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Primary Complex in Toddlers and Children

Symptoms of Primary Complex

  • Poor weight gain, (ie weight was playing around 17.5 lbs for 3 consecutive months.)
  • Low food appetite
  • Enlargement/bulky lymph node on the neck area

 

How To Diagnose a Primary Complex

Our baby Yesha has been in medication for almost two months now. Prior to that, we were really worried about her poor weight gain and low appetite and totally clueless what’s causing it.

So during our monthly check up, Yesha’s pedia prescribed Heraclene to catch up on her weight gain. Pedia told us that if her weight did not improve after one month it could be due to her weak lungs. Of course I couldn’t believe and accept it, how could an energetic, unsickly and active baby have weak lungs!

As a mom, the possibility of lung problem has made me feel down. But luckily, as I was browsing on a public forum, I stumbled upon a post of one mom who had the same situation with mine. And that’s then I learned about Primary Complex.

So I read a lot about Primary Complex by searching  through the net about it. And having done this prepared me on Yesha’s future diagnosis.

PPD Skin Test

After a month of religously giving Yesha Heraclene, her weight did not improve and remained the same. So pedia did a PPD skin test on her and made us return after 2 days for the reading.

Chest X-Ray

After 48 hours, the reading was negative, and so pedia requested for chest x-ray. But the radiologist suggested to consider Pneumonia. So our doctor read the x-ray, but being the experienced pedia that she is and since Yesha has no bouts of cough, she diagnosed Primary Complex instead.

Below are the photos of  Yesha’s x-rays. You can easily notice the cloudiness in her lung’s  xrays.

primary-complex-chest-x-ray

Chest X-Ray posteroanterior (PA) view

 

primary-complex-chest-x-ray

Chest Xray Lateral View

How to Cure Pimary Complex with Kidz Kit 3

Our pedia prescribed Kidz Kit 3 which costs Php475 per box.

 
 
INDIVIDUAL PRICES
Php 80    - Curazid (Isoniazid)
Php 350  - Natricin (Rifampicin)
Php 112  - Zcure (Pyrazinamide)
 
 
PRESENTATION:
Each pack of Kidz Kit 3 contains:
2 – 120mL bottles of Zcure (Pyrazinamide) 250mg per 5mL suspension
1 – 120mL bottle of Natricin (Rifampicin) Forte 200mg per 5mL suspension
1 – 120mL bottle of Curazid (Isoniazid) Forte 200mg/10 mg per 5mL syrup

FORMULATION:

Each 5mL of Zcure suspension contains 250mg pyrazinamide
Each 5mL of Natricin Forte suspension contains 200mg rifampicin
Each 5mL of Curazid forte syrup contains 200mg isoniazid and 10mg pyridoxine hydrochloride (Vitamin B6)

 

How to Apply Kidz Kit 3


The medication will last for 6 months. Quite a long time? The medication, yes, but you need not wait for 6 months to see the results. For one and half months, from 17.5 lbs, my baby’s weight now is 19.4 lbs. 

Yesha’s appetite for food has also returned to normal. For Yesha’s age, 2.5mL of Kidz Kit is required which should be given religiously and without skippings. So our daily schedule is like this:
 

6.30am       : Rifampicin (yesha’s wake up time and has an empty stomach)
7.00am       : Isoniazid (30 min after Rifampicin)
7.30am       : Breakfast time (30 min after  Isoniazid )
after bfast    : Pyrazinamide (Anytime during the day)

*Since Rifampicin and Pyrazinamide are both suspensions, they must be shaken well before giving to your child. Rifampicin and Izoniazid must be taken for the whole six months of medication while Pyrazinamide is only for the first two months.

primary-complex

photo by Gary Roebuck

We also learned that using a syringe (without needle) instead of medicine dropper is easier, cleaner and faster, so that’s what we have been doing for the past months. After almost two months, Yesha is slowly gaining weight and getting plumper.

We are really happy that the cause of her three months poor weight gain has been identified and currently being medicated. Now eating and feeding times are enjoyable again for both of us.

 
UPDATE AFTER 6 MONTHS!!!

How to Know if your child is completely healed with Primary Complex

After 6 months of medicating Yesha, I was still worried as I can still feel the lymph nodes in her neck. But after the chest x-ray and our consultation with our Pedia, all the anxieties faded and were replaced with thankfulness and total relief.

The radiology report stated complete regression of the previously noted hilar lymphadenopathies suggestive of healed primary Koch’s Infection. Thank your Lord!

The surest way to confirm if your child is already healed is through repeat chest xray. So below are Yesha’s xrays after 6 months of medication.

Comparing with the previous xrays, the new results have clearer images. In the new lateral view x-ray, you will see the three distinctive forms which are the lymph nodes, whereas the previous lateral view shows a very cloudy formless image.

And about the lymph nodes, our pedia told us that it really won’t disappear quickly.

primary-complex-chest-x-ray-healed

Chest Xray PosteriAnterio (PA) View

 
primary-complex-chest-x-ray-healed

Chest Xray Lateral View

 

God bless and I’m hoping for your baby’s healing. Remember, as much as possible, don’t skip the daily medication coupled with prayers.

