Understanding Pleural Effusion: Causes and Treatment for Elderly Patients
Pleural effusion Grandma is 90 years old and has mild dementia, degenerative arthritis, a BUN of 32.7, a creatinine level of 2.29, and a uric acid level of 11.0. Last year, she was hospitalized for 10 days at Shou-Ji Medical Center due to intestinal obstruction and diverticulosis...
Dr. Qu Changke Reply:
Hello Xiaowei: Your grandmother is likely experiencing pleural effusion (sometimes referred to by doctors as pulmonary edema, but the correct term is pleural effusion). There are many causes of pleural effusion, including malignant tumors, pneumonia, heart failure, kidney failure...[Read More] Understanding Pleural Effusion: Causes and Treatment for Elderly Patients
Understanding Pulmonary Edema: Causes, Symptoms, and Management Tips
Questions regarding pulmonary edema? My uncle, born in 1951, used to smoke but quit about six months ago. Approximately three to four months ago, he discovered symptoms of pulmonary edema (which was identified during a medical visit). He is experiencing shortness of breath, night...
Dr. Qu Changke Reply:
First, there are several questions that need clarification: 1. Is the patient experiencing pleural effusion or pulmonary edema? 2. What exactly is the medication referred to as "smoke detox"? If it is indeed pulmonary edema, it is generally classified as "cardiogen...[Read More] Understanding Pulmonary Edema: Causes, Symptoms, and Management Tips
Is Tracheostomy Necessary for COPD Patients? Understanding the Options
Is it necessary to perform a tracheostomy? Hello Doctor: My father, who is 76 years old, was previously diagnosed with early-stage Parkinson's disease. He was hospitalized in March and April this year due to chronic obstructive pulmonary disease (COPD) leading to asthma. He ...
Dr. Yang Wenda Reply:
Hello, every intubated patient has the opportunity to wean off the ventilator. However, patients with chronic obstructive pulmonary disease (COPD) may have poor lung function from the start, which could require a longer period for adjustment and training (the duration is unpredic...[Read More] Is Tracheostomy Necessary for COPD Patients? Understanding the Options
Understanding Shortness of Breath After a Cold: Causes and Solutions
Shortness of breath!! I'm not sure what's going on, but recently after catching a cold, I've been experiencing difficulty breathing. The left side of my chest feels tight, and I only feel a bit of relief when I take a deep breath, but afterwards, I feel quite uncom...
Dr. Lin Zhuorui Reply:
Hello Ah Hong, regarding your question, it is indeed common for some patients with a general cold to experience discomfort. There are many potential issues that could arise, and further outpatient follow-up examinations are necessary. Common problems include bronchitis caused by ...[Read More] Understanding Shortness of Breath After a Cold: Causes and Solutions
Understanding Costophrenic Angle Blunting: Severity and Treatment Options
Costophrenic angle blunting Could you please clarify if the physician's bluntness of the costophrenic angle on the right side is severe? Additionally, what treatment options are available? Thank you for your explanation.
Dr. Zhou Ziguang Reply:
Hello: The chest X-ray shows blunting of the costophrenic angle, which is commonly caused by pleural effusion, fibrotic changes (such as sequelae from previous infections, inflammation, or trauma), or compression from emphysema that can present similar findings on a chest X-ray. ...[Read More] Understanding Costophrenic Angle Blunting: Severity and Treatment Options
Choosing Between Pulmonology and Thoracic Surgery: Which Specialist to See?
Internal Medicine and Surgery In the field of pulmonology, there are divisions for both internal medicine and surgery. When making an appointment, which specialty should you choose? Fifteen years ago, you consulted a thoracic surgeon for pleural effusion. Ten years later, you vis...
Dr. Zhang Zhengda Reply:
Hello: As described, a 30-year-old young female with pulmonary fibrosis has been undergoing long-term treatment with high doses of corticosteroids. The cause of her pulmonary fibrosis is unknown. Has she ever undergone a biopsy? What is her usual blood oxygen level? Has pulmonary...[Read More] Choosing Between Pulmonology and Thoracic Surgery: Which Specialist to See?
Understanding Left Lower Chest Pain: Causes and When to Seek Help
Pain in the lower left chest? I have been experiencing persistent pain in the area about a fist's width below my left chest for several days. A few years ago, I had pneumonia and also had pleural effusion, and I have a smoking habit. However, I have been too busy with work t...
