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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Shortness Of Breath With Pleural Effusion

sir I'm a final year MBBS student from Bangladesh. I'm suffering from left sided small pleural effusion which was diagnosed by USG & CXR. now i've prblem of shortnaess of breath after sleeping and there is no h/o asthma and tb in my family. i've done anti tb antibody which was also nagative. my esr is 6 mm in 1st hour. what can i do now?
                                                                 
                                                                 
Mon, 27 Nov 2017
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Most common cause for pleural effusion is pneumonia (lung infection).
So better to start broad spectrum antibiotic like amoxicillin clavulinic acid with azithromycin.
Take these drugs for 7 days.
Get done repeat chest x ray and ultrasound.
If effusion is resolving then no need to worry.
But if effusion is worsening then get done pleural fluid aspiration and send for microscopic examination.
Possibility of tuberculosis is more likely if effusion is not resolving with antibiotics.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Suggest Treatment For Shortness Of Breath With Pleural Effusion

Thanks for your question on Healthcare Magic. I can understand your concern. Most common cause for pleural effusion is pneumonia (lung infection). So better to start broad spectrum antibiotic like amoxicillin clavulinic acid with azithromycin. Take these drugs for 7 days. Get done repeat chest x ray and ultrasound. If effusion is resolving then no need to worry. But if effusion is worsening then get done pleural fluid aspiration and send for microscopic examination. Possibility of tuberculosis is more likely if effusion is not resolving with antibiotics. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.