 

TAGS: primary complex symptoms, primary complex in children

m4s0n501

90 Comments

  1. Hi sis my 3yrs old daughter also have primary complex.. I’m so worried and can’t sleep because of that.. so thankful nbasa ko to.. mejo ntakot lng ako ngayon sa prescribe ng pedia nya

    Rifampacin-morning once a day before meal
    Pza and INA after meal once a day..
    PZA must be 500mg bottle pero 250 lng po nbili nmin (katulad po ng sa inyo) sv ng pedia ni baby since 250 lng daw nkuha nmin PZA must be take twice a day 1 (5ml) in the morning after meal and 1 (5ml) at night after meal din..

    What age po si baby nung nagka primary complex xa? How is she now?

    Thanks for sharing medyo na lessen ang worries ko sis..
    Blessed be

    • Hi sis ann! Hugs to you! I was also like that before. My baby was only 13 months old when she was diagnosed with primary complex. Your daughter is 3 year old na kasi that’s why your doctor prescribed a 500mg. We just ended her medication this week and is scheduled for chest xray to check if it’s already healed. My worry is not yet through since I can still feel a lymph node on her neck. I hope everything would turn out right with our daughters. I’ll keep you updated. =)

  2. Thanks Nova and Ann. Just came from hospital with my two kids – 3 and 2 and sadly they are both positive. huhuhu. We are worried about the after effect of the med and of course the price. But after reading this, made us a bit relieved. thanks again and merry Christmas to your families.

    • Merry Christmas to you and your family Madel! I know how you feel. Just give them their daily medication for six months, then the infection will surely regress.Since both of your kids contracted PC, I’m sure your pedia advised you to have all the people in your household have a chest x-ray. Whoever has a TB among your adult family members (just assuming), must also be treated.

  3. hello girls! yung 14 months old baby ko kse after ng xray nya at natanggap na namin yung result, kanina na diagnose sya na may primary complex ipinakita at ipinaliwag sakin lahat ng dx haissst.. at after ng antibiotic nya by dec 25 magsstart na sya ng medication yung kids kitz 3 (antiTb) .. tanong ko lang sis kung may naencounter na ba kayong mga side effects nito with your kiddos? nagaalala kse ko.. mababa lang din ang timbang ni bebe ko at may nakakapa din ako kulani sa may malapit sa tenga nya.. worried talaga ko now haissst ang baby nya pa kse. :(

    • Hi sis, mga ganyang age din naging poor ang weight gain ng baby ko. Wala namang naging negative effects sa daughter ko, pero sa friend ko, nanilaw yung anak nya. Stressful talaga sya sa liver. Don’t forget to read the manual that comes with kidz kit sis. Naka-indicate kasi dun, “Liver function should be assessed before and regularly during treatment of these anti tb drugs.” Actually we didn’t do this. Fortunately ok naman kay baby. Ask mo na lang sis ang pedia mo regarding this. =)

  4. Good day.. Mag ask LNG po ako? Yong baby ko kc meron primary complex 2months na sya umiinom ng gamot then Ngayon ngkaroon sya ng sipon pa check kami pedia n..then pnahinto muna gamot Nya n kids kit3 kc marami daw plema..binigyan sya antibiotic yon daw muna inumin.. Nag taka ako bkit pnahinto, dab dapat Hindi ng skip s pg inom? 1wik sya stop s pa inom ng med.. Then after 1wik ska continue yong med pro yong kids kit2n daw.. Ok LNG b yon? Meron bng ganon.?

    • Hi Eden, my daughter skipped for one week too when she had a diarrhea. For our case, that didn’t affect her medication and she eventually got healed. :)

  5. Hi Ms Nova, thank you for your blog. It’s really very helpful.
    To share, my son is now 1 yr and 5 mos. Last April 2013, he was confined for 3days because of his pneumonia. It was seen in his X-ray. His pedia also advised to have his PPD and the result was negative. After discharge, we went to his pedia for follow up check up, ang sabi ng pedia even if the result is negative she advised her patient to take the 6 mos medication. I noticed he is having cough and cold every month, hanggang ngayon I give him antibiotics he also have his Vit.C. Nagwoworry lang kasi ako dahil super hirap nyang painumin ng gamot after nya naconfine. Parang nagka phoebia na sya. I am thinking if there is alternative ways like injectable medicines like for 1 month. I’m a working mom and I want to assure my son’s health.
    Any advice are truly appreciated. God bless!

    • Hi Marlene,

      Naku, challenge talaga ang magpainom ng gamot sa mga young children ano? Kahit kami nahirapan din. About your question on injectables, I think you better ask your pedia if there are any alternatives. As far as medication on Primary Complex is concerned, pilitan talaga and pahirapan, but it’s for their own good naman in the long run. As for us, madalas talagang may power struggles nun and iyakan.

