The patient complains of sharp pain in the chest on inspiration , has a short], dry cough, with a moderately elevated temperature. On auscultation, friction sounds are heards. The disease is DRY PLEURISY.
The most noticeable symptom of dry pleurisy is pain, which is described as sharp, stabbing, stitch-like, or knife-like pain and gives that distinctive catch during inspiration. All other actions, such as laughing, yawning, and coughing, aggravate this pain. There is no breathlessness, but rather shortness of breath due to fear of pain.
Symptoms
When you breathe, you may experience a sharp, stabbing pain that may subside if you hold your breath or apply pressure to the painful area.
Depending on the condition that is causing the pleurisy, other symptoms could include fever, chills, and loss of appetite. However, the pain will frequently worsen when you sneeze, cough, or move.
Pleurisy additionally manifests as:
- your chest hurts on one side.
- discomfort in the back and shoulders
- to avoid feeling pain, breathe quickly
- headaches
- joint pain
- muscle aches
- shortness of breath
A fluid accumulation known as a pleural effusion, which is associated with pleurisy, can put pressure on the lungs and impair their ability to function. At first, the fluid may act as a cushion and make the chest pain go away.
As the fluid builds up, a person with a pleural effusion may eventually experience shortness of breath. Additionally, a person may experience fever, chills, and a dry cough, which may be signs of an infection, also known as an empyema, in the fluid.
Causes
Pleurisy is most frequently brought on by viral infections, which can result in lung infections and pleurisy.
Pleurisy may also result from the following:
- bacterial pneumonia
- bronchitis
- tuberculosis
- chest wounds
- rib fractures
- chest wall is bruised by a blow.
- chest or lung tumors
- Pulmonary emboli are blood clots that form in the lungs’ arteries.
- diseases of the immune system, like rheumatoid arthritis and systemic lupus
- sickle cell anemia
- heart surgery complications
- lung cancer
- lymphoma
- exposure to asbestos can result in the cancer mesothelioma.
- fungal or parasitic infections
Diagnosis
Your doctor will perform a physical examination, review your medical history, and possibly order one or more of the following tests in order to make a diagnosis of pleurisy, with the goal of pinpointing the exact location and origin of the inflammation or swelling.
Chest X-rays
Blood tests
Thoracentesis
CT scan
Ultrasound
Biopsy
Thoracoscop
HOMOEOPATHIC TREATMENT
Two pieces of non-elastic strapping should be applied at the end of expiration; the strap passes across the midline, in front and behind, for two inches. In the past, antiphlogestic poultices were used. The patient should stay in bed until the temperature drops. The pain in the chest can be relieved by strapping the patient’s chest to limit costal movements.
Aconium napellusis one of the most significant remedies. According to Jahr, the entire problem can be resolved like magic with aconitum nepellus 30C, given every two or three hours. It treats pleurisy that develops from exposure to cold or after a sudden suppression of perspiration with a distinct temperature and has its distinctive mental restlessness with fear and dry.
Bryonia albaBryonia alba invariably follows aconitum napellus when it has not finished acting or has failed to control the march of the disease. It causes a stitching pain in the chest, a dry, hacking cough from irritation of the upper trachea, worse at night, after eating or drinking, and requires the patient to sit up.
Ranunculus bulbosusis another treatment for a chest that feels sore and bruised from the sternum, ribs, and intercostal spaces, that is chilly when walking outside, that has acute stabbing pain in the chest, that has short, oppressed breaths, and that has a rapid heartbeat.
Kalium carboniumhas a dry, hacking cough that starts around three in the morning, along with stitching pain in the chest and sensitivity throughout the entire chest. unlike bryonia alba, which has pain in the chest that is dependent on respiration, kalium carbonicum does not.
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