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Anyone had pleurisy? On way to a&e, so fed up

139 replies

worriedandfedup24 · 04/02/2024 18:24

I've had a viral infection for the best part of 3.5 weeks, awful hacking cough, coughing up green stuff, just generally feeling awful since the 2nd week of January. Earlier this week I started to get a horrible stabbing pain in my chest, just under my right breast, through my rib cage. It's markedly worse when coughing or breathing deeply, I'm having to take shallow breaths just to manage the pain. Coughing is reducing me to tears. I was seen by a GP on Wednesday who listened to my chest and said he could hear "crackling" on the side where the pain is and thought it was pleurisy. He said he could prescribe antibiotics just in case it was bacterial and not viral, but I decided I wanted to see how I got on first as I didn't want to take antibiotics unnecessarily. This weekend then pain has become significantly worse. I've never had a broken rib but I imagine this is close to what it might feel like. Every breath, movement and cough is agony. Rang 111 just now and they've advised going to A&E to be seen. I'm just wondering if there's anything at all they can do for pleurisy? Are there any treatments? Is it worth me sitting in A&E all night to be told to take paracetamol which I can do at home? The pain is unbearable and I can't go on like this. But also I'm not convinced they can do much for it.

Any experiences of this? Thanks.

OP posts:
worriedandfedup24 · 05/02/2024 15:39

My right arm feels sort of numb and tingly

OP posts:
whatsitcalledwhen · 05/02/2024 15:02

worriedandfedup24 · 05/02/2024 14:59

Pain is now spreading into my arm, is this normal???

I would be calling 111 to ask their advice or going back to A&E, it's not worth leaving it when you're in so much pain already.

You poor, poor thing what a horrible time you're having Flowers

worriedandfedup24 · 05/02/2024 14:59

Pain is now spreading into my arm, is this normal???

OP posts:
RosaMayBillinghurst · 05/02/2024 14:12

@worriedandfedup24

Fluids are - of course - the key bit.

Mentioned the supplements as you’d said you were having gastro side effects from the abx & often people pop up to suggest probiotics (understandable) but as they’ve now identified what’s likely to actually help (I won’t go into why) I thought I’d try to refine the info.

I was a baby when I had pneumonia + pleurisy so can’t remember it; but do remember the catchy-breath sensation mentioned by PPs as young toddler. Apparently not everyone is treated to that sequela, so hopefully you’ll just get better & be better.

Silvers11 · 05/02/2024 14:10

Glad you went to A & E @worriedandfedup24 If things don't start to improve, please get back to your GP or go to A & E again. I had Pleurisy, caused by Pneumonia which came on very quickly. Woke up with my arm feeling a bit sore and thought I'd slept on it badly. Got worse and worse all day and spread across my back and up into my jaw - and by 10pm at night I got my husband to take me to A & E.

They (and I ) initially thought I was having a heart attack, but I wasn't. I was in hospital for a week ( including 4 days in the HDU) with 2 lots of IV Antibiotics and IV fluids plus other things for the AF which my heart had developed because of the pneumonia ( which was in both my lungs).

The pain can be horrendous, but it should settle quickly now you are being treated. If not, as I say, please get further medical help. Even after I got home I needed another 2 rounds of antibiotics to fully clear the infection and it was several months before I felt 100% again

tealweasel · 05/02/2024 13:42

Sorry, OP, it's a brutal business. I had a horrendous chest infection in October - had two rounds of antibiotics plus steroids (asthmatic) and ended up with stabbing pains in my left hand ribs from coughing bad enough that I was given codeine to manage it. Ended up having an asthma attack and being sent to the hospital by the GP because my low oxygen levels plus pain in one side set off triggers on their system for a pulmonary embolism (although she said this was unlikely), so probably good move getting seen at A&E. Took a steroid shot plus another round of antibiotics to shift the worst of it but never 100% stopped coughing and have come down with another chest issue now. It seems to never end!

puddypud · 05/02/2024 13:24

worriedandfedup24 · 05/02/2024 12:43

@puddypud I hope your mum is ok x

Thank you. She has unfortunately passed away recently. I'm very glad you were able to receive treatment at hospital and it was a medical problem they were able to help you with. Please don't feel like you wasted anyone's time there. You used the A&E service entirely appropriately.

worriedandfedup24 · 05/02/2024 12:43

@puddypud I hope your mum is ok x

OP posts:
puddypud · 05/02/2024 12:18

This reply has been deleted

Message deleted by MNHQ. Here's a link to our Talk Guidelines.

Oh do shut the fuck up! My mother went to A&E after the exact same situation as the OP, several courses of antibiotics from a GP that did nothing. She ended up with a chest drain as it turned out to be stage 4 lung cancer with a massive pleural effusion. The GP wasn't able to diagnose that and some measly antibiotics wouldn't have helped a jot. ANYONE suffering chest pains should attend a&e immediately!

Rocknrollstar · 05/02/2024 12:17

I was diagnosed by GP. off work three weeks. It’s very miserable.

worriedandfedup24 · 05/02/2024 12:15

@Tilllly haha don't worry I'm drinking water not gin. I could not stomach alcohol even if I wanted it 😫

OP posts:
worriedandfedup24 · 05/02/2024 12:13

@Lunab18 oh that sounds exactly like me, I've been unwell with chest infection since 2nd week of January, awful cough and just feeling so rough, and the chest pain / pleurisy started. It's absolute hell isn't it. Sending huge sympathies and good wishes your way too! Flowers

OP posts:
Tilllly · 05/02/2024 12:08

Doesn't matter if you don't eat, keep drinking tho

(Water not gin!)