  6. Doc sana matulongan Niyo po ako kasi may anak ako na 4 yrls old may nakakapa po akong kulani sa handang baba ng ears nia. Maryland po xa at masakit dw..madalas po na may sipon xa at parado ang nose niya sa gabi..sana po matuloy fan nio ako if ano ang magandang gawin ko.. Then un ank ko nman po na 15yrs old may kulani nman xa sa likod ng ear nia at sa leeg. Ano po ba ang ka isang vitamins pagpalusaw ng kulani? Salamat po at sana ka reply an nio po ako.. God bless.

    • Hi Emelyn,

      I’m sorry to hear that your kids are not feeling well. I’m not a doctor by the way, it would be helpful if you consult a doctor regarding your children’s health.

  7. hello..my son is 4yrs old positive with primary kochs infection but negative with tuberculine testing…cant sleep at night na ako nagiicip ako what might happen to him…he is a born fighter sa totoo lang preterm baby pa sya…

    • Hi Mitch,

      It’s good to hear that your son is a strong baby. I understand how worried you are, I went through that phase too. He will be ok after six months of religiously medicating him, just like what happened to my daughter =)

  8. Ung 4yr old baby ko po kc,nadiagnosed xa na my pc last aug.16,2013.ask ko lng po if advisable ba ng doctor na dapat empty stomach ang pagtake nya ng rifampicin at isoniazid?kc ako pnagsasabay ko sila after breakfast nya.and ung pyrazinamide pwede po anytime of the day sya painumin?ask lng po kc ako,,kc ung doctor dto sa amin wla man lng cnv about the medication.tnx po.

  9. hi po,,may bby po ako 1 yr pld and 6 months na po,
    gnito po kc d po sya nawawalan ng ubo kaya nattakot po ako,,bali baka po may promary complex po sya mag 1month n po mawawala ..babalik po ang ubo,,panu po kayya yun,,symptoms po ba yun ng primary complex po,nattakot po ako..pde po ako ng advise mga symptoms po ba ng sa anak is may primary complex po sya..mababa din po ang timbang nya..please advise po thanks po.

    • Hi Annaleen,

      Naku, wag kang mag-consult sa internet, mas maganda ay magpatingin kayo sa doctor dahil kalusugan ng anak mo ang nakasalalay dyan. Nakakatakot talaga malaman kung ano talaga ang sakit ng bata, pero you need to overcome it para magamot nyo na ang maayos ang baby mo.

  10. we’ll be starting our treatment and i’m looking forward in the next six months and we’ll get there!God has reasons and we’ll pass through these challenge thanks for sharing…:)

    • Amen to that Judy! :)

  11. will start the kidz kit 3 tomorrow. the kit has 4 bottles pala. 2 of the 4 bottles is zcure. doc said 1tsp of each med an hour before breakfast. is the zcure just an extra bottle or should I give it twice? confused. so that’s 10ml of zcure everyday for 6 months? thanks :)

  12. I was reading through your forum hoping to find answers regarding Primary Complex. We are scheduled for repeat xray this weekend. My youngest was diagnosed with PKI when he was only 9 months and we are just a week away to know the result of our six months medication. I’m one worried mom right now. I’ve been praying that he would be cleared. I wanna know if there are any signs or something to know whether he’s going to be cleared or not before our repeat xray.

    • Hi Rhona,

      By now you already had your son’s repeat x-ray, and I hope your son is already healed. As for your question, based from our experience, my baby’s appetite started to improve and she was slowly gaining weight again :)

  13. hi ms. nova,
    my 1 year & 4 mos months baby was diagnosed n my pneumonitis. at first mdalas cipon at ubo xa, then ng ngpa check up kmi sbi ng pedia neumonia dw. na noticed dn n poor weight gain ung baby q so ng suggest ung pedia nia to have askin test. sobrang takot q nun hbang hnhintay ung 3 days.. sadly ng positive xa.. auq pang maniwala agd n my primary ung anak q so humingi aq ng 2nd opinion s ibang doktor. ngpa xray ndn ung baby q at un nga ang lumabas sa impression ” pneumonitis , inner lung zone “. sbi ng doktor papunta ndw ng primary complex so pra maagapan kylngang mg treat ng 6 mos. luckily ok nman s knia ung lasa ng gamot.. this is his first day s treatment & i hope mging ok n xa after medications.. ngtataka lng aq kc ung ibang ng treatment dn ung pyrazinamide nla 500 mg.. bkit skin 250 mg. lng ung nireseta? ok lng kya un? d kya mgkulang s dosage ung anak q? please help me nman.. i need some advice.. tnx..

    • hi arlie, good thing approved naman sa baby mo yung lasa ng gamot. As far as I know, yung dosage will depend on the age of your baby. But better clarify with your pedia about it :)

  14. Hi my daughter had been diagnosed with koch’s disease her pedia did ppd skin test and x ray, skin test came out positive then she prescribed hrz kit unfortunately she didn’t like it, is the kidz kit medicine bitter too im afraid that we cant finish the 6 months medication cause she finds waynto spit the medicine out, im tired and don’t know what else to do for her to take her medicine im stressed and worried sick right now is there a good tasting brand of medicine for pc?

