Pleurisy is an inflammation of the pleura, the double-layered membrane that surrounds each lung and the rib cage. The double-layered pleura protects and lubricates the surface of the lungs as they inflate and deflate within the rib cage. Healthy pleura have a thin, fluid-filled space between the two layers that lets them glide gently across each other. When they become inflamed, the diseased surfaces rub painfully together. This causes a characteristic sound called “friction rub.”
Pleurisy cases are defined as having pleural effusion or as being dry. Pleural effusion, an accumulation of fluid in the pleural space, is more common, and is essentially a side effect of numerous diseases or trauma. Dry pleurisy refers to cases where there is no fluid build-up. Pleural effusion is less painful due to the fluid forcing some separation of the membranes. However, the fluid puts pressure on the lungs which can lead to respiratory distress and even lung collapse.
Pleurisy is a potentially serious condition that can have long-term effects. The sooner you seek medical care, the more favorable the outcome. Contact your doctor if you think you may have pleurisy.
Pleura of the Lungs
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The following factors increase your chance of developing pleurisy. If you have any of these risk factors, tell your doctor:
- Infection, injury, or tumor
An underlying lung condition, such as pneumonia, tuberculosis, lung abscesses, or
These are the most common causes, however, pleurisy can occur spontaneously.
Talk with your doctor about the best treatment plan for you. Treatment options include the following:
Analgesics and anti-inflammatory drugs, such as acetaminophen, ibuprofen, and indomethacin, are used to treat the pain. Some patients can reduce their pain by lying on the painful side, holding a pillow tightly, or wrapping chest with elastic bandages. The physician may prescribe codeine-based cough syrup to treat a painful cough.
Treating the Source of Infection
If pleurisy is the result of a bacterial infection, the physician can prescribe antibiotics. If it is the result of a viral infection, treatment is simply letting it run its course.
If the cause is due to an autoimmune disease such as
steroid treatment will quickly relieve pain.
If you are diagnosed with pleurisy, follow your doctor's