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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 33454
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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my dad has been admitted to the hospital because he has pnemonia

Resolved Question:

my dad has been admitted to the hospital because he has pnemonia and fluid around his heart. he has been dealing with the pneumonia all week, but went back to the doctor today and recieved another cat scan because he had swelling/bloating of the abdomen and groin area. that is when they noticed the fluid around the heart. also an increase in his white blood cell count. What questions should he be asking and what tests/procedures should he be expecting in the hospital.
Submitted: 8 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 8 years ago.



The first step of the investigations would be to remove the fluid for the diagnostic purpose. That will give clue for the causative organisms, by microscopic and biochemistry examination. Removing the fluid may serve therapeutic purpose too, giving relief for his symptoms. So first question needs to be asked what is the cause of the pneumonia (bacterial, viral or other). What would be the further care entail? Will he require some kind of support for breathing or will he be given oxygen? Total days of hospitalization, prognosis etc also needs to be ascertained from the doctors.


Hope this helps.


Please feel free for your follow up questions.


Dr. Arun

Customer: replied 8 years ago.
They have already said it is bacterial. Does that make a difference in treatment. How does the fluid around the heart connect with the pneumonia?
Expert:  Dr. Arun Phophalia replied 8 years ago.



Yes this makes the difference in treatment as specific bacteria have specific antibiotic sensitivity and different prognosis. The fluid around the heart can be pericardial fluid or pleural fluid. The pleural fluid is reactionary or part of the disease itself, while pericardial fluid (due to involvement of heart covering with the infection) may point out to a virulent bacteria which if not controlled early, may involve not only adjacent organs but distant organs and multiple organs too. That can complicate the situation.


It is pleasure assisting you.


Dr. Arun

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