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Types

Pleurisy (Pleuritis)

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Illustration of the chest showing position of the lungs and pleura.

You have pleurisy. This means the lining around your lungs and chest is inflamed or irritated. This usually happens when you have a buildup of fluid between the layers of the pleura. The pleura lines the lungs and the inside of your chest. This lining helps you breathe easier.

Pleurisy is most often caused by a viral or bacterial infection such as tuberculosis or pneumonia. It can be caused by other conditions. It usually lasts up to 14 days depending on the cause. Pleurisy may cause sharp pain with deep breathing, coughing, sneezing, or movement. You can have shortness of breath.

You may be given antiviral medicines if a virus is causing the pleurisy. For a bacterial infection, you will be given antibiotics. Your healthcare provider may prescribe other types of medicine to help treat pleurisy. Take your medicines as prescribed.


Home care

The following tips will help you care for your condition at home:

  • Rest at home for the first 2 to 3 days if symptoms are severe. Don't let yourself get too tired when you resume activity. Ask your healthcare provider when you can go back to normal activities.

  • Don't smoke. Stay away from secondhand smoke.

  • Your healthcare provider will tell you which over-the-counter medicines to use to control pain. Talk with your provider before using other pain medicines if you have chronic liver or kidney disease or have ever had a stomach ulcer or digestive bleeding. Also talk to your provider if you are taking medicine to prevent blood clots.

Never give aspirin to anyone younger than 18 who is ill with a viral infection or fever. It may cause severe liver or brain damage, or even death.


Follow-up care

Follow up with your healthcare provider, or as advised.


When to seek medical advice

Call your healthcare provider right away if any of these occur:

  • Fever of 100.4ºF (38ºC) or higher , or as directed by your healthcare provider

  • Coughing up lots of colored sputum (mucus) or light, blood-tinged sputum

  • Redness, pain, or swelling of the leg

  • New symptoms develop


Call 911

Call 911 if any of these occur:

  • Increasing shortness of breath

  • Increasing chest pain, or pain that spreads to the neck, arm, or back

  • Coughing up blood

  • Confusion or dizziness

  • Lips or skin looks blue, purple or gray in color

© 2000-2025 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

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