A 25-year-old male asked:
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diagnosed with idiopat. pericarditis 4 months ago. still feel terrible. extreme fatigue and severe back and rib pain. what could be the causes? i'm 25

2 doctor answers
Dr. Sanober Butt
19 years experience Pulmonology
Rheumatologic : Depending on how much work up they did and then called it idiopathic pericarditis( which is by definition a diagnosis of exclusion) . You should ask if they ran all the rheumatologic work up including lupus, rheumatoid arthritis, sjogrens etc. You should consider seeing a rheumatologist if you have not seen one yet.
Answered on Jun 6, 2013
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4 thanks
Dr. Richard Humes
40 years experience Pediatric Cardiology
Might recur: You need to see someone about this for a more precise diagnosis. Sometimes pericarditis can have a long course of ups and downs. It usually does get better. Occasionally the preicardium can be damaged, and restrict heart function which might be an indication for surgical pericardiectomy.
Answered on Jul 10, 2015
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4 thanks

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Possibly: Ibuprofen is often not that effective for pericarditis especially in the relatively low dose you are taking. Speak with your doctor.
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Dr. Paul Grin answered
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Call 911 !!!: The best idea. Pain in your chest is a serious medical condition. It is always a red flag and you must call 911 now.
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