Conversation: The conversation between human and AI assistant.
[|Human|] my TB IgM is 2.3 (positive), IgG is 188(dubisious), IgA is 88(negative), Blood CBC,ESR normal, MT negative< sputum for AFB negative,i have cough for 2 wks and early morning hemoptysis present, but no H/O fever, night sweats, weight loss,weakness,anorexia or chest pain..... do i have tuberculosis?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, you should get done chest x-ray or CT thorax to detect tubercular infiltration. Your blood report like IGM for TB is positive but manitou test is negative. Your sputum for AFB is also negative. So we can not say it is 100% tuberculosis. You might be having tuberculosis as you are having cough with hemoptysis. So further evaluation with chest x-ray or CT thorax is needed. Because some radiological findings like upper lobe infiltration, cavitary lesion, tree in bud appearance etc. are characteristic of tuberculosis. So if any of these is present than you may need anti-tubercular Chat Doctor.  Bronchoscopy with BAD (bronchoalveolar lavage) analysis is also more informative in diagnosis of tuberculosis. So better to get done these investigations first to rule out tuberculosis in your case. Hope I have solved your query. Wish you good health. Thanks.