Managing Symptoms of Pulmonary Edema: Non-Medical Approaches - Pulmonology

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How to alleviate symptoms of pleural effusion before seeking medical attention?


Hello Dr.
Huang, my family member is 43 years old and lives abroad, making it inconvenient for him to seek medical care.
I would like to ask if there are any non-pharmacological methods to alleviate his symptoms.
The weather there is quite humid (about 70% humidity).
He has a history of hypertension and peptic ulcer disease, and he has previously experienced asthma.
He does not smoke but is exposed to secondhand smoke.
He sweats a lot at work, so he drinks a significant amount of water.
Sometimes he runs in the evenings, and after running, he does not experience any particular symptoms.
However, recently at night, his heart rate has increased, and his breathing has become rapid, preventing him from resting normally.
He feels like there is fluid in his lungs when he breathes, and he hears sounds while breathing.
His bowel movements are usually normal, but he has not had a bowel movement for three days now, and I wonder if there is a connection.
He also experiences significant back pain, and I am unsure if it is simply muscle pain.

Dr.
Huang, could this be related to asthma? Is it possible he has pulmonary edema? Are there any ways to alleviate his symptoms? How should he manage his diet? Should he continue exercising? (There are conflicting opinions online about whether to exercise or rest.) Thank you very much for your assistance.

Kim, 20~29 year old female. Ask Date: 2017/03/22

Dr. Huang Yiwen reply Pulmonology


Dear Hsieh Jola: The symptoms of pleural effusion include persistent shortness of breath, occurring both day and night.
While it may resemble asthma, it is important to seek medical attention for proper diagnosis and treatment.
It is not advisable to engage in strenuous exercise when feeling unwell.
Changhua Hospital cares about you.

Reply Date: 2017/03/22

More Info


Managing symptoms of pulmonary edema, especially in a non-medical setting, can be challenging but there are several non-pharmacological approaches that may help alleviate discomfort and improve quality of life. Given your family member's background of hypertension, past asthma, and current symptoms, it is essential to consider a holistic approach to management.


Understanding Pulmonary Edema
Pulmonary edema occurs when excess fluid accumulates in the lungs, making it difficult to breathe. Symptoms can include shortness of breath, rapid breathing, a feeling of suffocation, and sometimes coughing up frothy sputum. The presence of fluid in the lungs can lead to a sensation of heaviness or congestion, which may be exacerbated by factors such as high humidity, physical exertion, and underlying health conditions.


Non-Medical Approaches to Manage Symptoms
1. Positioning: Elevating the upper body while sleeping can help reduce the feeling of breathlessness. Using multiple pillows or a recliner can assist in maintaining a more upright position, which may facilitate easier breathing.

2. Controlled Breathing Techniques: Practicing controlled breathing exercises can help manage anxiety and improve oxygenation. Techniques such as pursed-lip breathing (inhaling through the nose and exhaling slowly through pursed lips) can help slow down breathing and improve ventilation.

3. Humidity Control: Since your family member lives in a humid environment, using a dehumidifier may help reduce moisture in the air, potentially alleviating some respiratory discomfort. However, if the air is too dry, it may irritate the airways, so finding a balance is crucial.

4. Hydration Management: While staying hydrated is important, excessive fluid intake can exacerbate pulmonary edema. It may be beneficial to monitor fluid intake and adjust accordingly, particularly if he is experiencing symptoms of fluid overload.

5. Dietary Considerations: A heart-healthy diet low in sodium can help manage blood pressure and reduce fluid retention. Incorporating fruits, vegetables, whole grains, and lean proteins while avoiding processed foods high in salt can be beneficial. Additionally, ensuring adequate potassium intake (found in bananas, oranges, and spinach) can help balance fluids in the body.

6. Physical Activity: While regular exercise is generally beneficial, it is important to tailor the intensity and duration to his current health status. Light to moderate activities, such as walking or gentle stretching, may be more appropriate than vigorous exercise, especially if he experiences shortness of breath during or after physical activity. Listening to his body and resting when needed is crucial.

7. Stress Management: High levels of stress can exacerbate symptoms of pulmonary edema. Engaging in relaxation techniques such as meditation, yoga, or deep breathing exercises can help manage stress levels and improve overall well-being.

8. Avoiding Irritants: Since he has a history of asthma, it is important to minimize exposure to secondhand smoke and other environmental irritants. Creating a smoke-free environment and avoiding allergens can help reduce respiratory symptoms.


Monitoring Symptoms
Given the recent changes in his condition, such as increased heart rate and difficulty breathing at night, it is essential to monitor these symptoms closely. If his condition worsens or if he experiences severe symptoms such as chest pain, confusion, or extreme shortness of breath, seeking medical attention promptly is critical.


Conclusion
While these non-medical approaches can provide some relief, they should not replace professional medical advice or treatment. If possible, consider reaching out to a healthcare provider for guidance tailored to his specific needs, especially given his complex medical history. Regular follow-ups and assessments are important to ensure that any underlying issues are addressed effectively.

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