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Pleural Effusion - Everything You Must Know About It!

MBBS, MD - Respiratory Medicine , Trained In Treating Sleep Disorder , Trained In Interventinal Bronchoscopy , Trained In Medical Thoracoscopy , Trained In Rigid Bronchoscopy
Pulmonologist, Delhi
Pleural Effusion - Everything You Must Know About It!

Thin membranes on the surface of lungs and inside of the chest cavity are known as Pleura. The space between them is known as Pleural space. Pleural Effusion is a common problem where fluid accumulates in the Pleural space. A person may have it if he or she has any heart or lung problems, such as Pneumonia, Tuberculosis, Pulmonary Embolism, etc. Other problems not related to lung or heart, such as Hypothyroidism, Nephrotic Syndrome, Rheumatoid Arthritis, Ovarian Tumours, etc. may also lead to Pleural Effusion.

Causes of Pleural Effusion

There may be a wide range of causes for Pleural Effusion. The most common causes are:

Leakage of fluid from organs: If someone has a Heart problem and it is not pumping blood properly, there may be accumulation of fluid in the body. This fluid may leak into the Pleural space. If the Liver or Kidney is not working properly, it may also give rise to accumulation of fluid. This fluid build-up may leak into the Pleural space.

Infections: Infections like Bacterial Pneumonia and Tuberculosis are major reasons for Pleural Effusion.

Autoimmune conditions: Autoimmune conditions like Lupus Erythematosus, Rheumatoid Arthritis, etc. may also cause such condition.

Pulmonary embolism: Embolism leads to blockage in Artery in one of the lungs. This can lead to Pleural Effusion.

Lung cancer: Lung Cancer often causes Pleural Effusion. Cancer spreading to the Lungs from other organs too can precipitate the condition.

Pleural Effusion Symptoms

Symptoms of this disease show up only when the fluid build-up is moderate or large. Symptoms include shortness of breath, fever, chest pain, aggravation during deep breathing, cough, etc. These are the most pronounced symptoms of this condition. One may also have chills and night sweats.

Treatment of Pleural Effusion

These are some of the common treatment steps for this disease:

● The first stage in treatment is Chest X-ray or CT Scan to ascertain the dimension of fluid accumulation.
● The doctor may then draw out a sample of the fluid to test it for infection. If an infection is detected, doctor may prescribe antibiotics.
● If the fluid accumulation is less, the doctor may not consider it necessary to draw out the fluid.
● If there is a Heart problem, the doctor may prescribe medicines for the same.
● If the Effusion is large, a doctor would most likely perform a Thoracentesis to drain the fluid and ease the symptoms.
● If the Effusion keeps coming back, the doctor may consider a Pleural Drain. A catheter is put into the Pleural space for a long time for that.
● The doctor may also inject an inflammatory substance into the Pleural space. This inflames the Pleura and helps them bond with each other tightly. This is known as Pleurodesis and can heal the problem.

Pleural Effusion is a medical condition which is not to be taken lightly. One must consult an experienced doctor for its treatment, as it may worsen over time.

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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.

  1. Exudative Pleural Effusions are often found to be triggered by medical conditions such as Cancer, Inflammatory diseases, Kidney disorder, Pneumonia, or Pulmonary embolism.
  2. 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.

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).

The first step towards effective treatment includes identifying the underlying health problem that triggered pleural effusions. Doctors work towards

  1. Treating the pleural effusions.
  2. Ensuring that the condition (Pleural effusions) does not recur.
  3. 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, ½ -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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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Homoeopathic Treatment On Various Diseases

Dr. Rushali Angchekar 94% (60843 ratings)
Homeopath, Sindhudurg
Homoeopathic Treatment On Various Diseases

Homeopathy treatment for various diseases:

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MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Periodontal disease can affect your hear & body.

Gum Disease

Dr. Premendra Goyal 92% (839 ratings)
Dentist, Mumbai
Gum Disease
Gum disease is an infection of the tissues that surround and support your teeth. It is a major cause of tooth loss in adults. Because gum disease is usually painless, you may not know you have it. Also referred to as periodontal disease, gum disease is caused by plaque, the sticky film of bacteria that is constantly forming on our teeth.

If you notice any of the following, visit your dentist immediately

Gums that bleed easily
Red, swollen, tender gums
Gums that have pulled away from the teeth
Persistent bad breath or bad taste
Permanent teeth that are loose or separating
Any change in the way your teeth fit together when you bite
Any change in the fit of partial dentures

It is possible to have gum disease and have no warning signs. That is one reason why regular dental checkups and periodontal examinations are very important

Remember: You don’t have to lose teeth to gum disease. Brush your teeth twice a day, clean between your teeth daily, eat a balanced diet, and schedule regular dental visits for a lifetime of healthy smiles.
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How do I know if I have gum disease?

Dentist, Mumbai
How do I know if I have gum disease?

How do I know if I have gum disease?
Gum disease is generally painless, even though it damages the bone supporting the teeth. Gum disease (gingivitis) will usually show itself as red, swollen gums that bleed when you brush or clean between your teeth. Many people are worried when they notice their gums are bleeding and then brush more gently, or stop altogether. In fact, it is important that you continue to clean regularly and thoroughly if you are to fight the gum disease. If the bleeding does not go away within a few days see your dental team to ask for their advice.

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Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lucknow

Ahaar And vihaar is 2 main causative factor for any disease.

Gum Diseases

Post-Graduate Certificate in Endodontics, B.D.S
Dentist, Cuttack
Gum Diseases

Gum diseases can be treated and reversed in their initial stages very easily. By getting the accumulated tartar and plaque removed by a dentist, there is a chance that they can get better without much ado.

1 person found this helpful

Gum Diseases

Dentist, Navi Mumbai
Gum Diseases

Gum diseases can be treated and reversed in their initial stages very easily. By getting the accumulated tartar and plaque removed by a dentist, there is a chance that they can get better without much ado.

1 person found this helpful

Gum Diseases

BDS, MDS - Oral & Maxillofacial Surgery
Dentist, Pune
Gum Diseases

Researchers have shown people with gum diseases are twice as likely to suffer from heart problems than others.

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