What Is Pleurisy?

Pleurisy, also known as pleuritis, is an inflammation of the membrane lining the chest wall and covering the lungs. It is caused by many different conditions and can be quite painful. Symptoms may include chest pain, shortness of breath, and a dry cough. Pleurisy can occur as a result of bacterial, viral and fungal infections, illnesses, or medical treatments such as chemotherapy and radiation.

Pleurisy occurs when the thin membrane that lines the chest cavity and separates the lungs from the chest walls becomes inflamed or irritated. As a result, the two layers of the membrane become stuck together and cause sharp chest pains whenever you take a breath. The chest pains may be so intense that it might be difficult to move.

Causes of Pleurisy

The most common cause of pleurisy is a viral infection. An infection from the flu, acute bronchitis, or the common cold can trigger the inflammation that leads to pleurisy. Other common causes of pleurisy include bacterial pneumonia and tuberculosis. Fungal infections and certain types of cancer can also cause pleurisy.

In some cases, pleurisy may be caused by a physical injury, such as after a car accident. This type of pleurisy is typically caused by an injury to the lining of the chest cavity, such as a broken rib, or to the lung itself. It can also be a complication of medical procedures, such as thoracentesis, in which excess fluid is drained from the pleural space.

It is also possible to develop pleurisy as a result of an autoimmune disease, such as rheumatoid arthritis or lupus. In some cases, pleurisy may be caused by long-term exposure to fumes or other irritating substances in the environment.

Treating Pleurisy

In most cases, pleurisy can be treated with rest and medications to reduce pain and inflammation. Mild cases of pleurisy can be treated with over-the-counter medications such as ibuprofen or acetaminophen. More severe cases may require stronger pain medications, such as corticosteroids or antibiotics. It is also important to make sure you are adequately hydrated by drinking plenty of fluids.

The treatment for pleurisy may also include treatments to address the underlying cause, such as antibiotics for a bacterial infection. In cases where pleurisy is caused by a physical injury, treatment may include physical therapy or other treatments to help reduce pain and swelling.

In some cases, pleurisy may require surgery. This is typically used for treatments that involve creating a gap between the two layers of pleural tissue. This procedure can help reduce pleural pain and enable the two layers of tissue to move more easily. Surgery may also be necessary to remove fluid or air that has built up in the pleural space.

Pleurisy can be uncomfortable and even painful. It’s important to be aware of the causes and treatments available and to get prompt medical attention if you experience chest pain or shortness of breath. By working with your doctor, you can find the best treatment plan to help ease your symptoms and get back to feeling better.