Symptoms of Pleurisy: What You Need to Know

Pleurisy is a condition where the lining of your lungs, known as the pleura, becomes inflamed. This inflammation can result in sharp chest pain, especially when you breathe in or cough. While it’s often caused by viral infections, other culprits can include bacterial infections, chest injuries, and certain underlying medical conditions like rheumatoid arthritis.

Symptoms of Pleurisy

The Telltale Sign: Sharp Chest Pain

The hallmark symptom of pleurisy is a sharp, stabbing chest pain that intensifies when you take a deep breath, cough, or sneeze. So, if you’re feeling a sudden, sharp pain in your chest area, especially when you’re breathing deeply, it could be a red flag for pleurisy. This pain can sometimes radiate to your shoulder or back as well.

Why Does It Hurt So Much?

In a healthy body, the pleura allows your lungs to move smoothly as you breathe. However, when the pleura becomes inflamed, the two layers rub against each other, causing friction. This friction is what triggers the sharp, stabbing pain you experience.

Other Accompanying Symptoms

Besides chest pain, you might also notice other symptoms that can occur alongside it. These can include:

Shortness of Breath

In people with pleurisy, breathing deeply or coughing can be a painful ordeal. Consequently, you might find yourself taking shallow breaths to avoid the pain, resulting in shortness of breath.


While not as common, a dry cough can also accompany the chest pain. Although coughing can make the chest pain worse, it’s your body’s natural response to irritation in the lungs.

Fever and Chills

In cases where pleurisy is caused by an infection, you might also experience fever and chills. Your body elevates its temperature as it fights off the invading bacteria or virus.

Uncommon Symptoms

While less frequent, you might also experience:


Your body is working overtime to combat the inflammation, which can drain your energy levels.

Rapid Heartbeat

Sometimes, the discomfort and pain can cause your heart to race. Although alarming, it’s usually a response to the stress your body is under.

When to Seek Medical Help

If you’re experiencing persistent chest pain along with other symptoms like shortness of breath or fever, it’s crucial to consult a healthcare provider promptly. Diagnostic tests such as X-rays or CT scans may be necessary to confirm the condition and rule out other potential causes.

Examples of Tests

Your doctor might perform a variety of tests to diagnose pleurisy, such as:

  • Chest X-ray: To view the lungs and check for inflammation.
  • Blood Tests: To check for signs of infection or other underlying conditions.
  • Pleural Fluid Analysis: To examine the fluid between the pleura, if present.

What Are the Treatments for Pleurisy?

The treatment for pleurisy typically targets the underlying cause. If a bacterial infection is the culprit, antibiotics are usually prescribed. For cases caused by viral infections, over-the-counter pain relievers and anti-inflammatory medications often help manage the symptoms. In more severe cases involving pleural effusion, a procedure to drain the fluid might be necessary. Additionally, lifestyle changes like quitting smoking can help alleviate symptoms and accelerate recovery.

Lifestyle Changes

In addition to medications, making lifestyle changes like quitting smoking can also alleviate symptoms and speed up recovery.

Alternative Therapies

Some people opt for alternative treatments, such as acupuncture or herbal remedies, although these are not universally proven to be effective.

Frequently Asked Questions

What Causes the Sharp Chest Pain in Pleurisy?

The root cause of the sharp, stabbing chest pain in pleurisy is the inflammation of the pleura, the lining surrounding your lungs. Normally, the two layers of pleura slide smoothly against each other as you breathe. When inflamed, these layers rub together, creating friction and thus causing pain. This discomfort often intensifies when you breathe deeply, cough, or even sneeze.

Can Pleurisy Be Dangerous?

While pleurisy itself is usually not life-threatening, it can be a sign of a more serious underlying issue, such as a lung infection or other lung conditions. If left untreated, complications can arise. For instance, the inflammation can cause fluid to build up between the layers of the pleura, leading to a condition known as pleural effusion. This can make breathing difficult and may require medical intervention to drain the fluid.

How Is Pleurisy Diagnosed?

If you suspect you have pleurisy, it’s essential to consult a healthcare provider for an accurate diagnosis. Generally, the diagnosis starts with a physical examination and a review of your medical history. You might undergo tests like a chest X-ray to view the condition of your lungs, blood tests to check for infections, and possibly a pleural fluid analysis to examine any fluid that may have accumulated between the pleura.

Can Lifestyle Changes Help Manage Pleurisy Symptoms?

Absolutely, lifestyle changes can play a significant role in managing pleurisy symptoms and speeding up the recovery process. Quitting smoking, for example, can reduce irritation and further inflammation of the pleura. Exercise, albeit light and under medical supervision, can also help improve lung function. Eating a balanced diet rich in anti-inflammatory foods like fruits, vegetables, and fish can also be beneficial in managing the symptoms.

Similar Posts