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Question:


After getting a chest infection in January then another in February resulting to pleurisy I had a chest infection on the 27 February which detected a mild left hilar after months of feeling unwell and keep having allergy attacks I had a second x-ray which shows a slight progression.

What should I do?

Toni

Answer:

Dear Toni,

Each lung is completely surrounded by two thin layers of lining called the pleura and is subdivided into smaller parts, called lobes.

If the lining of the lung becomes infected, pleurisy has occurred.

Pleurisy is an infection of the lung.

Hilar adenopathy is another way of saying the lymph nodes in the upper middle area of the lungs near the heart are larger than usual.

It may be helpful to compare your CT scan with your past chest x-rays.

A thorough history and physical examination should be performed to diagnose or exclude life-threatening causes of pleuritic pain before making a diagnosis of pleurisy.

Pulmonary embolism is the most frequently observed life-threatening cause of pleuritic chest pain, and it should be considered in all patients with pleuritic pain. Evaluation should include validated clinical decision rules, D-dimer testing, and imaging studies as needed.

Patients with pleuritic pain should undergo chest radiography to diagnose or rule out underlying pneumonia.

NSAIDs should be prescribed for pleuritic pain.

Pleurisy is inflammation of the parietal pleura that typically results in characteristic pleuritic pain and has a variety of possible causes.

Pleurisy t may be secondary to a variety of disease states, both benign and more threatening.
NSAIDs are the mainstay of pleurisy treatment. Narcotics may be used for additional pain control.

The pain of pleurisy is usually treated with analgesic and anti-inflammatory drugs, such as acetaminophen , ibuprofen, and indomethacin.

Alternative treatments can be used in conjunction with conventional treatment to help heal pleurisy.

Acupuncture and botanical medicines are alternative approaches for alleviating pleural pain and breathing problems.

Once the underlying cause of your pleurisy is identified, your doctor will take steps to treat it.

Your doctor may administer antibiotics for an infection. In addition to this, your doctor may prescribe
anti-inflammatory drugs or pain medicines, such as aspirin, to remedy the inflammation. Sometimes, a
codeine-based cough syrup will be prescribed to control a painful cough.

In the case of pleural effusion, your doctor will direct treatment towards the underlying cause of the fluid.
If the pleural fluid is infected or the amount is excessive, the doctor may drain it through a tube inserted in your chest, a procedure that requires hospitalization.


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