Dr. Li Shiwei Reply:
Hello: There are many causes of chest pain, ranging from inflammation of the chest muscles, pneumonia, to myocardial infarction. Since you have a smoking habit, it would be best to take some time to visit a pulmonology clinic for an examination. Sincerely, Dr. Li Shih-Wei, Intern...[Read More] Understanding Left Lower Chest Pain: Causes and When to Seek Help
Understanding Pleural Effusion and Chest Pain: A Patient's Journey
Pleural effusion and chest pain? My mother had no prior history of lung issues. At the end of July this year, she accompanied my father to the Kaohsiung Veterans General Hospital for an emergency visit, where they stayed in the emergency room all night. After returning home, she ...
Dr. Zhang Zhengda Reply:
Hello: There are many causes of pleural effusion, some of which are benign and others malignant (cancerous). It is important to conduct further examinations and follow-ups. If there is fever and the effusion resolves, the prognosis is generally more optimistic. Please discuss thi...[Read More] Understanding Pleural Effusion and Chest Pain: A Patient's Journey
Understanding Pleural Effusion: Causes and Concerns for Seniors
Pulmonary edema My father-in-law is 64 years old and has epilepsy. He has been diagnosed with pulmonary edema, and he has lost a significant amount of weight over the past month. He started experiencing severe hearing loss a week ago. I am very concerned. However, my husband is t...
Dr. Zhang Zhengda Reply:
Hello: The examination shows "pulmonary effusion." It may be pleural effusion with blood. For the elderly, the likelihood of benign and malignant causes is approximately equal, requiring further detailed examination. Best wishes, Dr. Chang.[Read More] Understanding Pleural Effusion: Causes and Concerns for Seniors
Understanding Pleural Effusion: Causes, Treatment, and Recovery Tips
What causes pulmonary edema? How is it treated? Dear Director Zhang, I would like to inquire about pleural effusion. My sister exhibited cold symptoms during the New Year, initially experiencing a cough with phlegm, which later progressed to a dry cough. Recently, she has been w...
Dr. Zhang Zhengda Reply:
Dear Xiao Zhu, Q: Regarding the issue of pleural effusion: My older sister exhibited symptoms of a cold during the New Year, and after a chest X-ray, it was found that there is fluid accumulation in her lungs. Is pleural effusion classified as benign or malignant? How long is t...[Read More] Understanding Pleural Effusion: Causes, Treatment, and Recovery Tips
Managing Recurrent Transudative Pleural Effusion in Ventilator-Dependent Patients
How to manage recurrent transudative pleural effusion? Chronic mechanical ventilator dependence, poor nutrition, but normal albumin levels and normal heart function. How to manage recurrent transudative pleural effusion?
Dr. Li Shiwei Reply:
Dear YOYO, regarding your question, I hope the following response meets your satisfaction. If your patient does not have an infection and there are no issues with respiratory function, then observation is sufficient. Sincerely, Dr. Li Shih-Wei, Internal Medicine.[Read More] Managing Recurrent Transudative Pleural Effusion in Ventilator-Dependent Patients
Understanding Pleural Effusion: Causes, Treatment, and Recovery in Elderly Patients
Pleural effusion I previously asked about my grandfather, who developed pulmonary edema due to malnutrition. Last week, he was admitted to the intensive care unit at Hukou Mercy Hospital because of elevated carbon dioxide levels in his body. The doctor indicated that there is no ...
Dr. Ke Zhengchang Reply:
Hello: The most common causes of pleural effusion (hydrothorax) in the elderly include heart failure, cirrhosis, uremia, and malnutrition. If the effusion is unilateral, one should consider tuberculous pleuritis, pneumonia-related effusion, and cancer metastasis. Treatment should...[Read More] Understanding Pleural Effusion: Causes, Treatment, and Recovery in Elderly Patients
Understanding Pleural Effusion: Symptoms, Diagnosis, and Treatment Options
RE: Pleural Effusion What are the symptoms of pleural effusion? Why is it that hospitals often cannot detect it, and it is only diagnosed at larger hospitals? What methods are available for treatment? What should be avoided in the diet? What foods should be included? Why do repor...
Dr. Yang Wenda Reply:
Hello, Huah: Pleural effusion (fluid accumulation in the pleural space) most commonly causes symptoms such as cough, chest pain, or difficulty breathing (especially when the fluid volume is significant). Some individuals may be asymptomatic (when the fluid volume is minimal or ac...[Read More] Understanding Pleural Effusion: Symptoms, Diagnosis, and Treatment Options
Understanding Pulmonary Fibrosis: Symptoms, Concerns, and Care Options
Pulmonary fibrosis Dear Dr. Zhou, I am writing to seek your guidance regarding my mother, who is nearing her fifties and is over seventy-five years old. Three years ago, she was diagnosed with pulmonary fibrosis at a military hospital. Since then, her condition has gradually wor...
