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Home > Fluid in the chest > Health Feed

Fluid in the chest Health Feed

Health Query

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.

Dr. Mool Chand Gupta95%(37146 ratings)

MD - Pulmonary, DTCD

Pulmonologist•Faridabad

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.

Asked for female, 25 years old from Kanpur

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?

Dr. Gaurav Ghatawat91%(122 ratings)

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

Asked for male, 6 years old from Delhi

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?

Dr. Sajeev Kumar91%(40820 ratings)

C.S.C, D.C.H, M.B.B.S

Cardiologist•Alappuzha

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.

Asked for male, 27 years old from Indore

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.

Dr. Jatin Soni

MBBS

General Physician•Mumbai

Pleural fluid can be sent to a laboratory for diagnosis and we should rule out any kind of tuberculosis or malignancy

Asked for male, 21 years old from Indore

How to diagnose ntm infection or mott infection? What are its laboratory tests? By sputum and by pus in chest wall.

Dr. Amit Aroskar90%(261 ratings)

Bachelor of Ayurveda, Medicine and Surge...read more

Ayurveda•Mumbai

Dear lybrate-user, non Tubercular Mycobacterium infection is a rare entity. What are the symptoms. If there is a productive sputum you can ask it for AFB and non Tubercular mycobacterium are also acid fast stained. Pus in chest cavity can have multiple differential diagnosis, please consult with all reports and do not try to self medicate, its dangerous.

447 people found this helpful

Asked for male, 37 years old from Ahmedabad

My father's age is 68. He has right side plural effusion for 2 months. CT scan report suggests no signs of malignancy, no TB, infection most likely. He is taking physician medicines but no reduction in effusion. He is heart patient with 25% EF. Please advise.

Dr. Mool Chand Gupta95%(37146 ratings)

MD - Pulmonary, DTCD

Pulmonologist•Faridabad

Can be due to poor heart function. Even though CT scan test is not deciding factor for malignancy or TB, can be one of the test to make diagnosis.

Asked for male, 35 years old from South Goa

My father (age 56 years & weight 70 Kg) has been diagnosed with Non-Small Cell Lung Cancer, Stage 4 with primary tumour in his Left Upper Lobe and metastasis in Liver and Bone. The biopsy report has confirmed it to be adenocarcinoma. The cancer was detected while he was admitted at a hospital in Mumbai and was undergoing treatment for Acute Paraplegia which happened on 02 Nov 16, due to arteries-Venous Fistula at D-10 level resulting in oedema/ ischemia of the spine from D-5 to Conus. After two failed attempts of embolization, towards treatment of the AVF, surgical clipping of the fistula was undertaken on 10 Nov 16. As part of post-operative rehabilitation therapy for his paraplegia, he was given 65 session of Hyper-basic Oxygen Therapy at 2.4 ata pressure for about two and a half month and about two hour of Physiotherapy for the same duration. My father was recovering well and had started walking with the help of support (walker). MRI of the spine taken in mid Jan & Mid June 2017 indicates that the spinal cord oedema had improved significantly, although atrophy of the spine cord is still present. He complained of wheezing and breathing difficulty and towards ascertaining the cause a X-ray was taken on 23 Feb 17 which showed massive pleural effusion in his left lungs. A series of tests followed with the ultimate result as NSCLC Stage 3B. It was categorised as Stage 3B as the pleural effusion was para-malignant and no metastases was noted in any other body parts. He was started with CCRT treatment which concluded on 05 May 17. During the treatment he was given daily dose of radiation therapy to his primary tumour site in his left upper lobe using IGRT (60 Gy/ 30 #/6 weeks) and weekly chemotherapy with paclitaxel (150 mg) & Carboplatin (300 mg) for 6 weeks. Despite the treatment, the cancer is advancing and has now spread to Liver and Bones as brought out in his latest PET CT report. Lung tissue which was obtained during CT guided biopsy conducted in the month of Mar 17, before the CCRT treatment was started, has tested positive for EGFR mutation – “E746_A750del is detected in EXON 19 of EGFR gene”. His doctor has started my father on Erlotinib 150 mg OD since 26 Jun 17. My father has developed Post Obstructive Pneumonia in his left lung and there is consolidation in his entire left lung. This is evident from a recent X-ray. He is having difficulty in breathing, takes short & fast breath, sweats a lot, feels cold, has irritation in his throat and gets tired very fast. He also has issue eating solid food and had greatly cut down his diet. He was started on Oral antibiotic for a week, but did not respond to it. He is admitted in the hospital and is being injected with antibiotics through IVs and injections. His condition remains to be same with no much improvement. His SPO2 level is also low at 90-92%. My father also has severe lower back pain and has also been diagnosed with progressive paraparesis. Because of the back pain he is not able to lie down on his back. A recent screening of the entire spine has confirmed that there is no evident compression of the spinal cord but clearly shows a number of metastasis in the vertebrae (Clivus, Dv2, Lv2, Lv4 & Tail Bone). There are plans to start him on Radiation Therapy for his spine. Is this:- 1.The right therapy for him? 2.What other option do we have for treating his spinal mets? 3.Can Radiation to treat his mets in the vertebra, damage his spine and cause further paraparesis? 4.Could you please suggest anything towards treatment of my father?

