Pleurisy

10 min read

Pleurisy is an inflammation of the pleura, the thin membrane that lines the chest cavity and surrounds the lungs. It is caused by a variety of conditions, including infections, autoimmune diseases, and certain types of cancer. Symptoms of pleurisy include chest pain, shortness of breath, and a dry cough. Treatment depends on the underlying cause and may include antibiotics, anti-inflammatory medications, and surgery.

Causes of Pleurisy

Pleurisy is usually caused by an infection, such as a virus or bacteria. It can also be caused by autoimmune diseases, such as lupus or rheumatoid arthritis, or by certain types of cancer, such as lung cancer or mesothelioma. In some cases, the cause of pleurisy is unknown.

Diagnosis of Pleurisy

A doctor will typically diagnose pleurisy based on a physical exam and a review of the patient's medical history. Imaging tests, such as X-rays or CT scans, may be used to confirm the diagnosis. In some cases, a sample of fluid from the chest cavity may be taken and analyzed to determine the cause of the pleurisy.

Complications of Pleurisy

Pleurisy can lead to complications, such as a buildup of fluid in the chest cavity (pleural effusion) or a collapsed lung (pneumothorax). In rare cases, it can also lead to a life-threatening condition called sepsis.

Symptoms

  • Shortness of breath
  • Pain in the shoulder or back
  • Coughing
  • Fever
  • Fatigue
  • Rapid breathing
  • Difficulty breathing

If you experience any of these symptoms, it is important to seek medical attention right away. Your doctor will be able to diagnose and treat your condition.

Take the Pleurisy Assessment

Causes

Infections

One of the most common causes of pleurisy is an infection. This can be caused by a variety of bacteria, viruses, and fungi. Common infections that can cause pleurisy include pneumonia, tuberculosis, and HIV. Other infections that can cause pleurisy include Legionnaires' disease, fungal infections, and certain types of parasites.

Autoimmune Diseases

Autoimmune diseases, such as lupus and rheumatoid arthritis, can also cause pleurisy. In these cases, the body's immune system mistakenly attacks the pleura, causing inflammation and pain.

Trauma

Trauma to the chest can also cause pleurisy. This can include blunt force trauma, such as a car accident, or penetrating trauma, such as a gunshot wound. In these cases, the pleura can become inflamed and painful.

Cancer

Cancer can also cause pleurisy. This is usually due to the spread of cancer cells to the pleura. In these cases, the pleura can become inflamed and painful.

Other Causes

Other causes of pleurisy include certain medications, such as chemotherapy drugs, and environmental factors, such as asbestos exposure. In some cases, the cause of pleurisy is unknown.

Conclusion

Pleurisy is an inflammation of the pleura, the thin membrane that lines the chest cavity and surrounds the lungs. It can be caused by a variety of factors, including infections, autoimmune diseases, trauma, cancer, and certain medications. In some cases, the cause of pleurisy is unknown.

Getting a Diagnosis

Physical Exam

The first step in diagnosing pleurisy is a physical exam. During the exam, the doctor will listen to the patient's lungs with a stethoscope. They may also feel the chest wall for tenderness or swelling. The doctor may also ask the patient to take a deep breath and hold it, as this can help to identify any areas of pain.

Imaging Tests

Imaging tests such as X-rays, CT scans, and ultrasounds can be used to diagnose pleurisy. These tests can help to identify any fluid buildup in the chest cavity, as well as any areas of inflammation or infection. They can also help to rule out other conditions that may be causing the symptoms.

Blood Tests

Blood tests can be used to diagnose pleurisy. These tests can help to identify any underlying infections that may be causing the pleurisy. They can also help to rule out other conditions that may be causing the symptoms.

Pleural Fluid Analysis

In some cases, a doctor may need to take a sample of the pleural fluid to analyze. This can help to identify any infections or other conditions that may be causing the pleurisy. The sample can also be used to determine the best course of treatment.

Conclusion

Diagnosing pleurisy can be difficult, as the symptoms can be similar to other respiratory illnesses. However, there are several tests that can be used to diagnose pleurisy, including physical exams, imaging tests, blood tests, and pleural fluid analysis. If you think you may have pleurisy, it is important to see your doctor for a proper diagnosis and treatment.

Questions for Your Doctor

Symptoms

Describe your symptoms to your doctor in as much detail as possible. This includes any chest pain, difficulty breathing, coughing, fever, chills, or other symptoms you may be experiencing. Be sure to mention if the pain is worse when you take a deep breath or cough.

Medical History

Your doctor will want to know your medical history, including any recent illnesses or infections, any medications you are taking, and any allergies you may have. It is also important to tell your doctor if you have had any recent surgeries or if you have a history of lung or heart problems.

Diagnosis

Your doctor may order tests to diagnose pleurisy, such as a chest X-ray, CT scan, or blood tests. Be sure to ask your doctor about the results of these tests and what they mean for your diagnosis and treatment.

Treatment

Your doctor may prescribe medications to reduce inflammation and pain, such as ibuprofen or corticosteroids. In some cases, your doctor may recommend surgery to remove fluid from the chest cavity. Be sure to ask your doctor about the risks and benefits of any treatment options.

