Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

141 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest a suitable sleeping position for a person with pleural effusion

Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4221 Questions

default
Posted on Wed, 25 Apr 2018 in Lung and Chest disorders
Question: Hi,

Please recommend a suitable sleeping position for a person having pleural effusion ?
doctor
Answered by Dr. Prof. Kunal Saha 2 hours later
Brief Answer:
Lateral position

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and understand your concerns. A number of factors need to be kept in consideration while answering your query. The details like size, side and whether loculated needs to be considered. A lateral position with the affected side lying on the lower side is preferable so that the effusion does not press upon the aereated side.

Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions

Recent questions on  Pleural effusion

doctor1 MD

Hello
My mom has lung cancer and she is 46 years old.
Here's her medical history:
Left breast cancer (03.11.09); T1c(1-2cm) N0 (0/4nodes) Grade II IDC ER+/PR=HER2 (2+on IHC). She completed 6 cycles of adjuvant FAC chemotherapy followed by 60Gy/30fr adjuvant RT completed 05.0810. She was also started on Tamoxifen.
She developed rectal bleeding in February 2010. Colonoscopy in July 2010 showed a stenosing tumour extending from 10-18cm from the anal verge. Biopsy revealed a moderately differentiated adenocarcinoma and pelvic MRI suggested this to be a T3N2 lesion. She was started on Oxaliplatin, capecitabine , bevacizumab. She was admitted in the hospital due to complains of weakness, hypotension and bloody diarrhoea. After it was treated she underwent surgery and palliative colostomy without resection of the colonic primary because it was very adherent to the intra abdominal structures and the surgeon did not want to risk major exploration and dissection in the presence of peritonitis secondary to a colonic perforation. After post operative recovery she had been suffering from peripheral neuropathy and still is. However, she has found relief with TENS.
PET/CT scan showed bilateral pleural based metastatic lesions and a possible left lower lung parenchymal deposit also. the primary lesion did not show increased FDG uptake, possibly secondary to having its blood supply cut off by the surgeon. She was also diagnosed with multiple filling defects in the right lung on CTPA and received therapeutic low molecular weight heparin. She has a clot in her lung vessel for which she gets clexane injections everyday. She had pleural effusions aspirated three times since the start of May 2011, from the right and left side. She got a Groshong central venous catheter and started her chemotherapy (Ondansetron, dexamethasone, atropine, irinotecan). She completed 1 cycle of her chemotherapy. The chemotherapy was discontinued because of a severe infection due to the Groshong line. She was started on antibiotics but the catheter was ultimately removed. After the infection settled and she recovered a little of her strength, she was misdiagnosed with passive pneumonia and was given Tazocin. It was just recently diagnosed as loculated pleural effusion. She also has a collapsed lower right lobe. She had the effusions aspirated 3 times, one time every day.The lobe has shown improvement. She is now complaining of chest pain, pressure on the chest and extreme shortness of breath. She has been on oxygen for about a week now and finds it difficult and tiring to breath without the oxygen mask. The lung saturation however is within acceptable parameters so i dont understand why she finds it difficult to breath without the oxygen. It has gotten so bad that she's unable to talk properly and can hardly complete a sentence without taking breaks. Yesterday night her chest pain got so bad they had to give her morphine which took quite a lot of time to wear off and she felt extremely lethargic. She is complaining of palpitations and says her heart skips beats(for which she was given Metoprolol Tartrate) but no significant improvement is noted. But the doctor says her heart is doing fine, so im really confused. She also feels a tingling sensation around her lips, head and limbs quite frequently and keeps getting these tiny jolts every now and then. What do you suggest we do about that? Overall, she feels extremely weak and is drowsy and lethargic most of the times and im getting really worried because she is showing no signs of improvement. Should she start getting her chemotherapy even though she's really weak? and can you please tell me what to do about her breathing and lethargy?

doctor1 MD

hi , m suffering from pleural effusion since last six months. i took rcinex , combutol and pyrazinamide for 2 months and rcinex and combutol till date. Still there is 300 ml fluid in my left lung. is this the best treatment or should i change the medication. please advice

doctor1 MD

My Dad had quadruple bypass surgery with an aortic valve replacement 14 months ago. He is now dealing with pleural effusions in his left lung. First time the Dr. drained 1500cc's of fluid approximately two months ago. Today the Dr. tried to drain fluid again but the fluid has become a jell-like consistency and Dr. was only able to drain 50cc's. What are possible causes and treatment for this condition.

doctor1 MD

my dad did a radiograph of the chest recently (he had a history of tb). Findings are: - moderate right pleural effusion with adjacent atelectasis. - fibrocalcific densities noted in the right upper lobe - heart, mediatinum and pulmonary hila are unremarkable. bony thorax is unremarkable. what are the possible illness that he could be suffering?

doctor1 MD

Hello, I have a question about pleural effusion . I understand that there are many causes of this. I recently had a thoracic spine MRI for back pain that was normal; however, they noted a tiny right-sided pleural effusion. Several years ago,...

doctor1 MD

Hi, Initially I had some right sided chest pain which I suspected was related to GERD and wanted to investigate further without doing a gastroscopy. I was advised for a CT and the report result reads: There is a cluster of ill-defined nodules in...