Understanding Pleurisy

A Guide to Pleural Inflammation and Its Treatment

Internal Medicine

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Last updated: Mar 24, 2025

What is Pleurisy?

Pleurisy, also known as pleuritis, is an inflammation of the pleura - the thin, double-layered membrane that surrounds your lungs and lines the inside of your chest cavity.

Key Symptoms

  • Sharp chest pain that worsens with breathing
  • Pain that intensifies with coughing or sneezing
  • Shortness of breath
  • Shallow breathing (to avoid pain)
  • Localized tenderness in the chest area

Common Causes

Infectious Causes:

  • Viral infections (most common)
  • Bacterial pneumonia
  • Tuberculosis

Non-infectious Causes:

  • Autoimmune conditions (like lupus or rheumatoid arthritis)
  • Pulmonary embolism
  • Pneumothorax
  • Chest trauma
  • Certain medications

Diagnosis

Your healthcare provider may use several methods to diagnose pleurisy:

  • Physical examination
  • Chest X-ray
  • CT scan
  • Blood tests
  • Ultrasound
  • Pleural fluid analysis (if fluid is present)

Treatment Options

Primary Treatment

  • Treating the underlying cause
  • Pain management with NSAIDs
  • Rest and limited activity

Additional Measures

  • Prescription medications when needed
  • Physical therapy in some cases
  • Breathing exercises

When to Seek Medical Care

Seek immediate medical attention if you experience:

  • Severe chest pain
  • Difficulty breathing
  • High fever
  • Coughing up blood

Prevention

  • Prompt treatment of respiratory infections
  • Regular vaccinations
  • Smoking cessation
  • Management of underlying conditions

Recovery

Recovery time varies depending on the underlying cause but typically ranges from a few days to several weeks. Following your healthcare provider's treatment plan is essential for optimal recovery.

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