Have severe chest pain. Suffer from pleurisy. Have itching on tongue and palms. What should I do?
Thanks for your query,
Pleuritic chest pain usually is sharp severe with catches on maneuvers like deep inhalation, coughing, sneezing etc. Usually it signifies infection.
For rheumatic pleuritis, patients are usually male, it precedes the arthritis, commonly found in sero-positive disease and it readily responds to steroid. So your doctor are right in questioning the diagnosis.
At this juncture, if your chest x-rays shows evidence of fluid, get it aspirated under ultrasound guidance and subject it to routine microscopy, biochemical examination, ADA, gram's stain, AFB stain, culture, amylase. If your x-ray do not show any evidence of fluid you can go direct for ultrasound chest or else CT scan chest.
In the meantime you can take some analgesiscs like paracetamol or ibuprofen along with antibiotics like cefixime and azithromycin.
Since the pain is on left side, it will be better to go for electrocardiography (ECG), just to rule out anginal pain, though seems less likely.
Thanks and Best wishes
With a family history of breast cancer, it becomes mandatory to go for self breast examination. And if any sort of lump in breast or axilla is detected, doctor must be consulted. To rule out, at this time, you may go for mammography of your both breast, which is easily available with the radiologists.
Bed soaking night sweats can be due to any chronic disease, most commonly tuberculosis, which can be diagnosed on x-ray and pleural fluid examination as stated before.
If fluid is detected on x-ray and aspirated, get it sent for malignant cytology also.
The User accepted the expert's answer
Get personalised answers from verified doctor in minutes across 80+ specialties
- Severe chest pain and shortness of breath
- Diagnosis of severe chest pain
- Severe chest pain after pregnancy
- Having severe chest pain should i be concerned
- Severe chest pain causes
- What causes severe chest pain after eating
- Severe chest pain during conjunctivitis
- Severe chest pain during crying
- Symptoms of severe chest pain
- What causes moderate to severe chest pains