A TB patient is very weak and eats very little food. Hemoglobin is 9 g/dL, urine output is more than fluid intake, and there is a stomach ulcer. The patient is on a semi-solid diet and is unable to move both legs. What should be done for proper treatment and care?
Severe weakness in a person with tuberculosis can happen because of poor nutrition, ongoing infection, anaemia, dehydration, and reduced physical activity. A haemoglobin level of 9 g/dL may cause tiredness, dizziness, and low energy. Eating very little food along with a stomach ulcer can further reduce nutrient absorption and slow recovery. Higher urine output than fluid intake may suggest dehydration or an imbalance in body salts, which should be checked properly. Treatment usually focuses on continuing anti-TB medicines regularly, improving calorie and protein intake through soft high-protein foods, and treating the stomach ulcer with medicines that reduce acid and irritation. Iron, folate, vitamin B12, or protein supplements may help if a deficiency is present. Inability to move both legs needs urgent medical assessment because TB can sometimes affect the spine or nerves. Bed care, frequent position changes, leg exercises, and physiotherapy may help prevent complications.
