Pleurisy is an inflammation of the pleura, the double-layered membrane that surrounds each lung and the rib cage. The pleura protects and lubricates the surface of the lungs as they inflate and deflate within the rib cage. When they become inflamed, the diseased surfaces rub painfully together.
Pleura of the Lungs
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There are several causes for either acute or chronic pleurisy. Viral infection such as influenza and cold virusesLung infections from bacteria like tuberculosis or parasites like amebiasisPulmonary embolismSystemic lupusAfter a heart attack such as Dressler’s syndromeAsbestosChest injuryHeart failureInflammatory bowel diseasePancreatitisRheumatoid arthritisCancerChronic liver and kidney diseaseSickle cell diseaseDrug reaction
Factors that increase your chances of having pleurisy include: Infection, injury, or tumorAn underlying lung condition
, such as cystic fibrosis or emphysema
Symptoms of pleurisy include: Sharp, stabbing pain towards the side and lower part of the chestPain along the shoulders, neck, and abdomenPain during any movement of the chest, such as breathing and coughingDry coughingFeverRapid pulseRapid and shallow breathing
Your doctor will ask about your symptoms and medical history. A physical exam will be done. The pain associated with pleurisy can be enough to diagnose the condition. A stethoscope will be used to listen for abnormal chest sounds, such as a friction rub. The next step is determining the illness that caused the pleurisy.
Images may be taken of your bodily structures. This can be done with: Chest x-rayCT scanUltrasound
Your bodily fluids may be tested. This can be done with: Blood testFluid analysis after thoracentesisBiopsy
of the pleura with video-associated thoracic surgery (VATS)
Your heart's activity may be tested. This can be done with an EKG.
Talk with your doctor about the best treatment plan for you. Treatment options include the following:
Pain relievers, such as acetaminophen and ibuprofen are used to treat the pain. Some patients can reduce their pain by lying on the painful side, holding a pillow tightly, or wrapping the chest with elastic bandages. Codeine-based cough syrup may be prescribed to treat a painful cough.
If pleurisy is the result of a bacterial infection, antibiotics may be prescribed. If it is the result of a viral infection, treatment is to allow the virus to end naturally.
If the cause is due to an autoimmune disease such as
then steroid treatment will relieve pain.
If you are diagnosed with pleurisy, follow your doctor's
To help reduce your chances of getting pleurisy, take the following steps: Seek early medical attention for conditions that can cause pleurisy.Consider getting vaccinated for pneumonia, especially if you are elderly, have a chronic illness, or weakened immunity.
Kass SM, and Reamy BV: Pleurisy.
Am Fam Physician
Last reviewed June 2013 by Marcin Chwistek, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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