    • Hi Christine, oh I feel you. My daughter is like that right now, it’s really a challenge for us to give her medicine, pwersahan talaga. I can feel how stressed and worried you are by your post, but I hope your pedia could help you out. I don’t know if there are good tasting brands out there. :(

    • nku sis mapait tlg ung lasa nung kidz kit3 lalo n ung rifampicin (sori if wrong spelling). pti amoy mapait.. pero ung dlwang gamot n nkasama dun mabango nman xa bka tolerable nman ung pait s anak m.. tyagaan lng tlg sis.. kesa mauwi lng s wla ung pgpapainom m ng gmot.. gudluck s baby gurl m.. sna gumaling ndn xa..

  15. My son was not underweight but he was diagnosed with PComplex after we got confined sa ospital due to diarrhea and pnuemonia. He was positive both xrays and PPD. He started Kid’s Kit 2-3 weeks ago and he was so hyper ever since. We noticed nung ngstart xa ng meds parang palagi xang gutom and super duper hyper.. It also happened sa neice ko. Ganun din po ba ung sa inyo?

    • Hi Janelle,

      Talaga? What happened kaya… my daugther didn’t become hyperactive, she still behaved the way she used to. At least the good thing is your loves to eat na… But maybe part of the reason why’s he always hungry is because he’s super hyper as you said.

  16. Hi nova, thanks for the reply try namin and kidz kit if mas gusto nya yun ayaw nya kasi ng color red na medicine gusto lang nya ng yellow kasi banana daw un pati spediatrician nya sumasakit na ang uli :) if there is an injectable nga daw un nlang ibibigay nya kaso wala talaga, stop daw muna kami bigyan siya ng gamot kc 2 weeks na din siyang nag take ng medicine sa ubo sipon at pneumonia bago ma diagnose und primary complex may phobia na kasi siya sa gamot

  17. tnx s reply ms. nova.. cguro dpende ndn un s age ng baby.. kc un tlg nireseta s knia.. 250 mg lng.. btw.. tnx dto s column n 2 kc nkakapgpalaks ng loob nming mga mothers kpag nbabasa nmin ung mga comment ng iba.. mjo naiintindihan q ndn ung 2ngkol s primary complex.. hoepfully lhat kming nanay n ngpapainom ng gmot mging successful n. at sna gmaling n ung mga babies nmin.. tnx ms. nova.. nkakagaan s feeling ung mga reply m..

  18. Comment

  19. my baby has a cough and colds for less than a week and taking antibiotics and cough syrup while waiting for PPD result. Luckily, PPD was negative,no chest xray test but still his pedia give him HR Pedia Kit for 3 months. He is not gaining weight also. I was too much worried bcoz of this..

    • Hi nabiha,

      It really is a big cause of worry for us moms when our kids are ill. But take heart and be strong for your baby, he will be fine :) just persevere with the medication

  20. hi mommy nova.imso much afraid and worried about my beloved sons.nung month of july nachest xray ung bunso q and ngpositive cia sa primary.and now ung pnganay q nmn meh primary din.how came na preho clang me primary,hindi nmn un nkakahawa db?

    • Hi Mommy Ella,

      Awww… dalawang anak mo pa ang merong primary complex, that’s why you’re so worried. Hindi nakakahawa ang primary complex from children. Baka there is someone in your household or kung san kayo madalas mag-stay na merong TB, it is advisable din na magpa chest xray yung mga kasama sa bahay.

  21. thank you so much for sharing your experience Miss Nova, nabigyan mo ako ng pag-asa,meron dn kasing primary complex ang baby ko 8mos pa sya, and hopping na gumaling sya same as your daughter because i know nothing is impossible as long as we trust in God’s Miracle.
    God Bless

    • Hi Lona,

      You’re welcome, good luck with your baby’s medication, yes gagaling ang baby mo. God bless!

  22. Hi Nova, very useful at informative tong blog mu.. Many thanks.. Ask ko lang if your daughter was taking vitamins while taking kidz kit? I forgot to ask my son’s pedia kase..

    • Hi Babbsy,

      sorry for the late reply, actually my baby was not taking vitamins during that time, kasi struggle talaga mag-painom, naawa ako. But you better ask your pedia kung ok lang.

  23. Hello po.. ung 5yo boy ko was diagnosed ng pneumonia with primary complex thru xray.. need p rin po b iPPD or confirm n tlga n me PC xa? Then ung 1yo baby girl ko eh inuubo at cpon din pero d nman mtindi ung ubo. Ngpxray npo kme dto s bahay negative nman po kme ng father ko.. but ung girl ko need p rin po b ipaxray? Possible po b n PC Din xa? Thanks po..

    • Hi Madel,

      No need to do PPD na your 5 yo boy since it’s already confirmed by his xray. As for your baby girl, hindi enough yung sipon and ubo, as far as I know may kasama syang poor weight gain and must be confirmed by your pedia thru ppd or xray.

