Symptoms and diagnosis [1]


Trouble sleeping on left side and sometimes lying too flat [2] this is likely due to the fluid filled sac is swollen around heart so pressure on the left chest cavity puts more stress on the heart.

Pericardial effusion

Mostly from mycobacterium can also be streptococcus or staphylococcus or others [3]

streptococcus [4]

Hypothyroidism can be a cause [5]


Treat for strongyloides and H pylori and mycobacterium and pasteurella and possibly staphylococcus and streptococcus.

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