The first line of treatment for pleurisy is managing the underlying condition that caused it. If pleurisy is caused by a bacterial infection, then the doctor will prescribe antibiotics. If it’s caused by a viral infection, then antiviral medications will be prescribed. If pleurisy is caused by pulmonary embolism (blood clot in the lung), then medications to thin the blood will be administered.
Pain management is another part of pleurisy treatment. The pain can be severe and can make it difficult for an individual to breathe, cough, and move around. Painkillers such as ibuprofen, aspirin, and acetaminophen can help to relieve the pain. Other medications such as codeine or tramadol can be used in severe cases.
In some cases, pleural fluid accumulation (pleural effusion) may occur. This can put pressure on the lungs and make breathing difficult. To treat pleural effusion, the doctor may need to drain the fluid. A needle may be inserted into the chest to withdraw the fluid (thoracentesis). In some cases, a small tube may be left in place to allow for continued drainage (chest tube). The fluid may also need to be sent to the lab for testing to determine the underlying cause of the effusion.
If the underlying condition is not treatable or is taking a long time to resolve, then other treatment options may be explored. For example, corticosteroids can be used to reduce inflammation and improve breathing. Oxygen therapy may also be necessary in severe cases. Surgery may be necessary in cases where pleurisy is chronic or recurrent. Surgical procedures such as pleurodesis, in which a chemical is inserted into the pleural space to stick the layers together, may be performed.
Along with medical treatment, lifestyle changes can also help to manage pleurisy. If smoking was the cause of the condition, then the individual will need to stop smoking. Drinking plenty of fluids can help to keep the pleural lining moist, which can reduce pain and promote healing. Resting the affected area can also help to reduce pain and promote healing.
In conclusion, pleurisy can be a painful and debilitating condition. Treatment for pleurisy depends on the underlying cause and severity of the condition. Managing the underlying condition (if treatable) and managing pain are the primary goals of treatment. In severe cases, surgery may be necessary. Lifestyle changes such as stopping smoking, drinking plenty of fluids, and resting the affected area can also help to manage the condition. If you are experiencing symptoms of pleurisy, it’s important to seek medical attention as soon as possible. Early treatment can help to prevent complications and promote faster healing.