When you have pleurisy, the normally smooth surfaces lining the lung (the pleura) become rough. They rub together with each breath. This results in a rough, grating sound called a friction rub. Your health care provider can hear this sound with the stethoscope.
Removal of pleural fluid with a needle (thoracentesis) for analysis
Treatment depends on the cause of the pleurisy. Bacterial infections are treated with antibiotics. Surgery may be needed to drain infected fluid from the lungs. Viral infections normally run their course without medicines.
Taking acetaminophen or ibuprofen can help reduce pain.
Recovery depends on the cause of the pleurisy.
Health problems that may develop from pleurisy include:
Fluid buildup between chest wall and lung
Complications from the original illness
When to Contact a Medical Professional
Call your provider if you have symptoms of pleurisy. If you have breathing difficulty or your skin turns blue, seek medical care right away.
Early treatment of bacterial respiratory infections can prevent pleurisy.
Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School; Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Boston, MA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.