Follow-up Care

Your doctor may recommend follow-up care to monitor your condition. This may include regular check-ups, X-rays, or other tests. Be sure to ask your doctor about any follow-up care that is recommended.

Treatment

Medications

Medications are often used to treat pleurisy. These may include antibiotics to treat bacterial infections, antiviral medications to treat viral infections, and anti-inflammatory medications to reduce inflammation. In some cases, corticosteroids may be prescribed to reduce inflammation and pain. Pain medications may also be prescribed to help relieve discomfort.

Lifestyle Changes

Making lifestyle changes can help reduce the symptoms of pleurisy. These may include avoiding activities that cause pain, such as deep breathing or coughing, and avoiding smoking. It is also important to get plenty of rest and to drink plenty of fluids. In some cases, a doctor may recommend physical therapy to help strengthen the muscles around the chest wall.

Surgery

In some cases, surgery may be necessary to treat pleurisy. This may include draining fluid from the chest cavity, removing a portion of the pleura, or removing a tumor. Surgery is usually only recommended if other treatments have not been successful.

Drugs & Medications

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used to reduce inflammation and pain associated with pleurisy. These medications work by blocking the production of certain chemicals in the body that cause inflammation. Common NSAIDs used to treat pleurisy include ibuprofen, naproxen, and aspirin. These medications can be taken orally or applied topically as a cream or ointment.

Corticosteroids

Corticosteroids are powerful anti-inflammatory medications that can be used to reduce inflammation and pain associated with pleurisy. These medications work by suppressing the immune system and reducing inflammation. Common corticosteroids used to treat pleurisy include prednisone and methylprednisolone. These medications can be taken orally or injected directly into the affected area.

Antibiotics

Antibiotics are medications used to treat bacterial infections. If pleurisy is caused by a bacterial infection, antibiotics may be prescribed to treat the infection. Common antibiotics used to treat pleurisy include amoxicillin, ciprofloxacin, and doxycycline. These medications can be taken orally or injected directly into the affected area.

Pain Relievers

Pain relievers can be used to reduce pain associated with pleurisy. Common pain relievers used to treat pleurisy include acetaminophen and opioids. These medications can be taken orally or injected directly into the affected area.

Conclusion

Pleurisy is an inflammation of the pleura, the thin membrane that lines the chest cavity and surrounds the lungs. Treatment for pleurisy depends on the underlying cause, but may include medications to reduce inflammation, pain, and fever, as well as antibiotics to treat any underlying infection. Common medications used to treat pleurisy include non-steroidal anti-inflammatory drugs (NSAIDs), corticosteroids, antibiotics, and pain relievers.

Diet

What to Eat

A diet for pleurisy should include plenty of anti-inflammatory foods. These include:

  • Fruits and vegetables, especially dark leafy greens, berries, and citrus fruits
  • Whole grains, such as oats, quinoa, and brown rice
  • Healthy fats, such as olive oil, avocados, and nuts
  • Lean proteins, such as fish, chicken, and beans
  • Herbs and spices, such as turmeric, ginger, and garlic

What to Avoid

Certain foods can increase inflammation and should be avoided. These include:

  • Refined carbohydrates, such as white bread and pasta
  • Processed meats, such as hot dogs and deli meats
  • Fried foods, such as French fries and potato chips
  • Sugary drinks, such as soda and energy drinks
  • Trans fats, such as margarine and shortening

Conclusion

Eating a healthy diet can help reduce inflammation and support overall health. People with pleurisy should focus on eating plenty of anti-inflammatory foods, such as fruits and vegetables, whole grains, healthy fats, lean proteins, and herbs and spices. They should also avoid foods that can increase inflammation, such as refined carbohydrates, processed meats, fried foods, sugary drinks, and trans fats.

Lifestyle

Get Plenty of Rest

Getting plenty of rest is essential for managing pleurisy. When you rest, your body has the opportunity to heal and recover. Aim to get at least 8 hours of sleep each night and take naps during the day if needed. Avoid activities that require physical exertion, such as running or lifting heavy objects.

Eat a Healthy Diet

Eating a healthy diet can help reduce inflammation and boost your immune system. Focus on eating plenty of fruits, vegetables, whole grains, and lean proteins. Avoid processed foods, sugar, and saturated fats, as these can worsen inflammation. Additionally, make sure to stay hydrated by drinking plenty of water throughout the day.

Manage Stress

Stress can worsen inflammation and make your symptoms worse. Try to find ways to manage your stress, such as yoga, meditation, or deep breathing exercises. Additionally, make sure to take breaks throughout the day and get plenty of rest.

Avoid Smoking

Smoking can worsen inflammation and make your symptoms worse. If you smoke, it is important to quit as soon as possible. Talk to your doctor about ways to quit smoking, such as nicotine replacement therapy or medications.

See Your Doctor Regularly

It is important to see your doctor regularly to monitor your condition and make sure your symptoms are under control. Your doctor may recommend medications or other treatments to help manage your symptoms. Additionally, your doctor can provide advice on lifestyle changes that may help reduce your symptoms.