I've been dealing with a recurrent pericardial effusion and had it removed twice already. After the second removal, I was given steroids but stopped them after a month, and now the effusion is happening again. I've also been on TB medications for four months. I'm really concerned about this recurring issue. Can you suggest any permanent solutions or steps I should take next?

It sounds like you are dealing with recurrent pericardial effusion despite previous treatments. Since you have been diagnosed with tuberculosis (TB) and have been taking TB medications for the past 4 months, it is important to continue with your TB treatment as prescribed by your healthcare provider. In addition to TB treatment, your healthcare provider may consider prescribing colchicine to help prevent recurrent pericardial effusion. Colchicine has been shown to be effective in reducing the recurrence of pericardial effusion in patients with a history of recurrent episodes. Please consult with your healthcare provider to discuss the possibility of adding colchicine to your treatment regimen for a more permanent solution to your recurrent pericardial effusion.