Lunab18 · 05/02/2024 12:05

OP you have my sympathy and a big virtual hug. I’ve been ill for 3 weeks with the most awful cough and chest infection, had a course of amoxicillin antibiotics firstly that did nothing. Then a weeks course of doxycycline antibiotics which helped the cough a little but then I started with the rib pain. I have cried in pain over the weekend, it’s stabbing under my breast and it’s impossible to sleep or lie down. I’m so so fed up and on my third week off work sick. Went back to the GP for the third time this morning and I have Pleurisy so have been given a more antibiotics - Clarithromycin plus Naproxen for the pain and Omeprazole to stop the upset stomach from the antibiotics and painkillers. Can you call your GP and ask for something to protect your stomach? Also ask for different painkillers if the Cocodamol aren’t helping.

I’m praying we both feel better soon x

MissIndecisive2023 · 05/02/2024 12:04

worriedandfedup24 · 05/02/2024 11:54

Thank you. I'm not really eating much at the moment anyway, just fluids and nibbling on toast / biscuits.

Make sure you eat when you are taking a dose of the doxycycline. It's very irritating to the stomach and likely to be better tolerated if you can eat before/whilst taking it.

acatcalledjohn · 05/02/2024 11:57

I've only read the OP comments.

Although I wish you a speedy recovery, I suggest next time you just graciously accept the prescription. That way if you need to fill it, even if just a few days later, you have it. If you don't need the prescription then you just shred the piece of paper.

It would have saved both you and the NHS precious time (and in your case discomfort, A&E deps have the worst chairs).

worriedandfedup24 · 05/02/2024 11:54

RosaMayBillinghurst · 05/02/2024 10:51

There’s lots of too & fro on the utility of taking probiotics while on antibiotics, but the combination of the yeast Sacharomyces boulardii & the bacteria Lactobacillus rhamnosus has been found to offer protection against the effects of [some] antibiotics. Probiotic foods are better than supplements, but chances of you being up to whipping up a quick batch of kimchi aren’t exactly high.

I hope you feel better soon OP.

Thank you. I'm not really eating much at the moment anyway, just fluids and nibbling on toast / biscuits.

OP posts:
worriedandfedup24 · 05/02/2024 11:53

@MeinKraft my friend has taken my dd for the afternoon so I can relax, so grateful for that.

@TraitorsGate for the endo I usually just take ibuprofen, paracetamol and buscopan,but tbh they don't do much for it. It literally only lasts 2-3 days when I first start my period and then I'm fine the rest of the month. But its significant pain for those few days. I'm on a waiting list for a laparoscopy (think that's the correct name?).

The codeine is taking the edge off the chest pain at the moment and is also making me feel quite relaxed so that's helping.

OP posts:
TraitorsGate · 05/02/2024 11:43

Not a great start to the week for you, poor thing. What painkillers do you normally take for your endo, is it worth trying to get stronger analgesia from your gp, can you tolerate non steroidal and oramorph with an anti sickness too.

MeinKraft · 05/02/2024 11:29

worriedandfedup24 · 05/02/2024 10:24

I'm also due on my period imminently and I also suffer with endometriosis, so I'm about to have the pain of endo to deal with, on top of a severe pain from the pleurisy and an upset stomach from the medication. Excellent combination 😭🙁

Ah all this is so difficult when you have a toddler to deal with, you have my sympathies. Don't feel guilty about sticking YouTube kids on and getting as much rest as you can Flowers

RosaMayBillinghurst · 05/02/2024 10:51

There’s lots of too & fro on the utility of taking probiotics while on antibiotics, but the combination of the yeast Sacharomyces boulardii & the bacteria Lactobacillus rhamnosus has been found to offer protection against the effects of [some] antibiotics. Probiotic foods are better than supplements, but chances of you being up to whipping up a quick batch of kimchi aren’t exactly high.

I hope you feel better soon OP.

worriedandfedup24 · 05/02/2024 10:38

urbanbuddha · 05/02/2024 08:06

OP is ill with a serious condition. None of us make our best decisions when we’re really unwell.

Thank you for this. I don't understand why people feel the need to make themselves feel better by kicking someone who's clearly having a shit time. So unpleasant.

OP posts:
worriedandfedup24 · 05/02/2024 10:30

@seascape124 no they didn't suggest a sample. I had bloods, ecg and chest x ray and then they prescribed the meds and sent me home.

OP posts:
worriedandfedup24 · 05/02/2024 10:24

I'm also due on my period imminently and I also suffer with endometriosis, so I'm about to have the pain of endo to deal with, on top of a severe pain from the pleurisy and an upset stomach from the medication. Excellent combination 😭🙁

OP posts:
reesewithoutaspoon · 05/02/2024 10:24

Hopefully, the AB's will kick in soon. pleural pain is horrible. I 'm wondering whether you would be better with something like diclofenac for the pain as it's also anti-inflammatory so it might ease the pleural pain caused by the inflammation. But you would need a GP prescription for that.
Are you ok with Ibuprofen as that's also a Nsaid, though not as potent as diclofenac?

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