### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi , my  father  had  an MI  anterior  wall,   2  weeks  ago,  he was  noted  to  have  pericardiac  effusion  last  week  and  a  thoracentesis was  performed ,but  2  days  ago  he  was  noted  to  have  declining  H and  H  and  was  transfused  and the  fluid  is  back  upon C scan, he  is  83 years  old  and my  mom  ,  feels  that  no  more  aggressive   management  shold  be  done,  but  he  is  suffering  and  he  is unable  to  rest  due  to  increased  dyspnea, my  question  is it  worth  for  the  thoracentecis  to  be  done  , and  what  are  the  long term  management  for  it  , will diuretics  work?He is  in  the  philippines  and  i  am  here  and  i  feel useless  .

### output:

Thanks for your question on Chat Doctor. I can understand your concern. In my he is having recurrent pericardial effusion. And his pericardial effusion consume blood, so he is requiring blood transfusion. Common causes for such recurrent pericardial effusion are infection like tuberculosis and malignancy. If we don't treat underlying pathology, this fluid will accumulate and may endanger life. So better to get done repeat thoracentesis and get done fluid reports for tuberculosis and malignancy. If it is tubercular then anti-tubercular Chat Doctor.  But if it is malignant then he will need pigtail catheter insertion in pericardium. Diuretic works only in transitive fluid. So better to consult cardiologist and rule out tuberculosis and malignancy. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks.