnose.