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Basically this means there is an abnormal accumulation of fluid in the air sacs of your lungs that limits your breathing capacity.
Waking up at night with a feeling of breathlessness that you may be able to relieve when you sit up.
The main cause of pulmonary edema has been attributed mainly to problems with your heart but it can happen any time your lungs become invaded with any type of infection. Simply put, if your heart does not work right it is likely that you will develop pulmonary edema. This can result from electrocution or strangulation that will reduce the blood flow to your lungs and can lead to the build up of fluid.
If you have been diagnosed with lung cancer the water retention can happen around and inside your lungs. If you are going to be in high altitudes you need to make sure that you have the right equipment with you to help increase the air pressure and oxygen levels.
If you have too much sodium in your body and the kidney’s cannot get rid of it all it can cause fluid retention. The main way that your physician can diagnosis pulmonary edema is by taking a chest x-ray because if there is any water retention around or in your lungs it can be seen on the x-ray. The treatment that is use depends on what is causing the excessive fluid to accumulate in or around your lungs but for the treatment that is prescribed there are certain things that you must do. Taking a diuretic, either over-the-counter or prescription to help drain the excess fluid from your lungs. Medications to treat the underlying cause such as antibiotics if you have tuberculosis, for congestive heart failure you may be given ACE inhibitors to help improve the circulation of your blood, high blood pressure medications to stabilize your blood pressure. To help boost the function of your heart you may be given Coenzyme Q10, a vitamin B1 supplement, vitamin E supplement.
If you have severe edema you may have to use a breathing machine for a long period of time. It is very important to follow the medical advice and treatment that your physician gives you to get rid of the excessive fluid in and around your lungs so you get better and do not develop more serious health problems. It refers to a fluid accumulation between the tissue layers lining the chest cavity and the lungs.
The human body produces small amounts of pleural fluid in order to lubricate the surfaces of the pleura, the thin layer of tissue surrounding the lungs and lining the chest cavity. The cause of the condition differs according to the type of Pleural effusion that one suffers from.
It results from leakage of fluid into the pleural space, caused by a low protein count in bloodstream or increased pressure within the blood vessels. The diagnosis of the condition usually begins with a physical examination and physicians using a stethoscope to listen to the lungs of sufferers. The differential diagnosis of Pleural effusion involves telling the symptoms of its types apart from those of other similar conditions. The plan and approach for treatment depends on the underlying causative factor for the condition. In individuals suffering from infections or cancer, a chest tube is kept for several days to drain the fluid and treat the effusion. In some cases, physicians may consider leaving small tubes in place within the pleural cavity for a long time. In case of extremely large types of Pleural effusions, where physicians suspect an infection as the underlying cause, a surgical technique known as Thoracotomy may be carried out.
This is a mimimally-invasive operation that involves making 1 to 3 tiny incisions in the chest. The treatment approach for this condition aims at alleviating associated symptoms such as breathlessness and occasionally, curing the underlying cause for the disease. The severity of this condition actually depends on the main underlying cause of the effusion.


