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).
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
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.
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
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 decreaseSee 1 more doctor answer
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.
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?
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.See 1 more doctor answer
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....
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
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.See 2 more doctor answers
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