Dr. Akhil Jain

DM - Oncology, MD - Internal Medicine

Oncologist•Noida

If there is localized backache than radiation treatment may be the right choice for the time being. Though it won't cure lung cancer. It may help in resolving the local pain. Patient is on erlotinib since 26-6-17. The medicine should have shown some benefit by now. Continue it for another one month. It may be stopped for the time /days spinal radiation is given by your treating doctor. Add bisphosphonates taking care of creatinine and calcium levels. Ask for appropriate amount of analgesics. Giv...more

Asked for Male, 27 years old from Nellore

Sir, I have right mild pleural effusion and pulmonologist has given aziwok600 mg for 3 days course, and pain has reduced 90%, and now pain started on left side, is it because of same pleural effusion? What medication I have to use know.

Dr. Avinash R

MBBS, DNB - Pulmonary Medicine

Pulmonologist•Mysore

Pleural effusion is usually a manifestation of an underlying disease. If you are having similar complaints again but on the other side too it's unlikely it's because of the pleural effusion on the right side. Would advise you to get it evaluated with a pleural tap rather than taking medications this time around.

258 people found this helpful

Health Query

My grandmother is suffering from mild bilateral pleural effusion thickening and one her lungs is also infected and she also suffering from chest pain. please send us some information.

Dr. Sujata Vaidya90%(844 ratings)

PhD, Human Energy Fields, Diploma in PIP...read more

Non-Invasive Conservative Cardiac Care Specialist•Pune

Dear
Improve her immunity with the proper food, diet and nutrition guidelines. Make sure sshe is safe from all agents that could cause allergic responses.
You can ask her to take 1 TDS Reimmugen (halthsolutions. Net.in) for few months. This will surely help her feel better.
Regards.

162 people found this helpful

Asked for male, 27 years old from Dehradun

I'am 25 year old, usually not take proper diet. Didn't had any health issue in past but last month I was having some chest pain in my chest while deep breath, cough, sneeze etc. As per my doctor i'am suffering form tuberculosis pleural effusion. He confirmed this by analysing x-ray and pleural fluid (approx 1litr fluid was collected from my chest) in which my A.D.A level was 83U/L. He prescribed me to take 4 akurit4 tablets (containing front line drug to cure tb) with empty stomach, to be taken before at least 2 hours from having breakfast. After 1 month of starting medicine course I did an ultrasound in which it is found that there is still 560 ml fluid present in my chest which will drain automatically as per doctor. Although i'am not having any serious pain but I have some query's in which I want expert opinions and my query's are -: 1: Is tuberculosis pleural effusion is communicable disease, should I need to stay away from my family and friends if so than for how much time? 2: Is it enough to conclude that someone is suffering from tuberculosis pleural effusion by only seeing x-ray and testing pleural fluid (by checking ADA level). 3: The drug i'am currently taking is good enough to treat this disease? 4: How much will it take to drain this fluid (560 ml) naturally? 5: Should I need do some test to confirm which tuberculosis is this, whether it is normal or mdr or any other before any further treatment? If there is any suggestion or prescription by your side please feel free to share. Please help me by answering the above query's if you can. I will be thankful for your kindness. Eagerly waiting for reply Thanks in advance.

Dr. Rishu Saxena

M.B.B.S. , PG Diploma In Clinical Cardio...read more

Cardiologist•Delhi

TB is a communicable disease can spread to persons in close contact
yes you should stay away from close contact of your family and friends till your cultures are negative.
Yes composition of plueral effesion can be suggestive of tb, X ray is also very sensitive to rule out tuberculosis.
Yes drugs are good enuogh follow the advise of your pulmonologist 300-500 ml fluid is mild collection of fluid it will absorb automatically in few months.
Sputum culture ansd sensitivity ,sputum f...more

266 people found this helpful

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