How to treat pleurisy without effusion?

Written by Wang Chun Mei
Pulmonology
Updated on September 27, 2024
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Pleurisy is a very common type of inflammatory response of the pleura caused by pathogenic factors in clinical practice. In clinical settings, some patients may develop pleural effusion, while others may not. Therefore, the treatment for pleurisy without pleural effusion mainly involves symptomatic management with anti-tuberculosis drugs. Typically, the treatment with anti-tuberculosis drugs should follow a regimen that is early, combined, adequate, regular, and complete. For the treatment of such pleurisy patients, it is known that most cases are caused by infection with Mycobacterium tuberculosis. Therefore, when treating such patients, it is crucial to strictly follow the treatment regimen of anti-tuberculosis medications to effectively control the uncomfortable symptoms caused by pleurisy.

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Written by Yuan Qing
Pulmonology
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Is pleurisy calcification dangerous?

Pleural calcification generally poses no major danger. It is typically a result of incomplete treatment of pleuritis or prolonged illness that delays the disease management, causing the disease to progress and the pleura to develop adhesions, leading to the deposition of calcium salts on the pleura and resulting in calcification. Depending on the extent of this pleural calcification, if severe, it may affect lung expansion and thereby reduce respiratory function. However, most cases do not exhibit significant symptoms. Moreover, it does not greatly impact the patient's life or quality of life. Therefore, when such calcification is observed, it is generally recommended that the patient be advised to attend regular follow-up checks. It does not necessarily cause any special symptoms, so there is no need for concern.

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Written by Wang Chun Mei
Pulmonology
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How to treat pleurisy without effusion?

Pleurisy is a very common type of inflammatory response of the pleura caused by pathogenic factors in clinical practice. In clinical settings, some patients may develop pleural effusion, while others may not. Therefore, the treatment for pleurisy without pleural effusion mainly involves symptomatic management with anti-tuberculosis drugs. Typically, the treatment with anti-tuberculosis drugs should follow a regimen that is early, combined, adequate, regular, and complete. For the treatment of such pleurisy patients, it is known that most cases are caused by infection with Mycobacterium tuberculosis. Therefore, when treating such patients, it is crucial to strictly follow the treatment regimen of anti-tuberculosis medications to effectively control the uncomfortable symptoms caused by pleurisy.

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Written by Wang Chun Mei
Pulmonology
55sec home-news-image

Can pleurisy cause hemoptysis?

Pleurisy, this disease in clinical practice, does not cause symptomatic hemoptysis on its own. This is because pleurisy is mainly due to bacterial invasion into the pleural cavity causing inflammatory lesions. The pleural cavity is a sealed space, which, when inflamed, often causes symptoms such as fever, cough, chest tightness, shortness of breath, and breathing difficulties when there is a significant accumulation of fluid in the chest cavity. Generally, it does not cause hemoptysis. There is only one possibility, for example, intense irritative coughing in patients with pleurisy may rupture the capillaries in the bronchial walls. In this case, patients might experience varying degrees of coughing with blood, but this is not a direct clinical symptom caused by pleurisy itself.

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Written by Wang Chun Mei
Pulmonology
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Is pleurisy serious in young people?

Pleurisy, when it occurs in young people, is also relatively common in clinical settings. It is primarily caused by an invasion of the pleura by Mycobacterium tuberculosis, resulting in an inflammatory lesion. The symptoms manifested by these patients mainly include coughing, shortness of breath, chest tightness, chest pain, and in severe cases, respiratory difficulties. Tuberculous pleurisy is mostly seen in adolescents and children. If young people are diagnosed with pleurisy and receive timely and accurate diagnosis, along with systematic and effective treatment with anti-tuberculosis drugs, their condition can generally be effectively controlled. However, it is important to note that although young people have better resistance, they must strictly adhere to the treatment duration for anti-tuberculosis medication, which usually spans six to nine months to completely cure pleurisy.

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Written by Luo Peng
Thoracic Surgery
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What medicine to take for pleurisy

Regarding what medicine to take for pleurisy, it depends on the specific actual situation. If it is simple mild pleuritis without pleural effusion and only pain, generally, if the pain is not severe, medication may not be necessary. If the pain is severe, one can (under the guidance of a doctor) take oral pain relievers like ibuprofen or acetaminophen with codeine for symptomatic treatment. If there are symptoms such as fever, coughing up phlegm, pleural effusion, or even suspected tuberculous pleuritis, long-term oral anti-tuberculosis drugs are required for treatment. If tuberculosis cannot be confirmed and there are no significant symptoms, symptomatic treatment can be administered temporarily.