The following pictures show how the pleural fluid accumulates inside the body of individuals affected by this condition. If you, or any of your family members, are suffering from symptoms similar to that of Pleural effusion, do not delay treatment.
Recurrent subcutaneous emphysema in a treated pulmonary tuberculosis patient: Is there any association? Sir,A 55-year old nondiabetic, nonhypertensive, and nonsmoker female presented with dyspnoea for 1 month and swelling of face, neck, upper limb, and trunk for 2 weeks.
It is a medical condition that can not only be serious but it can also be life threatening. Some of the heart problems that can develop and cause pulmonary edema are defective heart valves, cardiomyopathy, congestive heart failure, high blood pressure, especially it if is uncontrolled or untreated, coronary artery disease, or having a history of heart attacks. In response to the infection the air sacs in your lungs become filled with fluid and pus, impairing the oxygen flow in your lungs. Some of the diseases that can cause this include cirrhosis, drinking alcohol in excess, and more. The physician may also suspect pulmonary edema if you have a lot of swelling in your legs and ankles and do a chest x-ray to confirm the diagnosis.
However, the disorder is considered to affect as many as 1 million individuals per year in the United States.
In other words, they do not exhibit any abnormalities that are typically associated with this condition. The term “Pleural effusion” indicates an abnormal accumulation of this fluid in excessive amounts. In the majority of cases where an effusion is suspected in the pleural cavity, physicians may use maneuvers like percussion (tapping on the chest) or auscultation (listening with a stethoscope). In case of congestive heart failure, patients may be prescribed medications such as (diuretics) water pills to cure heart failure. This operative procedure involves removal of fluid from the pleural cavity as well as ablation of any infected tissue. The process is quite effective in the management of pleural effusions that recur as a result of malignancy or are hard to drain. In this condition, an abnormal amount of fluid gets collected within the pleural lining due to a cancerous condition. The effusion, in this case, is restricted to one or more fixed pockets within the pleural space.
Some cases of the disorder result from common ailments like arthritis, bacterial infections, tuberculosis and pneumonia.
This can be prevented by the use of sclerosing agents which induce scarring, such as tetracycline or talc.
If effusion results from a viral infection, heart failure or pneumonia, it can be controlled.
Preventing the underlying cause can help reduce the possibility of development of an effusion.
Delay in diagnosis and medical treatment can give rise to a range of complications and jeopardize health. Recurrent subcutaneous emphysema in a treated pulmonary tuberculosis patient: Is there any association?. Subcutaneous emphysema in cavitary pulmonary tuberculosis without pneumothorax or pneumomediastinum.
The physician may also do an electrocardiography to gather information about your heart to see if that is the cause.
During surgery, antibiotic or sterile talc may be inserted to prevent the recurrence of fluid accumulation in the pleural space. Around 50-65% cases of this disorder results from cancerous conditions of the breast or the lungs.


The pleural fluid may loculate between the visceral and parietal pleura (when there is partial fusion of the pleural layers) or within the fissures. Antibiotic medications are very useful in eliminating the causes of the effusion as well as the effusion itself in such cases.
The fluid accumulation can occur due to a chronic condition, such as congestive heart failure. The fluid build-up may put more pressure over the lungs and make comfortable respiration more and more difficult for sufferers. Operative techniques may be needed in cases where sclerosing agents fail to yield benefits.
During treatment, physicians should consider curing problems associated to the disorder as well as curing the underlying condition. Seeking medical attention on an immediate basis can ensure faster cure of the disease and a quicker recovery. There was no history of palpitation, orthopnoea, paroxysmal nocturnal dyspnoea, and edema, or chest pain. Thoracotomy helps remove all fibrous tissue and evacuate the infection from the region known as the pleural space. These are easier cases of effusion and can be easier to diagnose and treat than other forms of the disorder. However, it may also be associated with trauma, cancers, acute infection and respiratory disorders such as tuberculosis. The swelling started slowly, involving the neck and gradually involved face causing periorbital swelling and later involved upper part of trunk and upper limbs [Figure 1]. Following surgery, chest tubes need to be kept in place for about 2 weeks to continue drainage of fluid. The patient had a past history of tuberculosis for which she was treated completely and declared cured 5 years ago. Chest examination revealed harsh vesicular breath sounds with scattered coarse crepitations. An urgent chest x-ray was done that showed subcutaneous emphysema without any evidence of pneumothorax. CT scan of thorax showed gross bilateral subcutaneous emphysema, pneumomediastinum, minimal pneumothorax, and fibrotic changes in bilateral lung parenchyma [Figure 2]. In due course of time, other investigations were done that showed a negative mantoux test and her sputum for AFB was negative on two occasions.
As initial management failed to improve patient condition, 20 F intercostal chest drainage tubes were put bilaterally under local anesthesia after consulting with chest medicine department and cardiothoracic surgery department. Two days after placement of intercostal chest drain the patient showed dramatic improvement in the form of decrease in the periorbital puffiness with generalized decrease in the amount of swelling. Consequently subcutaneous emphysema reappeared and gradually progressed in the same pattern as before. Subcutaneous emphysema in a post-tuberculosis patient may be due to tear of adhesions between visceral and parietal layer, local airway obstruction and alveolar rupture secondary to distal airway trapping. Here the case was treated completely for pulmonary tuberculosis and declared cured 5 years ago. At the time of this episode there was no suggestion of active tuberculosis but rather we encountered a delayed, difficult to control complication of old tuberculosis.



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