  24. Alin po b mas accurate? Ung xray po ba? Pra dna po mgPPD.. ? Ngttka lng po kc ako kung san nya nkuha ung sakit.. negative nman po kme dto s bhay…

  25. Possible po b n maulit ulit ung skit nya pg ngkaedad n xa? Til wat age po xa hindi nkkhawa?

  26. Hello mga Mommies! I haven’t got a goodnight sleep after my daughter’s Pedia informed us that she saw something in her X-ray, while my daughter was in the hospital. She’s been in and out almost 3 consecutive years, mostly are Respiratory Illness. Then after her follow-up check-up yesterday, her Pedia informed us that she needs to do a Skin Test on my daughter and explained to me what will happen if it turns to be positive. My head has been twirling thinking of ways how and why….after several online research I found your blog and it was a BIG RELIEF that I wasn’t the only mother who feels this way. Thank you so much for the very informative data regarding Primary Complex, partly my fear has gone and I’m still hoping the result tomorrow will be negative but if it’s positive, I’m still looking forward for my daughter’s complete healing. Thank you!

    • Hi Vangie,

      It’s good to hear that you felt somehow relieved knowing that you are not the only mom to experience this. =) I’m sure your baby will get better.

  27. This is a really helpful blog. Thanks. Anyway, my son has been diagnosed with primary comp yesterday. He was confined for a day. He has cough now and been vomiting almost every meal/milk. Im worried that he might be dehydrated again. Did your baby experience the same? What did you do? Well he’s been loosing weight for a few months already but he still has appetite though. Now everyone in our household need to be examined/x-rayed to know who passed him the virus. I was shocked to see the hospital bill that amounted to almost PHP 10,000 in ONE day. Im just earning quite above average and Im not sure if I could do this on my own. Im really worried that this whole medication thing will cost me some money. Can you give me any idea how much i would be spending a month? Would really appreciate your response. Thanks for the blog again! May your family be always healthy.

    • Hi Kate,

      I’m glad you found this blog helpful. My daughter was not confined in the hospital, and the only expenses that we had were for Kidz Kit, PPD skin test and 2 x-rays. All of these didn’t reach 5k. If your son won’t need to be hospitalized again, then the expenses for the medication would be manageable.

  28. my 7 yr old daughter just started withe HRZkit about 2 days ago. since she goes to school, i am not able o follow the 1hour before breakfast of the 30 minute interval of rifampicin and isoniazid due to time constsrain. upon waking up i give her the rifam and about a few minutes after the iso and then few minutes she has her breakfast na. does this have any bearing on the administration and effect of the meds. also she complains of stomach ache. thank you

  29. hi,ask lng ako bkit mag po4 months na nainom anak ko ng gamot pero inuubo pa rin cya,halos evryday my ubo at laging bumabahing.3weeks na cya my ubo.bakit kaya?ganun ba tlaga un,dba dapat pagaling na cya kz umiinom cya ng gamot nya sa PC.pinatingin ko sa pedia nya my nireseta gamot.Un 1 antibiotic and alerkid.ok lng ba un painumin ko ng gamot, 1 week lng nmn nya iinumin un.kaso tlaga woried ako dami na nya iniinom ng gamot di pa rin mawala un ubo.pls make an advice.thakns.

  30. Hi. Like all of you, na experince ko din yan s baby ko. The 1st time mkapa namin un lumps s leeg ng baby ko pnatingnan namin agad sya s pedia.ang nkkalungkot p pina ultrasound un lumps nya at sabi kailangan operahan.sobrang iyak ako non until somebody advised us to get 2nd opinion and that was the time we knew n may primary complex ang baby ko.he undergone 6 months medication.and today he graduated from his daily morning rituals.the pedia suggested “clostrum” capsules (contents to be diluted in his milk) pra dw s stronger immune system after the meds.. to all of you moms like me who share same situation; Good luck and be more patient s pgppainom ng gamot at prayers..I also hope for your kids recovery.God bless us all.

  31. hello po sa inyo mga Mommies. I am a 23 yr old mom, knina lg kmi galng sa dr. at my nkapa xa na parang mga bukol sa bndang neck n bby. ntakot nmn aq nung snabi nya na pwdng mhulog sa primary cmplex un. hndi pa nmn xa ngsbi ng ano mang tests para doon. parang gnyn dn ksi prob ko, poor weight gain at poor appetite. kala ko parang gnun tlga ksi gnun dn nmn aq nung bby. pero nka ilang switch na kmi ng vtamins at gnun parn. pwd po ba mkpag xray ng wlang request? thanks po.

    • Hi Paula,

      It is best to seek your pediatrician’s advice as to what to do for your child =). If she’s not mentioning about the tests, try mong itanong sa kanya how can you confirm kung primary complex nga yun, since she mentioned it already to you.

