Pleuritis
Question: what are the symptoms of Pleurisy? I have had pain in between my shoulder blades for some time now. I have been on an antibiotic, for upper respiratory/sinus infection, but to no avail. I feel like I should have an x-ray to confirm this.

Answer: Pleuritis occurs with any inflammation of the pleura. Inflammation can occur with any bacterial or viral infection of the Pleura or with mechanical damage (like an embolus). Most Pleuritis will require an x-ray to determine the potential causes. Treatment is usually non-steroidal antiinflammatories (like Motrin, Aleve, etc.) for 7-10 days.

Pleurisy
Question: What treatment do you prescribe for Pleurisy and how can you make this stop?

Answer: Pleurisy is inflammation of the lining of the lung called the pleura. This is a clear, almost “Saran Wrap” looking lining whose main purpose appears to ensure the lung moves without friction. It can be inflamed fairly easily causing pain with inspiration. The typical history is chest pain, worse with inspiration. Examination may show a pleural rub (which sounds like a low organ tone, or occasionally like walking in snow). Treatment aims at decreasing the inflammation with non-steroidal anti-inflammatories (Motrin, Aleve, etc.).

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