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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My uncle who underwent treatment for TB, pneumonia, and pleural effusion has a non-healing catheter wound even after taking medications. Kindly help.
Query: Hello doctor,My 50-year-old uncle had TB, pneumonia, and pleural effusion for four years. After complete treatment of antibiotics and pleural drainage, everything was fine. However, the catheter wound does not heal and fluid keeps oozing out for four years. Every time he has a fever or excessive flu... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query.It looks like your uncle has a chronic infection. In this case, the most recommendable thing to do is a wound culture to identify which microorganism is responsible for this cyclic oozing. A general surgeon can perform this biopsy which is a si... 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 »
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 respi... Read Full »
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 »
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 f... Read Full »
Will drain tubes piercing the pleura cause pain in the lungs?
Query: Hello doctor, My husband had a pleural effusion in the left side of his chest after having a PE and then contracting pneumonia, which caused his left lung to collapse. Three drain tubes were inserted into the pleura to drain off the fluids. This all happened seven months back. My husband has been e... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your husband's history provided by you. By PE I assume you are referring to pulmonary embolism and not pericardial effusion. Are the tubes still present? If so the tube rubbing the pleura while taking a deep breath can cause the pain. Pulmonary embolis... Read Full »
Is biopsy necessary for a lump in a fluid-filled lungs?
Query: Hello doctor, My uncle is suffering from breathing problems for ten days. Now the condition is that he cannot even inhale oxygen through the nose. He is inhaling through his mouth. And he is so weak that he cannot use the restroom by himself. Doctor adviced him to do echocardiography. The report sho... Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. As you said, your uncle is suffering from left pleural effusion with left lung cancer. According to your history, he is very symptomatic and needs draining of fluid frequently to relieve dyspnea. Also, your doctor has rightly said that we must do a biopsy of the lum... Read Full »
My mother had open heart surgery nine years ago, and now she complains of an accumulation of fluid in the lungs. Why?
Query: Hello doctor, My mother had open heart surgery, aortic valve, and bypass nine years ago; she has had an ejection fraction of 65 % since she was fine. Her medications are Concor 7.5 mg daily, Sintrom 4 according to the test, and Lanoxin, one tablet for five days a week. A year ago, she developed brad... Read Full »
Answer: Hello, Welcome to icliniq.com. Fluid in the lungs has two meanings either pleural effusion or pulmonary edema. Please, send me her echocardiography report (the recent one) and chest X-ray. If echocardiography is not done during the last year, then repeat it. Pulmonary edema occurs due to a weak hear... 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 »
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 con... 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 »
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 kno... Read Full »
I have gallbladder inflammation along with pericardial and pleural effusion. How can I overcome it?
Query: Hi doctor,I am a 19-year-old male, and a few months back, I went to the hospital for pain in my upper right quadrant. My gall bladder was inflamed, and there was fluid around my heart and lungs (pericardial and pleural effusion). I got all the tests done for disease and infection, and they all came ... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Right-sided pleural effusion can come from an inflamed gallbladder as the infection and inflammation can cause fluid collection on the right pleural space, which lies above the gallbladder. But getting pericardial effusion is unusual. It... Read Full »
How to treat breathlessness in a metastatic breast cancer patient?
Query: Hi doctor, The patient is oxygen dependent because of pleurodesis since 1 month. She is suffering from breathlessness after talc pleurodesis. She has metastatic breast cancer with distant spread to the lung and liver. There is residual pleural effusion along with bilateral lower lobe consolidation. ... Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. I have read all the reports (attachment removed to protect patient identity) including your CT scan. It is very sad to be in such a situation with multiple problems. Metastatic breast cancer with underlying lung comorbidities is the cause of her breathlessness. Overall... Read Full »