  32. Hi po yung anak ko kasi na 3 years old may primary.complex tsaka today ko palang nalaman na nag positive sya sa test nang PPD.Nag apply kasi kami nang visitor visa para New Zealand worried. kasi ako baka ma denie kami dahil may.primary complex sya.May 6 months din na gamot sya na iinumin….Still waiting pa rin kasi kami sa result nang application namin..

  33. Hi po good day!!! Ung daughterko po na pina x-ray ko po sya negative naman po result and then po ni rquire po ako ng skintest positive po sya sa primary complex paano po un nag da doubt po ako sa pedia nya kasi diagnose nya na may primary complex ung baby ko …ano po ba ung accurate ung x-ray po ba o ung skintest po … actually po may kit na po kaming nabili but d ko pa po pina painom … naguguluhan po kasi ako …. pls.help po thanks…..

  34. Hi Nova,

    Thanks for your generous advice. I’d just like to ask how your daughter is now? My daughter finished with her meds about 6 months ago. However I can still feel a bump in her neck. I’m not sure if this is normal to have even after medication for primary complex?

    Many thanks!

    • Hi Jade,

      You’re welcome, it’s been a year already and my daughter now is as healthy as ever. Don’t worry about the bump, it will gradually disappear. For as long as her chest x-ray shows that she is clear from Primary complex, then you don’t have to worry anymore =)

  35. hi ms.nova! sa pag search q ng primary complex eh lumabas ung blog mo regarding sa pci… i feel sad and worried sa bebe q, haay… i can”t imagine na mag kakaron cia nun, kc usual nasa house lng kme at most of the time sa room lng… kaya i feel guilty kc nag resign ako sa work just for her tapos ganun pa din… mag kakaskit pa din… i know that airborne ung pci but d ko alm kung kanino ba cia nahawa. napakahiram nia painomin ng gamot at kht ata anu gawin q

    • d cia iinom… mas gst pa nia ng injection kesa mag take ng meds… haay ayan ang isang big problem ko ngaun panu cia papainumin… may ma suggest po ba kau na brand ng meds na mganda ung taste? thanku po…

  36. Hi everyone ! I am so glad that there’s a useful blog .. Nakakarelieve ng worries. I have 2yrs and 9 mos. Old na may PCI at positive (5-10mm) un PPD test nya after 3days . His pedia gave him kids kit forte and herbal immuno modulator whic is adjunctive treatment for TB .he started taking med on january 7 , 2014 . After a week , he gained almost 1 kilo from 12kilos , he’s now 12.8 . I askd also his doctor kung pwd xa mag take ng meds for cough and colds , pwd naman dw . Pero pag my Pci pala at nagti take ng kidskit 3 ang patient , normal un ubuhin at sipunin xa kc after 3 days the day we started kids kit3 , hnd na xa inuubo at cnicpon . Nagti take din xa ng multivits at ascorbic kc sbi ng doctor kelangan ng katawan nya un

  37. Hi ms.nova! Ask ko lang po. Nagkaroon ba ng discoloration ang baby mo nung my primary siya. Yung baby ko kasi 2yrs.old siya now. Starting nung magka primary siya napansin ko bigla siyang umitim. E maputi ang baby girl ko. So just wondering if it is one of the side effects of the medicine. Thanks for the answer.

  38. Hi Nova,

    Ask ko lang po kung ang HRZ kit po ba ay maaring ibigay as precautionary medication khit wala pang primary complex? Maari rin po ba tong ibigay kahit pneumonia and asthma lang lang naging sakit ng anak ko?

    Thnks/Chris

    • Hi Chris, oh no I’m not sure. Pinaka maganda pa rin ay magpakonsulta sa pedia nyo kung anong dapat gawin.

  39. This Blog really helps me. LUMAKAS loob ko.. im crying all nyt because my almost 8months daughter have a positive result on PPD just yesterday.. we will start our medication tomorrow.. ang hirap p nmn nya painumin ng gamot using dropper, close mouth tlg. il try using her silicon spoon hope it will work.. Then my family will have xray test on Monday. Im still not informing them for i know they will be bother too mucb which will cause for a sleepless night i know.. somy plan is to tell them on monday before i will ask them that we have to do chest xray exam. Thankful n rin kc my parents whom im with now have their Health card so they will be charge for free except me.. Hoping that everything will alright.. Prayer first..

  40. Hi Nova,

    Thank you for sharing this. I really appreciate reading your article. My daughter is 13 months old din and was diagnosed with primary complex, but her pedia still want to do the skin test before giving the prescription and advice that the entire household member be check as well. As per her pedia it’s acquired from us or from outside our community. By daughter is very jolly so she’s really socialized baby. Smile to everyone even though she don’t know the person. We’re praying that the skin test will turn negative. I’m anxious with the medication when we learn it will go up to 6 months. But your blog helps.

    Thank you.

    Eve

  41. Good day Ms. Nova! Thank heaven for your blog, found this very helpful for me right now. My daughter has cough that won’t go away, she has been in medication for almost 4 weeks now but nothing seems improving until her pedia noticed her cold sweat and told us that it might have something to do with Primary Complex. I got so nervous and worried because how can my jolly, healthy, breastfed baby be ill.

