im a chronic renal failure patient,23yrs old,also low blood albumin,my chest x ray report says,suggestive of bilateral pleural effusion with prominent left hilum,both cp angles are blunt,heart size could not be evaluated properly.what should be my treatment?
Hi, Thanks for writing in. In chronic renal failure, the kidney filters out higher amount of albumin in the urine. This causes less albumin in the blood. You are having less albumin for this reason. When albumin decreases then water retention occurs and this gets collected in the lungs, abdomen and legs causing pleural effusion, ascites and swollen limbs. In chest x-ray pleural effusion means larger than 150 cc of fluid in lungs. It is important to see the x-ray to know the approximate quantity of fluid. If it is less than 500 cc then medicines like diuretics can be given and the fluid will come out in urine. The blood albumin is to be corrected with nutrition. If the effusion is large then it requires insertion of intercostal Chat Doctor.  If your effusion is small then this is not required, and it can be treated with medicine. Please do not worry.