Doctor insights on:
Medicine For Pleural Effusion
My dad had pleural effusion and all reports came for malignancy but esnophill count as 10% and ESR 37mm kindly advice he is in TB medicines now.
Mgt: The eosinophils are a type of cell which can be associated with number of dis: allergic reactions, malignancy, and parasitic infections. He should continue to have close follow up including following his daily temperatures, serial imaging, and blood counts. If the effusion continues and does not respond to medications, then another sample can be sent for cultures and sensitivities to medications ...Read more
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
Doc stoped TB medicines after 6 mnths coz my Xray less hazy cp angles visible and pleural effusion D angle gone now. Only a shadow little left? Ok?
If U had a diagnosis: Of active TB, U must stay on meds 4 a year. I converted from neg-pos TB skin test from exposure, & had 2 take med 4 1 year, just due 2 conversion due 2 known contact. B sure U R Cing a pulmonologist. ...Read more
I have pleural effusion in left side, so the doctor started tb medicines and now I have pain in the lower left side of chest.
Is Akurit 4 tablet (containing 4 frontline drug for tuberculosis treatment) is alone enough to treat pulmonary tuberculosis with pleural effusion?
Mgt: I would recommend close follow up. The pleural fluid cultures can identify resistance patterns. The therapy is guided accordingly. ...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
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
It varies: From yellow to redGet a more detailed answer ›
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
Infection, tumor, CHF: A pleural effusion is just fluid in the space between lung and rib cage. Normally this 'potential space' is empty with a scant amount of fluid to allow the lung to expand/and slide inside the rib cage. Inflammation/infection/tumor may cause fluid to build up in the pleural space causing a pleural effusion. The fluid can be 'tapped' for analysis. Another cause is related to heart failure (chf). ...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
Shortness of breath: It depends on what is causing it and how large it is. The more fluid the more it compresses and collapses the lung. The collapsed lung can not breathe for you. Effusions multifactorial, inflammation, heart failure, pneumonitis, cancer, post obstructive pneumonia, heart failure, kidney failure, hypoalbuminemia, granulomatosis etc. Shortness of breathatrestorexcertioninability to breathe laying flat. ...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
Drainage: Pleural effusions that cause symptoms can be drained either with needle aspiration (thoracentesis), with catheter drainage (pgitail), or with tube drainage (chest tube). .. Recurrent pleural effusions can be treated with indwelling pleurx catheter, especially if the lung is trapped and will not re-expand as in malignant effusion, or with thoracoscopic pleurodesis. ...Read more