    She undergone X-ray yesterday (Feb. 17, 2014), got the film today and I read the impression says Primary PTB. My heart swells as I read it. She is scheduled for check up tomorrow and I still do not know how can I deal with it positively.

    She just turned two last Feb. 7. She eats a lot, she sleeps a lot, she plays a lot that is why acceptance gets me really hard right now, in fact I am 2 months pregnant with my second child. I was so stressed until I found your blog. Thank you!

    You said Xray should be done around the household but we live in a compound with most of our relatives, my suspects are my sister in law and my husband’s cousin. They cough a lot! But my sister in law has a child also so I was thinking if my baby got the disease from her, her son couldve been a victim too, right?

    Hay I am beyond worried but glad that there are a lot of fighting moms out there like me. God bless you family especially Yesha!

    • Hi Trina!

      Oh I know how you’re feeling right now, it’s really hard to accept when you know you gave your best to your baby and this happened. I’m glad that this blog somehow helped you. Regarding your sister in law, yes you’re right, if she has TB then there is a possibility that her son could contract it from her.

      God bless and thank you for the kind words. Your baby will start getting fine :)

  42. Hey mommy! my daughter was diagnosed with primary complex last Saturday. what happened was she suffer from measles then had a complication of pneumonia after a month I had her tested for PPD the result came in negative however her xray is saying the opposite. She is gaining weight however it is very slow. Now my question is Does she need to take the medicine same time everyday? I’m a bit confuse with this. Please let me know I’m so worried!what do I need to do if i missed?

    • Hi Zane,

      You’re probably on medication with your child now. As for our experience, yes we have to take it same time everyday just like any antibiotic. For missed medicine, my doctor said, that for as long as it didn’t exceed two weeks, ok lang, you can continue the medication… but hindi yun palagi. For us once lang nangyari when my daughter had a diarrhea.

  43. good day, yung aking eldest din 6 yrs old nakitaan din sya ng primary koh’s infection sa chest xray nya sa first doctor na pinuntahan ko.. iwas really worried about my child health kaya di pa ako nakuntento nag second option ako pumunta kmi ng pulmonologist para matiyak pero iniskin test yung anak ko ang lumabas negative nman.naguguluhan ako kasi dun sa xray yun ang lumabas sabi nman ng doktor ang ppd daw ang pina accurate na test.

    • Hi Meriam,

      I guess it comes with a doctor’s experience din? My doctor is ma-edad na so we trust her judgment… Hope your eldest child is doing well…

  44. Hi po miss nova, nagkaprimary na po ung baby ko nung bago pa siya mag 1yr old, ngayon 3yrs and 10 months na siya.. Napansin ko ulit na nag lose siya ng weight, wala siya ganang kumain kaya naworry po ako kaya pana extray ko po, lumabas ulit dun na may primary ulit siya.. Possible po ba g bumalik un.. Tas nung dinala lo po siya sa pedia niya masama daw po na maggamot ulit ng 6 months kase baka daw masunog naman ang baga ng bata.. Pero talaga napansin ko po na walang ganang kumain at pumayat po siya.. Ano po ba ang dapat ko gawin? Pls reply.. Tnx

    • Hi Mhaya,

      Sorry for the delayed reply.
      I hope I could help you with your concern, but I’m not a doctor. As far as I know bumabalik sya, but I don’t know what will happen, and what can be done. Better to work closely with your pedia… God bless! Hope your baby will be fine…

  45. Hi sis nova, may daughter was diagnosed too. 6months of medication. We’re on our 2nd month now. Would like to ask, may tendency po ba na bumalik ulit kahit matapos ang gamutan?

    • Hi Melai,

      If my memory serves me right, Primary complex is the first time that a person contracted that illness, then when it hits next, it’s called Tuberculosis na. And for your quesiton, as far as I know, yes may tendency syang bumalik. But I’m not a doctor, just speaking from what I know, better ask your pedia =)

  46. Hi, sobrang grateful ako that I was able to come across this blog while searching about my children’s health condition. I want to ask kung anu anu poh ba ang mga bawal kapag may primary complex ang bata?

    • Hi Judith,

      Glad that this article has brought you some relief. Hmmm, as for your question, I don’t remember anything na bawal pag may primary complex ang bata. As for my daughter, yung medicine time lang nya ang nag-iba samin =)

  47. hello po.

    MY 10 months old baby was also positive sa ppd test nya last tuesday.. After nya mag ppd test nag pa vaccine kami ng measles/hib. Meron ba yun effect kaya nag positive? Kasi super healthy sya and lakas kumain. Monday ko pa kasi mkakausap dr. Kaya nagwowory tlga ako.. I have no idea kasi about ppd. Kala ko kinuhaan sya ng dugo yun pala meron iniject sa kanya kaya derecho pa din ako sa pag pa vaccine

    • Hi Matet,

      Did you mean meron bang effect yung vaccine kung bakit nag-positive yung ppd skin test? As I know, wala syang effect, they are not connected. It will be helpful if you’ll ask your pedia for more info about that though. And I suggest that you ask your pedia kung ano na yung mga ginagawa nya sa baby mo para informed ka rin. =)

  48. Hi Nova,

    Thanks for your response. I’ve talked to my pedia already and you were right. Vaccine do not affect the ppd test unless it was injected before the day of the ppd test. Hay.. d ko lang tlga matanggap na meron ganun baby ko. feeling ko tlaga sa yaya nya na umalis nakuha yun..

