Pleural Effusion

Pleural effusion is a medical condition where there is excessive accumulation of fluid inside the lungs. Pleura is a membrane that covers the outside the lungs and inside of the chest. It has excess production of fluid when it becomes inflamed or irritated. Some diseases can result in pleural effusion. They are pneumonia, pulmonary embolism, kidney disease, and congestive heart failure. There is shortness of breath with chest pain. Taking antibiotics, diuretics, and removal of fluid helps to provide some relief.

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After analysis of pleural effusion fluid, diagnosed with Stage 4 Cancer.

Query: Dear Doctor, After analysis of pleural effusion fluid, my mother has been diagnosed with Stage 4 Cancer - CUP, poorly differentiated carcinoma. She has exhibited lower lobe fibrosis for at least three years, has normal kidney lab work at this time, previous breast carcinoma ductal in situ with remov...  Read Full »


Dr. Prasad Eswaran

Answer: Hi, Welcome to icliniq.com. Thanks for the information given. To get the facts right, patient is a 74 year old female with prior history of Anal canal cancer and Breast cancer (DCIS) treated with surgery and radiation. Her co-morbidity includes osteoporosis / prior UTI / Lung fibrosis / multiple fra...  Read Full »

I have pleural effusion with a mass in my lung. Please help.

Query: Hi doctor, I have recently visited ER due to a sob. Then, I was diagnosed with a pleural effusion of the left lung. Blood work and urinalysis completed during the visit showed normal values. I had a chest X-ray and CT scan, which confirmed such and revealed a mass in this area. The next day, I went ...  Read Full »


Dr. Divakara P

Answer: Hi, Welcome to icliniq.com. In case of pleural effusion with mass in the lung, any doctor should do the suspect tumor in the lung. Other conditions can cause pleural effusion like infection, inflammation, etc.; these conditions would have shown in the pleural fluid analysis. The option you...  Read Full »

Why do I get back pain while breathing?

Query: Hi doctor, I am getting a pain, which starts on the right lower back. It hurts when I breathe and also when I stand, sit and sleep. I know that is not kidney stones. But, I do not know what it is. I am a 45 year old female. My weight is 190. I am not on any regular medication.  Read Full »


Dr. Shinas Hussain A P

Answer: Hello, Welcome to icliniq.com. I have gone through your query, and I can understand your concerns. Pain over the back while breathing need to be evaluated thoroughly. In most of the cases, it is caused some minor condition like sprained rib or some contusion of rib caused by minor trauma or fall. Al...  Read Full »

Should I be concerned about my father's hiccups and burping?

Query: Hi doctor, My dad recently was admitted to hospital after a heart attack, and he was in the hospital for almost a week. Currently, he was discharged and taking rest at home. The doctor advised that his heart pumping rate is around 23% and require improvement. Since morning he has been having hiccup...  Read Full »


Dr. Vivek Pillai

Answer: Hi, Welcome to icliniq.com. I saw your dad's reports (attachment removed to protect patient identity). He has severe heart failure due to supposedly decreased blood supply to the heart (ischemic left ventricular dysfunction). The cause of hiccups and burping could be due to gastritis induced b...  Read Full »

After TB treatment, my daughter developed hepatitis. What to do?

Query: Hi doctor, My daughter, who was a medical college student, was suffering from high fever and the doctor ordered an x-ray and it turned out to be a pleural effusion. Cytology was negative, so was the PCR for TB, the fluid was straw colored lymphocytes rich 90% with some neutrophil and mesothelial cel...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. We are here to help you. Yes, INH (Isoniazid) and Rifampicin are the actual culprits for the development of hepatitis. The best way is to reintroduce INH in a very small dose and gradually increasing it to the original dose with the monitoring of liver function tests. So...  Read Full »

Do all pleural effusions need pleurodesis?

Query: Hi doctor, The patient is a 52 years old female. 25 days ago, core biopsy of retroperitoneal lymph node non-Hodgkin's mature B cell lymphoma diffusely positive for CD10, CD20, BCL6 and BCL12. Bone marrow biopsy showed erythroid hyperplasia with focal micronormoblastic maturation. She is suffering wi...  Read Full »


Dr. Bharat Patodiya

Answer: Hello, Welcome to icliniq.com. Thank you very much for being specific in what you want to ask. For lymphoma associated effusion, we do not suggest pleurodesis (procedure to remove excess fluid in pleural space) as most of the patient responds to chemotherapy. One cycle is a short time to know if the...  Read Full »

What cause pain in the chest while taking TB treatment?

Query: Hi doctor, I have a stabbing pain in the chest while taking TB treatment with four types of drugs (DOTS) since one and a half months. Please help.  Read Full »


Dr. Smit Uttam Janrao

Answer: Hi, Welcome to icliniq.com. This pain can be due to fluid in the pleural space, due to pleurisy or due to a cardiac cause. I suggest you take tablet Combiflam (Ibuprofen and Paracetamol), twice a day for five days. Consult your specialist doctor, discuss with him or her and take the medicines wit...  Read Full »

I feel sudden chest discomfort and breathlessness. Please help.

Query: Hi doctor, I am a girl of 20. My height is 167 cm and weight is 75 kg. Over the past one week, I am having high discomfort and pain in my right chest when I breathe. The pain radiates to the right shoulder and right arm too. When I sneeze or blow my nose up, the pain is severe. I cannot explain this...  Read Full »


Dr. Kartik Sood

Answer: Hi, Welcome to icliniq.com. As you have a history of frequent chest infections in the past, which were associated with wheezing, secretions and fever as well, I would suggest you to consult a pulmonologist or a chest physician in person. Your symptom of chest pain, which increases on deep respiratio...  Read Full »

What does my father's cytology report indicate?

Query: Hi doctor, My father aged around 59 years had undergone pleural tapping with pleural effusion around 50 U/L. Please find the cytology reports. What does it signify? Kindly explain.  Read Full »


Dr. Sunil Kumar Nookala

Answer: Hi, Welcome to icliniq.com. As your father had effusion, he was pleural tapped and his ADA level (adenosine deaminase) was non-confirmative of tuberculosis as it is less. I would like to know the malignant cytology report, cellularity and whether the fluid was exudate or transudate to give further o...  Read Full »

Is there any home remedy available for moderate right pleural effusion?

Query: Hello doctor, A recent non-contrast CT scan of thorax, taken 10 weeks after undergoing a right hemicolectomy, showed: 1. Expansible sclerotic lesion in right rib may be benign. Bone scan might be useful. Given that I have only one kidney left, how would the injection of radioactive substances ...  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. To answer your first question, it all depends upon your creatinine clearance (how good is the remaining kidney functioning), also the reason why one would want to investigate this lesion further. Say for example if I am concerned about a metastatic lesion I would co...  Read Full »

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