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Doctor insights on: Pleuritic Chest Pain Differential

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How can you describe pleuritic chest pain?

How can you describe pleuritic chest pain?

CP: Chest pain due to heart diasese is called cardiac chest pain. Causes are depicted in the cartoon. Signs and symptoms and treatment vary with the cause of chest pain.

Pleuritic chest pain worsens/occurs when you take a deep breath. Read more

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Dr. Gutti Rao
3,173 Doctors shared insights

Chest Pain (Definition)

The chest resides between the neck & abdomen. Chest pain refers to ...Read more


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Fever, pleuritic chest pain and malaise for 2 days?

Fever, pleuritic chest pain and malaise for 2 days?

M.D. visit: I would suggest keeping a log of your temperatures and taking ibuprofen if it is a medicine that you can take. Schedule a visit with your physician and keep well hydrated as well. An annual flu vaccination is suggested for most adults. Read more

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Can pleuritic chest pain be cured through use of NSAIDs and/or a rib belt?

Can pleuritic chest pain be cured through use of NSAIDs and/or a rib belt?

Pleuritic chest pain: Pleuritic pain will lessen with NSAIDs, these agents do not fix the underlying cause which must always be investigated an the index or first occurrence. Read more

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What is the most common cause of pleuritic chest pain? What should my doctor look for?

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

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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?

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

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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?

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?

Yes: Withdrawal from steroid treatment may take several "tries" before its successful! Don't be discouraged!

Hope this helps!
Dr Z Read more

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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)?

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

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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?

Rheumatologist: Prednisone dose of 5 mgs or less is a low dose and since you're having pleuritic pain and other discomfort, your lupus may not be controlled. A rheumatologist is best qualified to evaluate and treat you. Read more

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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?

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?

Malar rash: What you are reporting is not normal. Most of your problems could be caused by an autoimmune disease, most likely Lupus. You need to be seeing a doctor. Doctors who specialize in this type of disorder are Rhematologists. Read more

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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?

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?

Mgt: I would suggest cultures of the abscess fluid to include bacterial and TB tests. The thickening may be reactive scarring, but the fluid should be analyzed to guide further management. Read more

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What's the difference between pleural friction rub, pleuritic pain, pleuritis & pleural chest pain?

Similar: Rub is the sound we hear when a stethoscope is placed on the chest. This is due to the two surfaces of pleura rub against each other when lacking in normally occurring lubricant fluid. Pleuritic pain/ pleural chest pain is due to inflammation of pleura. Read more

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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?

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?

Sounds like: You need a CT scan of the chest and a bronchoscopy.

You certainly want to visit your lung specialist.

No reason to wait.

Good luck and all the best. Read more

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Chest pain over a month now?

Chest pain over a month now?

Chest pain: I don't know what your cardiac cath showed. If it showed no blockage the pain is most likely not angina. There are other things that cause chest pain. Even a bad gallbladder can do it. I would suggest returning to your doctor and letting them know you still have pain. Read more

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What can cause constant chest pain?

What can cause constant chest pain?

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

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What does atypical chest pain mean?

What does atypical chest pain mean?

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

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Can unsuitable bra cause chest pain?

Yes: This is possible...Try a better fitting one & see if symptoms resolve. Read more

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How do you treat frequent chest pain?

How do you treat frequent chest pain?

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

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What can I do to treat my chest pain?

STRETCH: Stretch it out slowly.. If this doesn't resolve the problem see your primary care provider. Read more