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Pleurisy, chest pain, pain in arm and breast, have tachycardia. What can this be?

Hi I was diagnosed with pleurisy two days ago. My breathing has hugely improved with steroids but my chest pain has settled on my left side. Upper around and behind my breast (but not actual breast). It s very painful if knocked and a constant ache. I m also experiencens down my left arm when left side is pressed. I m taking amoxcillin and codeine but pain is worrying me due to position plus headaches. I also suffer from postural orthostatic tachycardia syndrome so blood pressure and heartrate keep flucuating. I also started my period 8 days early one week prior to this happening. Very unusual for me. I had eurothomycin 4 weeks ago and had virus symptoms for over 2 months. Lots of other widespread symptons. What can this be...or is it just pleurisy?
Mon, 22 Oct 2012
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Pulmonologist 's  Response
You seem to be suffering from a respiratory tract infection. If you have been diagnosed with pleurisy, it is most likely pneumonia. I hope basic investigations like a routine blood test and a x ray chest has been done. You should take a proper course of antibiotics rather than steroids for proper cure. You may take some pain killer for the pain. Be under supervision of your doctor. Once underlying infection is controlled. the pain will subside.
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Pulmonologist Dr. Arnab Maji's  Response
Thanks for your query
Pleurisy in most of the cases are due to infection like pneumonia, TB. Malignancy, connective tissue disoreder may sometimes cause it. Its very urgent to have a chest x-ray if not done yet. If chest x-ray is suggestive or inconclusive an HRCT scan thorax should be done. You may have non-steroidal anti-inflammatory drugs (NSAIDS) for pain relief and these are the drugs of choice for dry pleurisy. If pleural effusion develops then therapeutic as well as diagnostic pleural fluid aspiration is to be done. Consult a pulmonologist and get yourself examined and go for the investigations to find out the etiology.
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