Doctor insights on:
Hemorrhagic Pleural Effusion Causes
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
Please evaluate cardiac function and for infectious causes. Malignancy is another possible cause.
The fluid may be analyzed and if the effusion is causing respiratory compromise a chest tube may be placed immediately.
Depending on the cause and size of the effusion, your pulmonary specialist, will determine the need for chest tube placement. ...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
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
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
Thickened very mild multiloculated right pleural effusion, not aspirable. Cause? I had high fever & pleuritic chest pain. I recovered with Amoxicillin.
Check with doctor: This doesn't sound like a "mild" problem. If you have recovered and your doctor has assured you all is well, it's probably true. But at one time it surely was a serious problem. Discuss with your doctor, especially whether repeat imaging (CT scan? MRI?) is recommended to assure things have cleared up completely and there is no sign of an underlying problem like TB or cancer. ...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
What type of pleural effusion generally cause high fever, chill, pleuritic chest pain, leukocytosis (high neutrophil to lymphocyte ratio) & high CRP/ESR?
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
Fluid around lung: Fluids around the lung can be reactive to many things including pancreatitis, heart or kidney failure, reactive to spread of diseases such as cancer, or infections such as TB or even asbestosis, or frank pus called empyema. It means the cells there are producing fluid faster than can be resorbed. ...Read more
Depends...: Treatment for pleural effusions and/or pleural plaques depends on the cause. For example, pleural effusions can be due to heart failure, infections like pneumonia, connective tissue disease, etc. Each of these are treated differently. Is there asbestos exposure? See your doctor for diagnosis and then treatment options can be discussed. ...Read more