  49. thanks ms.nova for this blog. my son is 1yr&10mos old. kklabas lng nmin sa hospital he had pneumonia and in his xray meron daw spot so may possibility n may primary complex xa. we were ask to have a skin test D’s friday. sobrng lungkot q at super nag aalala pero after reading your blog nbuhayan aq ng loob. thanks a lot. Godbless!

    • You’re welcome Ruby, glad my experience and others’ experiences were able to help you. Nakakalungkot talaga at nakakapag-alala, but your baby will be fine as long as consistent kayo sa medication. =) God bless!

  50. gndng araw po,ung daughter ko mag 4taong gulang this
    year na diagnose with PC last june 2013 nag undergo po sya ng 6mth.na gamutan.after po nun nag repeat xray sya but i felt sad ksi no changes pa rin ung result.bkit gnun?tumaas nman timbang nya from 12-now 15.5kilo nagfollow up check up po sya sa pedia and doctor advice na ituloy pa rin an gmutan until now nka 9mth na. kelan kya mtpos gmutan kasi worried tlaga ako na..mrming slmat po. God Bless

    • Hi Tess,

      I understand how worried you are… bakit kaya hindi agad gumaling ang daughter mo… but it’s a good thing nag-gain na sya ng timbang… since 9 months na kayo, ask your pedia kung ano nang next na dapat gawin, kung magpapa repeat xray ba ulit. If the results didn’t change, which is wag naman sana, try to ask other pedia’s opinion. Kasi as far as I know, hindi ok sa lungs ng bata yung sobrang matagal na gamutan ng kidz kit… so better ask your or other pedia’s opinion… hope things will improve with your daughter.

  51. Hi miss nova,ung daughter q positive din xa s PKI,need ko po mlaman kung ang rifampicin e kylangan ipainom b4 breakfast(empty stomach)?once a day lng kc ang nilagay ng pedia nya,nabasa q d2 s blog n dpt empty stomach.1st day ng pag inom ngaun,sabay sabay ko pinainom,is dat okay?pls answer..thank you

    • Hi ariesa, yung pedia ng daughter ko yung gumawa ng schedule, sinunod lang namin… I suggest, better to clarify it with your pedia :)

    • Aww sis same tayo. Nagcmula ko ng painumin son ko nung may 4. Sabay sabay ko pinainum lahat twing 7pm.. natanong mo nb sa pedia kng anu po mangyyare pag ganun?? :(

  52. Hi… lumuwag ang paghinga ko ng mabasa lahat ng question and answer about primary tb. my son diagnos two days ago… his 8yrs. old na po xia ,hindi normal n bata lumaki xang mahina kumain . payat madalas pa xa maconfine sa ospital na apektuhan na ung pag-aaral nia . sobrang na neglect ko ung health nia . kaya nung lumabas ung result di ko na npigilang umiyak habang naglalakad parang pinagsakluban tlg ako. akala ko kc ok lang xa dahil sobrang active nia kahit payat . un pala …
    worried ako ngaun dahil sv ng mother inlaw ko i pa stop muna xia mag school. incoming grade 3 na xia sa pasukan.and sbi nia nkakahawa daw. may 4months old baby kc kaming ksama sa bahay .and super close ang anak ko sa baby,
    mahahawa po ba ung baby sa kanya and dapat ba na wag muna xa pumasok sa school.?
    and about po sa effect sa liver nya . ano po ba ang best sa ihain sa kanya para maiwasan ung damage sa liver.

  53. hi mga mommies,un son q nman 1yr and 7mnths ng ma-diagnose na may primary complex. ang npansin q lng sa kanya lagi xa may sinat tuwing gabi..simula nun nilagnat xa at dinala nmin sa ospital den na diagnose na PC,napansin q na lagi xa uhaw anu mng oras maghapon tapos kpag gabi malakas nman dumede..napansin q rin ndi nwwla un lagnat nya sa gbi (mild fever) kahit nainom na za ng gamot..sadya kyang gnon?

  54. Hi Ms.Nova.Good day po…ask ko lng po kung meron bang injectable kidz kit3?kasi napakahirap po tlaga painumin ng anak ko turning 4yrs old. sinusuka nya po at tlagang niluluwa pag pinapainum kya worried po ako dina po tama yung sukat na dapat.at anu po kya good milk at vitamins supplement pra sa kanya wlang gana kumain at payat po sya…Thanks po and God bless.sana po masagot din sa gmail ko.ermina.restua@gmail.com

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