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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Any Suggestion For Having Pleural Effusion In The Right Lung?

Hi My mother had a sudden onset of dry cough which also developed into breathless 2 months back. When we took her to the doctor after 3 days of these symptoms with mild fever also the doctor advised chest xray. The results of the xray came as a sudden shock to us when it said pleural effusion in the right lung. The same day the pleural fluid was drained out (1 Litre). The colour of the fluid was straw colour. By gods grace when the fluid report had come no malignant cells were found. The doctor suspected dormant tuberclosis although no tb bacteria was found in the fluid report. Then we took her to a pulmonologist and bronchoscopist. My mother was put on medicine akurit. But my mother was having nausea and vomit as a side effect of the medicine. The second dcotor suggested a ct scan of the chest and LFT. He also changed the medicine on 22 feb to cap r cinex1000.combutol 1000. Benadon and sompraz d 40. These medicines also caused some mild side effects like loss of apetite but slowly she got adjusted. In the first lft h
Fri, 30 Jan 2015
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Pulmonologist 's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
In old age , reactivation tuberculosis is common. And in this, especially extra pulmonary tuberculosis in the form of pleural effusion is more common.
Since her pleural fluid is negative for malignant cells, no need to worry much for cancer.
And gastritis and vomiting is common side effect of anti TB drugs. Just make sure that her anti TB drugs are given according to her weight. As higher doses can cause more side effects.
She can give these drugs after light breakfast to avoid side effect s. Oral antacids can also be used.
And improvement is slow in Koch's pleural effusion.
Better to get done chest x ray every 2 monthly.
And complete the six months of treatment.
Don't worry, she will be alright.
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Any Suggestion For Having Pleural Effusion In The Right Lung?

Thanks for your question on HCM. I can understand your situation and problem. In old age , reactivation tuberculosis is common. And in this, especially extra pulmonary tuberculosis in the form of pleural effusion is more common. Since her pleural fluid is negative for malignant cells, no need to worry much for cancer. And gastritis and vomiting is common side effect of anti TB drugs. Just make sure that her anti TB drugs are given according to her weight. As higher doses can cause more side effects. She can give these drugs after light breakfast to avoid side effect s. Oral antacids can also be used. And improvement is slow in Koch s pleural effusion. Better to get done chest x ray every 2 monthly. And complete the six months of treatment. Don t worry, she will be alright.