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Chest Lateral View Health Feed

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I have pleural effusion, tuberculosis without cough, I am taking medicine since 4 days, can I go near children under age 5 years.

MBBS, MRCP - General Medicine, MRCP Respiratory Medicine, CCST Respiratory Medicine
Pulmonologist, Gurgaon
Thanks. Pleural effusion from TB are normally non contagious as long as there is no pulmonary TB. It is still recommended to maintain caution till 2 weeks into ATT.
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Pleural Effusion - Most Effective Treatment Methods!

MD - Pulmonary, DTCD
Pulmonologist, Faridabad
Pleural Effusion - Most Effective Treatment Methods!
Pleural effusion, in medical terms, is a condition characterized by an abnormal accumulation of fluids in the pleural space. The pleural space is essentially the region between the tissues that form the lining of the lungs and the chest cavity. The fluid that builds up in the pleural space may either be protein-rich (Exudative Pleural Effusions) or watery (Transudative Pleural Effusions) in nature, thus helping doctors ascertain the cause of the pleural effusion.

Exudative Pleural Effusions are often found to be triggered by medical conditions such as Cancer, Inflammatory diseases, Kidney disorder, Pneumonia, or Pulmonary embolism.
Transudative Pleural Effusions, on the other hand, may be triggered by Cirrhosis, Heart Attack and Pulmonary embolism. People undergoing an open heart surgery are also susceptible to Transudative Pleural Effusions.
Further, people with Meigs syndrome, autoimmune diseases, congestive heart problems, Chylothorax, Ovarian hyperstimulation syndrome, or Tuberculosis also stand a higher risk of suffering from pleural effusions.

Symptoms:
In most of the affected individuals, pleural effusions trigger

Shortness of breath or difficulties in breathing, a condition called Dyspnea.
Some individuals also experience chest pain, dry cough, and Orthopnea (difficulty in breathing especially while in lying flat or in a sleeping position).
Treatment:
The first step towards effective treatment includes identifying the underlying health problem that triggered pleural effusions. Doctors work towards

Treating the pleural effusions.
Ensuring that the condition (Pleural effusions) does not recur.
Measures are also taken to treat the health problem that resulted in pleural effusions.
In case of severe breathing troubles, doctors may perform Thoracentesis, an invasive procedure whereby the doctor carefully inserts a needle through the chest wall to drain out the excess fluids that have accumulated in the pleural space. While Thoracentesis is known to produce fruitful results, people with chronic lung disorders or a lung surgery should refrain from this procedure.

In the case of pleural effusions resulting from congestive heart failure, the use of diuretics come as a great relief. To prevent the recurrence of the condition or to deal with malignant pleural effusions, doctors may also opt for Pleural sclerosis or Pleurodesis, which involves the removal of excess pleural fluid from the pleural space.

The doctor slightly irritates the tissues of the pleural lining to create a scar. It is this scarring that results in the fusion of the two pleural layers thus filling the space between the layers and preventing the recurrence of pleural effusion. In malignant pleural effusions, patients may also require chemotherapy or radiation therapy. In extreme cases, doctors may perform Video-Assisted Thoracoscopic Surgery (VATS). In VATS, -inch long incisions (1-2) are made to drain out the pleural fluid. To avoid recurrence of the effusion, an antibiotic or a sterile talc is placed inside during the surgery.

In case of pleural effusion resulting in infection at the pleural space, an Open Thoracic Surgery (Thoracotomy) is carried out to treat the condition.

While there are several treatment methods for pleural effusion, proper identification of the underlying cause is imperative to recommend the line of treatment best suited for the patient.
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I am 90 years old and I am suffering from right pleural effusion, even liquid food doesn't get down in my body, should a food pipe be fixed? Please guide with the process and side effects for the same.

MD - Pulmonary, DTCD
Pulmonologist, Faridabad
I am 90 years old and I am suffering from right pleural effusion, even liquid food doesn't get down in my body, shoul...
Need to investigate cause of pleural effusion. At your age one must r/o malignancy. As you are not able to swallow even liquids, you must get an upper GI endoscopy done.
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I have had pleural effusion some 10 months back. Around 1500 ml fluid was aspirated and I was on ATT for 8 months. I have been doing breathing exercises and yoga for the same. The pain in the left lung had decreased gradually but there are days when suddenly the pain increases. Is it ok? How much time will it take to completely heal my lungs?

DNB
Pulmonologist, Mumbai
It should by now get healed. The treatment consists of 6-8 months of ATT. I am sure the doctor must have tried to rule out MDRTB. Have you repeated a Xray to check whether the fluid is completely gone
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Doctor have prescribed my wife LEVOFLOX-500 (ONCE IN MORNING) and AUGMENTIN-625 (Twice in a day) for treating chest infection. I come to, know that these both are antibiotic. So, is it safe to use two antibiotic for treating chest infection?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Doctor have prescribed my wife LEVOFLOX-500 (ONCE IN MORNING) and AUGMENTIN-625 (Twice in a day) for treating chest i...
It is safe and a usual practice to use combination of 2 or 3 antibiotics based on severity and nature of infection. Your wife can use the combination suggested by your doctor.
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I am having repeated pleural effusion I'n chest, Please some essential laboratory test to correct diagnose of this disease. How to diagnose this UNKNOWN PLEURAL EFFUSION.

MBBS
General Physician, Mumbai
I am having repeated pleural effusion I'n chest, Please some essential laboratory test to correct diagnose of this di...
Pleural fluid can be sent to a laboratory for diagnosis and we should rule out any kind of tuberculosis or malignancy
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I am having Chest congestion from 3 days. I took amoxicillin 500. Bt not much effective. Please help me.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I am having Chest congestion from 3 days. I took amoxicillin 500. Bt not much effective. Please help me.
You may take homoeopathic medicine Phosphorus 30 one dose... see if it helps... It is advisable to take any treatment with proper consultation...
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