Traveling with Pleural Effusion: Important Tips for Air Travel - Pulmonology

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What precautions should be taken when traveling abroad with pleural effusion?


Hello Director Huang,
My mother is planning to fly to Japan in April.
Considering she currently has about 300cc of pleural effusion, are there any recommendations or precautions regarding high altitude pressure for her flight? She is currently undergoing treatment with a single injection of "cancer self-healing." Are there any side effects, and how can we alleviate them?
Thank you again for your guidance.
Wishing you peace, health, and happiness.

A Fei, 30~39 year old female. Ask Date: 2023/03/24

Dr. Huang Yiwen reply Pulmonology


Dear A-Fei: The side effects of general immunosuppressants are usually mild, as indicated in the package insert.
However, if you experience any of the following symptoms, please seek medical attention promptly: difficulty breathing, severe abdominal or back pain, fever, numbness or tingling in the hands and feet, difficulty urinating, blood in urine, elevated blood pressure (severe headache, dizziness), or unexplained bruising.
Common side effects include: (as per the package insert) cardiovascular side effects: peripheral edema (17%).
Dermatological side effects: rash (12-17%), itching (18%).
Endocrine side effects: low albumin (48%), low sodium (42%), low magnesium (26%), low phosphate (27%), hyperglycemia (10%).
Gastrointestinal side effects: abdominal pain (15%), constipation (15-18%), loss of appetite (23%), diarrhea (16-24%), nausea (18-22%), vomiting (16%).
Hepatic side effects: elevated alkaline phosphatase (39%), elevated liver enzymes (27%).
Musculoskeletal side effects: joint pain (12%), myalgia (20%).
Respiratory side effects: cough (26%), difficulty breathing (14-22%).
Others: fatigue (~52%), fever (14-18%), urinary tract infection (17%).
A pleural effusion of 300 cc is manageable; however, if you suddenly experience shortness of breath, seek medical attention immediately.
Traveling by plane is acceptable, and if you feel unwell during the flight, you can request oxygen inhalation.
Wishing you a pleasant journey.
Changhua Hospital cares about you.

Reply Date: 2023/03/24

More Info


Traveling with pleural effusion can present unique challenges, particularly when it comes to air travel. Pleural effusion, which is the accumulation of fluid in the pleural space surrounding the lungs, can lead to discomfort and respiratory issues, especially in a pressurized cabin environment. Here are some important tips and considerations for air travel with pleural effusion.


Pre-Travel Considerations
1. Consult Your Physician: Before making any travel plans, it is crucial to consult with your healthcare provider. They can assess the severity of the pleural effusion and determine if it is safe for you to fly. They may also provide specific recommendations based on your overall health status and any underlying conditions.

2. Evaluate Treatment Options: If your mother is currently undergoing treatment, such as "cancer self-healing" injections, it is important to discuss how this treatment may affect her condition during travel. Understanding any potential side effects or complications is essential for planning a safe trip.

3. Monitor Symptoms: Keep track of any symptoms related to the pleural effusion, such as shortness of breath, chest pain, or increased fatigue. If symptoms worsen, it may be advisable to postpone travel until her condition stabilizes.


During Travel
1. Choose the Right Flight: If possible, opt for direct flights to minimize travel time and avoid layovers. This can help reduce the risk of complications associated with prolonged sitting and changes in cabin pressure.

2. Seating Arrangements: When booking the flight, consider selecting an aisle seat. This allows for easier access to the restroom and the ability to stand up and stretch, which can help alleviate discomfort.

3. Stay Hydrated: Cabin air can be quite dry, so it is important to stay well-hydrated during the flight. Encourage your mother to drink plenty of water before and during the flight, as dehydration can exacerbate symptoms.

4. Breathing Exercises: Encourage your mother to practice deep breathing exercises during the flight. This can help improve lung expansion and alleviate feelings of breathlessness. Simple techniques include inhaling deeply through the nose and exhaling slowly through pursed lips.

5. Movement: If her condition allows, she should try to move around the cabin periodically. Simple leg and foot exercises can help improve circulation and reduce the risk of complications such as deep vein thrombosis (DVT).


Post-Travel Considerations
1. Rest and Recovery: After the flight, it is important for your mother to rest and allow her body to recover from the travel experience. Monitor her symptoms closely and seek medical attention if there are any concerning changes.

2. Follow-Up Care: Schedule a follow-up appointment with her healthcare provider after returning from the trip to assess her condition and make any necessary adjustments to her treatment plan.


Conclusion
Traveling with pleural effusion requires careful planning and consideration. By consulting with healthcare professionals, monitoring symptoms, and taking proactive steps during travel, your mother can minimize risks and enjoy her trip. Always prioritize her health and comfort, and do not hesitate to seek medical advice if any concerns arise. Safe travels!

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