Pleuritis is inflammation that occurs on the inside pleura.
This disease is often called pleurisy. This is because the pleura itself is a membrane attached to the lungs and ribs whose function is to separate these two organs. Both pleura membranes are equipped with a layer of fluid that helps reduce friction when we breathe. When inflammation occurs, the fluid layer will become sticky and the surface of the pleural membrane becomes rough, so that a feeling of pain will arise when the sufferer breathes. Symptoms of pleurisy need to be recognized early, in order to avoid unwanted complications.
Pleuritis or pleurisy occurs due to inflammation of the two layers of the pleura due to certain infections that attack this part.
In this case, the pleura serves to protect the lungs and reduce the occurrence of friction between the two parts when the lung expands during the breathing process. The two parts of the layer are the layers visceral pleura while the other layers are known as parietal pleura which forms a layer to cover the inner wall of the chest. Fluid from the pleura will lubricate the two parts of this layer.
Accumulation of effusions from the pleura is often closely related to pleurisy. This is due to excess fluid in the pleural cavity, also known as water around the lungs. This condition will be able to indicate underlying lung disease as well pneumonia, influenza or flu and even tuberculosis. Symptoms of pleurisy can also be seen in people who suffer from the disease asbestosis, rheumatism and much more.
Symptoms of Pleuritis
Although pleurisy can affect people of all ages, this condition will be more susceptible to attacking elderly people aged 65 years and over. Someone in this age group will be more susceptible to chest infections.
So, for this reason, looking at the signs or characteristics of pleurisy is important and is an early stage to help avoid complications that occur. Symptoms of this disease are generally further classified as early stage and severe stage, depending on the intensity of the condition itself. To find out what the symptoms of pleurisy are like, let’s look at them below.
Symptoms in the Early Stages:
- Chest pain. This condition is one of the signs that can characterize pleurisy that attacks a person. The pain you feel may occur when the sufferer tries to take a deep breath. This painful condition is generally preceded by a burning sensation or pain in the lung before a breath appears.
- Dry cough. The next condition that the sufferer will experience is a dry cough followed by shortness of breath. A similar cough, sometimes accompanied by phlegm or bleeding.
- Fever. This condition will follow some of the conditions that have been felt above. Fever is usually accompanied by reduced appetite, weight loss and chills.
Those are some of the symptoms that appear as signs in the early stages. To find out the signs or symptoms at a more severe stage, see below.
Symptoms of Pleuritis At More Severe Stages:
- The appearance of feeling easily tired
- Shortness of chest followed by pain
- High fever and lasts a long time
- Heart rate that beats faster than normal.
After knowing some of the symptoms above, it is very important for the sufferer to immediately contact the doctor to have his condition checked further. Examination by a doctor will certainly produce the right diagnosis so that faster treatment can be obtained immediately, especially if the sufferer has started experiencing excessive pain and feels nauseous or has a cough with blood.
What Is The Cause Of Pleuritis
The main cause of pleurisy is the result of a viral infection from a disease that has been suffered before. Which this disease will spread to the pleura or the membrane that separates the lungs with the ribs.
As for some viruses that can cause this condition to occur, including the influenza virus as the cause of flu, parainfluenza virus as the cause of screw pain in child and also viruses Epstein-Barr namely the virus that triggers glandular fever.
However, apart from exposure to viruses, bacteria can also attack the pleura and cause that part to experience inflammation or inflammation, one of the bacteria that can cause this inflammation is bacteria. streptococcus.
Please note, this bacteria is also one of the causes of other lung diseases, namely pneumonia or pneumonia. However, in addition to these several diseases, the same bacteria are also the cause of cellulitis and impetigo. Apart from type bacteria streptococcus, bacteria staphylococci which is commonly found in cases of sepsis, skin infections and also food poisoning is one of the bacteria that can also trigger pleurisy in the sufferer.
Not only that, pleurisy or pleurisy is often caused by complications of a condition, such as weakening of the immune system due to HIV and AIDS. Or even in the opposite condition, namely when there is an increase in antibody production that occurs uncontrollably so that this condition attacks healthy tissues in the body. In this case, sufferers who experience this condition can be found in people with lupus and other diseases, namely rheumatoid arthritis.
Pleuritis that occurs as a result of complications can also occur in some cases, such as:
- Side effects of radiotherapy or chemotherapy treatment.
- Lung cancer.
- Injury to the rib that hits the pleura due to impact.
- Sickle cell anemia.
- Blood clots in the lungs or pulmonary embolic disease.
- Diagnosis of Pleuritis
Because the onset of pleurisy is based on other conditions in the body, the diagnosis made by doctors is generally aimed at finding out the source of the disease, and is used so that the medical team can provide the right treatment.
The several types of diagnoses carried out include:
- Blood tests are performed to see if there is any infection or interference with the patient’s immune system.
- Biopsy to examine pleural samples.
- Scans of several tests are carried out that aim to see the condition of the lungs through the resulting images, for example, such as determining whether there is a blood clot in the lung organs that triggers pain or whether fluid buildup refers to complications of pleural effusion. The scanning tools used to determine this condition include CT scans, X-rays and ultrasound.
Pleurisy treatment will generally be adjusted to the underlying condition. If it turns out, the cause is a viral infection, then drugs are usually not needed to treat this disease. Because basically pleurisy will heal by itself in a few days on condition that the sufferer must get adequate rest at home. However, if pleurisy is apparently caused by bacteria, then further treatment will be recommended to the sufferer.
This is a comprehensive explanation of pleurisy. Hopefully the above explanation can add to your insight and be useful for all of us.