Dr. Zhou Ziguang Reply:
Hello: Pulmonary fibrosis is a progressive disease characterized by the scarring of lung tissue, with many causes remaining unknown. Some cases are triggered by specific medications (such as certain antiarrhythmic drugs). Symptoms include shortness of breath, indicating declining...[Read More] Understanding Pulmonary Fibrosis: Symptoms, Concerns, and Care Options
Understanding Pleural Effusion: Nutritional Needs and Recovery Time
Pleural effusion My grandfather is 85 years old. After catching a cold recently, he has been experiencing difficulty breathing. Upon examination, the doctor diagnosed him with pulmonary edema due to malnutrition. My grandfather has a poor appetite and is very picky with his food....
Dr. Ke Zhengchang Reply:
Hello: Low levels of protein in the blood, particularly albumin, can lead to bilateral pleural effusion. Hospitalization for intravenous albumin administration is necessary, followed by diuretics to reduce pleural effusion. Once symptoms improve, it is essential to supplement die...[Read More] Understanding Pleural Effusion: Nutritional Needs and Recovery Time
Understanding Survival Rates for Advanced Stage Lung Adenocarcinoma
How long can a patient with metastatic lung adenocarcinoma survive? Dear Mr. Yang, I would like to inquire about my father, who has been diagnosed with stage IV lung adenocarcinoma, which has metastasized to the liver, spine, and heart valves. Is the primary reason for the metas...
Dr. Yang Wenda Reply:
Hello, Xiao-Zhen. Your father is in the advanced stage of lung adenocarcinoma with distant metastasis, which is considered terminal cancer. The distribution of lymphatic vessels and lymph nodes in the human body is ubiquitous and dense. Therefore, regardless of which organ or tis...[Read More] Understanding Survival Rates for Advanced Stage Lung Adenocarcinoma
Understanding Pleural Effusion: Causes, Symptoms, and Treatment Options
Pleural effusion I would like to ask! How is pleural effusion formed? Can it cause abdominal pain? Is surgery and anesthesia required? How quickly can pleural effusion develop in a few days? Thank you!
Dr. Ke Zhengchang Reply:
Pleural effusion can cause symptoms such as difficulty breathing and chest pain, while abdominal pain is less common. Generally, drainage can be performed using needle aspiration under local anesthesia. It is essential to identify the underlying cause (such as tuberculosis, lung ...[Read More] Understanding Pleural Effusion: Causes, Symptoms, and Treatment Options
Understanding Pleural Effusion: Causes, Treatment, and Long-Term Effects
Pleural effusion (not pulmonary edema) and pleuritis? This is due to symptoms caused by a cold, compounded by a prolonged duration and incorrect treatment by the doctor, which has resulted in a month of receiving intravenous fluids and medication. I would like to ask what disease...
Dr. Yang Wenda Reply:
Hello, There are many causes of pleural effusion, and your attending physician will help identify the most likely diagnosis. If it is confirmed (or highly suspected) to be tuberculous pleuritis, a consistent treatment for 6-9 months will lead to a recovery rate of 95% among pat...[Read More] Understanding Pleural Effusion: Causes, Treatment, and Long-Term Effects
Understanding Pleural Effusion: Causes, Symptoms, and Diagnosis Challenges
Pleural effusion Hello Dr. Ding, My father-in-law recently experienced shortness of breath and shoulder pain. He visited Chang Gung Memorial Hospital in Chiayi, where an X-ray examination revealed pleural effusion. The physician stated that the cause and symptoms could not be d...
Dr. Ding Liangwen Reply:
There are many causes of pleural effusion, including tuberculosis and lung tumors as mentioned above. The fluid can be aspirated for analysis, which can help in differentiation. If differentiation is not possible, the fluid can be drained, and a chest X-ray can be performed to ch...[Read More] Understanding Pleural Effusion: Causes, Symptoms, and Diagnosis Challenges
Understanding Tracheal Deviation: Causes and Implications in Thoracic Medicine
Tracheal shift Hello, I would like to ask in what disease conditions the tracheal branches may deviate to the left or right in the human body. Please explain in terms of the left and right sides. Thank you!
Dr. Zhou Ziguang Reply:
Conditions that can cause the tracheal branches to deviate to the left or right are as follows: 1. Deviation to the left: for example, a mass lesion on the right side causing volume increase, such as significant right pleural effusion, large right-sided pneumothorax pushing to th...[Read More] Understanding Tracheal Deviation: Causes and Implications in Thoracic Medicine