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What Does Presence Of Fluid In The Left Lung Indicate?
Question: Hi, My wife had fluid in left lung. she is now under medication from XXXXXXX 15. her last report was good. ESR is normal 17. both lung is clear. now suddenly she is feeling some pain in back left chest side. Doctor said xray is ok. but there is a swelling. just wanted to check what type of swelling. I am sending recent xray film and doctor prescription. now her ESR is little bit high 26. I am sending he blood report also.
Brief Answer:
Pain could be due to pleural thickening.
Detailed Answer:
Hello XXXXXXX
Your wife is suffering from pleural effusion left for which she has been put on tb treatment.
She seems to be responding well. In the x Ray report sent by you I really can't appreciate the swelling but there definitely appears to be some bunting of CP angle. It could be left over fluid or thickening of pleural membrane. You should have sent radiologists report on x Ray along.
The pain could be because of the pleural thickening as when the tissues stretch, there may be some pain. That's ok and she should continue deep breathing exercises and should even walk.
However if there is any infection in the left over fluid which has got infected can also cause pain. That then needs to be further investigated.
Why her tb treatment is being planned till May 17. Normally it's given for only 6 months if response is satisfactory. You may discuss these issues with her treating physician.
Do not worry about the ESR, it's ok as of now.
Take care
Pain could be due to pleural thickening.
Detailed Answer:
Hello XXXXXXX
Your wife is suffering from pleural effusion left for which she has been put on tb treatment.
She seems to be responding well. In the x Ray report sent by you I really can't appreciate the swelling but there definitely appears to be some bunting of CP angle. It could be left over fluid or thickening of pleural membrane. You should have sent radiologists report on x Ray along.
The pain could be because of the pleural thickening as when the tissues stretch, there may be some pain. That's ok and she should continue deep breathing exercises and should even walk.
However if there is any infection in the left over fluid which has got infected can also cause pain. That then needs to be further investigated.
Why her tb treatment is being planned till May 17. Normally it's given for only 6 months if response is satisfactory. You may discuss these issues with her treating physician.
Do not worry about the ESR, it's ok as of now.
Take care
Above answer was peer-reviewed by :
Dr. Raju A.T
there was multiple tablet for 4 month, only one tablet for 1 year.
Brief Answer:
schedule is 4 tablets for 2 to 3 months then 2 tablets for next 2 to 3 mont
Detailed Answer:
Yes the schedule is 4 tablets for 2 to 3 months and then 2 tablets(both medicines in one tablet-R cinex) for next 3 to 4 months. The treatment can be extended upto 9 months if the response to treatment is delayed. So why 1 year? There must be a reason. Is the left over fluid infected or are the doctor suspecting drug resistance? Please discuss with your doctor.
schedule is 4 tablets for 2 to 3 months then 2 tablets for next 2 to 3 mont
Detailed Answer:
Yes the schedule is 4 tablets for 2 to 3 months and then 2 tablets(both medicines in one tablet-R cinex) for next 3 to 4 months. The treatment can be extended upto 9 months if the response to treatment is delayed. So why 1 year? There must be a reason. Is the left over fluid infected or are the doctor suspecting drug resistance? Please discuss with your doctor.
Above answer was peer-reviewed by :
Dr. REMY KOSHY
I had a discussion, but initial stage doctor said R-cinex should continue for 1 year. he said lungs is clear. no infection. but still need to continue 1 tablet for 1 year. what should I do.:(..is there any problem?
Brief Answer:
STANDARD PRACTICE IS WHAT I HAVE TOLD YOU.
Detailed Answer:
I HAVE TOLD YOU WHAT THE STANDARD PRACTICE IS FOR TREATMENT OF TB. TREATMENT FOR ONE YEAR WITHOUT ANY SUITABLE REASON IS OVER TREATMENT. REST YOU HAVE TO DECIDE. YOU MAY CONSULT ANOTHER PULMONOLOGIST LOCALLY.
STANDARD PRACTICE IS WHAT I HAVE TOLD YOU.
Detailed Answer:
I HAVE TOLD YOU WHAT THE STANDARD PRACTICE IS FOR TREATMENT OF TB. TREATMENT FOR ONE YEAR WITHOUT ANY SUITABLE REASON IS OVER TREATMENT. REST YOU HAVE TO DECIDE. YOU MAY CONSULT ANOTHER PULMONOLOGIST LOCALLY.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Thank you maa'm. just one query as per new xray is there any fluid in ling? actually I did not get report from radiologist because doctor asked for immediate xary film.
Brief Answer:
You have to get an ultrasound chest done.
Detailed Answer:
As i said earlier there is some blunting of left CP angle. On xray it`s not possible to say if it is fluid or it is pleural thickening. You have to get a ultrasound chest done to tell the difference.
You have to get an ultrasound chest done.
Detailed Answer:
As i said earlier there is some blunting of left CP angle. On xray it`s not possible to say if it is fluid or it is pleural thickening. You have to get a ultrasound chest done to tell the difference.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
ok..should I change the doctor... any suggestion in hyderabd..best doctor?
Brief Answer:
You have to decide for yourself which doctor you go to.
Detailed Answer:
I'm not in a position to advise on changing the doctor. That has to be your decision. I can only suggest that you can go for a second opinion preferably of a pulmonologist.
since I do not reside in XXXXXXX I do not know about doctors there.
Take care.
You have to decide for yourself which doctor you go to.
Detailed Answer:
I'm not in a position to advise on changing the doctor. That has to be your decision. I can only suggest that you can go for a second opinion preferably of a pulmonologist.
since I do not reside in XXXXXXX I do not know about doctors there.
Take care.
Above answer was peer-reviewed by :
Dr. REMY KOSHY
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