Doctor insights on:
Pleuritic Chest Pain Differential
Many reason: consult: Can be due to heavy lifting (chest wall muscle pain). Pleuritic pain after a pulmonary virus. Smoke Inhalation. Gastric Reflux. Asthma. Also more serious: Inflamed heart lining. Small opening between heart chambers (PFO, ASD). Solution: Reflux: no food after dinner. Refrain heavy lifting. Asthma:need treatment. Heart problem must seek Consultation (PMD, Cardiology). ...Read more
Soreness/burning esp. With deep breath, left side ribs. Made worse by laying on side. Could it be pleuritic chest pain?
Pleuritic chest pain: Your described symptoms certainly sound like pleuritic pain ...Read more
If my lupus was in remissino (no inflammation present), would I still get muscle & pleuritic chest pain) tapering below 5mg? Is inflamm cause of pain?
No: If lupus is in remission you should not have symptoms of the disease and you should be able to taper off prednisone. It is very common to have Fibromyalgia with lupus. This may cause your chest pain and muscle pain. It requires a different treatment. Your rheumatologist can help you sort this out. ...Read more
Thickened very mild multiloculated right pleural effusion, not aspirable. Cause? I had high fever & pleuritic chest pain. I recovered with Amoxicillin.
Check with doctor: This doesn't sound like a "mild" problem. If you have recovered and your doctor has assured you all is well, it's probably true. But at one time it surely was a serious problem. Discuss with your doctor, especially whether repeat imaging (CT scan? MRI?) is recommended to assure things have cleared up completely and there is no sign of an underlying problem like TB or cancer. ...Read more
On prednisone taper below 6 mg, can withdrawal symptoms simply be mini flare up of my lupus symptoms (pleuritic chest pain, muscles aches, etc)or no?
Withdrawal from steroid treatment may take several "tries" before its successful! Don't be discouraged!
Hope this helps!
Dr Z ...Read more
Lupus & struggling w/prednisone drop from 6mg to 5.5 mg. Get pleuritic chest pain, muscles pain/stiffness, brain fog (mini flare or withdrawal sx)?
Alternate: If you need to come off the prednisone check with your specialist because some stay on a low dose everday for life to decrease symptoms you may start with 6 then next day 5.5 then 6 and alternate for a couple of weeks before decreasing to 5.5 alternating with 5 SOmeimtes though it still small even going 6 then 5 3/4 is possible to slowly decrease ...Read more
Have lupus. Struggling w/ prednisone taper below 5mg (head fog, pleuritic chest pain, body aches).MD said it's withdrawal symptoms & best to push thru sx. True?
What type of pleural effusion generally cause high fever, chill, pleuritic chest pain, leukocytosis (high neutrophil to lymphocyte ratio) & high CRP/ESR?
ANA 1:640, malar rash in sun, periodic leukopenia, pleuritic chest pain, photosens rashes, mouth sores, raynauds, muscle & joint pain;sed rate, C3, C4 normal?
Should I be concerned that I now have Pleural thickening as a result of a perforated esophagus and a 5 centimeter Abscess with pleuritic chest pain?
1 pos d dimer at 3600, chest pain, spitting blood, pleuritic pain but neg VQ scan, 2 neg ultrasounds and 3 more neg d dimers. Blood clot?
Constant chest pain: Well a knife in the chest for one thing, on the other hand there are lots of things which could do this from lung/pleural problems inside, through chest wall inflammation like costochondritis, thru esophageal problems.....lots of potential considerations, need to see a Doc to work through them.... ...Read more
Atypical...: Chest pain due to heart pain has certain features like substernal pain that radiates to the jaw and left arm, pain described as pressure-like, etc. Chest pain that does not have these classic features is called atypical chest pain. Atypical chest pain is less likely to be due to the heart but still could be so testing to rule out the heart may still be indicated, especially if no other source found ...Read more
Evaluate different c: Chest pain that is recurrent implies something that needs to worked up. Considerations include musculoskeletal pain, GI causes, stress/anxiety, cardiac, and pulmonary causes. Workup should focus on a good history of what provokes and what relieves the symptoms as well as their description and associated findings (like exercise tolerance, shortness of breath). A change in functional status etc. ...Read more
Multiple things: Could be a problem with skin, nerves, muscle, shoulder, lung, heart, or stomach. See your doctor for a more thorough history, physical exam and further evaluation. If you sleep on your stomach you could have a neck strain that radiates pain to the chest or arm. Get checked out just to make sure. ...Read more
Need more details...: This could be simple muscle strain or any number of other things, some of which could be serious. Pain is never normal--it is a warning signal and should be evaluated, especially if it persists. If you have accompanying shortness of breath, palpitations, or lightheadedness, do not continue to exercise and certainly see a physician ASAP. ...Read more
See a doctor now: Chest pain needs to be taken seriously. Even atypical chest pain can mean a blocked blood vessel in your heart and can have serious consequences. Other possible causes are Reflux, inflammation of the food pipe (oesophagitis), chest infection, a clot in your lung and so on. You need to see your doctor immediately ...Read more