Doctor insights on:
Causes Of Recurrent Pleural Effusion
Fluid around lungs has many causes. It can be exudate (thick i.E pus from infection, malignancy etc) or transudative (heart failure). It may be treated based on the problem found by sampling (thoracentesis). Labs on the fluid help the clinician determine the etiology. For recurring pleural fluid, sometime pleuradesis is necessary to hep prevent recurrance. Need ...Read more
The fluid, or initial bloody fluid, or pus settles to the bottom of the pleural space (between the lung and the chest wall)
it clots or gets thick and sticks in the dependent area and the lung sticks around it.
If there is a lot of bloody or fibrinous fluid it may get stuck in several places- collections called loculations. ...Read more
Need to identify the cause.
If heart failure, treat the problem.
If infection, treat the problem.
If cancer, treat the problem.
Some need tubes, some need internal drainage, etc
respective thoracentesis has some risks.
Pneumothorax, infection, and may not completely drain.
Can be diagnostic so it is a good help many times. ...Read more
Leaky lungs: The pulmonary lymphatic system can hold about 4 liters of fluid per lung (8 liters total) before they start to leak. In heart failure, there is back pressure from the left side of the heart into the lungs; if there is enough pressure to result in more than 4 liters backing up on one side, the lungs will leak into the pleural space leading to an effusion. ...Read more
Do COPD or a pleural effusion typically cause "crackles". The crackles are apparently heard at the base of the lungs.
I used to take akurit for pleural effusion, heard akurit causes vision chnges, is there a possibility that my floaters are side effects of akurit?
I have been told I have pleural effusion, caused by a lung infection, but I am on holiday can it wait til I get home to get treated?
It would be unwise: To wait as potentially there could be a rapid progression of both fluid production and spread of infection. It could be so rapid that you would die before appropriate management could even be initiated. You might be sad about missing holiday this year but at least you will be alive to have a holiday next year. ...Read more
What is the cause of multi loculated pleural effusion in adults? I had also high fever, rib pain, back pain.
A pleural effusion means there is fluid in that chest cavity. Multiloculated means that the fluid isn't just one single continuous collection but is either multiple or divided in some fashion.
With high fever, rib pain and back pain infection is certainly a concern and you need to seek care urgently. ...Read more
Obliterated costophrenic angle, pleural effusion, normal blood picture&WBCs count, normal liver & kidney function tests, normal CA 19-9, cause of effusion?
Further invstigation: Further assessment needed with CT chest and plural aspirate to assess the type of the collection ...Read more
Fluid pleural space: The pleusa is a specialized tissue that lines the lung (visceral pleura) and the thorax (parietal pleura), every day it is estimated up to 9 liters of fluid could be exchanged in between the pleuras. This fluid traverses the pleural spaces and gets absorbed in the visceral pleuras. The process is seamless but conditions that affect the pleura or the lungs may result in fluid buildup in the space. ...Read more
Determine cause: Pleural effusions, or fluid build-up around the lungs, is not normal. Pleural effusions can arise from infection, heart failure, liver failure, malignancies or trauma. The treatment will depend on the cause. Your doctor will need to run some tests and may need to sample some of the fluid to characterize it. If there is a lot of fluid and you are symptomatic, thoracentesis may be required. ...Read more
See below: Sometimes there are no symptoms if the effusion is small or develops slowly. Other times and most often, patients are short of breath. They can also have pain due to the fluid irritating the lining of the lung - called pleurisy. ...Read more
Tuberculosis: Yoy have tuberculosis (tb) noted in your history. Tb can cause abnormalities like pleural thickening and effusion. The treatment your are taking is appropriate and you should be following along with your doctor. Your x-ray or ct scan evaluates the lung and the radiologist interprets the findings. ...Read more
Usually bad sign: There are many causes of pleural effusion, most of which are effects of other diseases. Congestive heart, liver and kidney failure tend to creat fluid effusions. Many types of cancers cause malignant effusions of cancer cells. Pneumonia can cause empyema, which is a pus effusion. Trauma can cause a bloody effusion. Damage to lungs can also cause. Treat underlying cause or drain by tube or aspirate. ...Read more