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Chest pain when I breathe
Have a fever
Shortness of breath
The chills
Fatigued
Hurts to breathe
My body is hot
Not seeing your symptoms? No worries!
Inflammation of the outer lining of the lungs. Causes include infections, cancer, and autoimmune disease (body's immune system attacking itself).
Your doctor may ask these questions to check for this disease:
Treatment depends on the cause. Bacterial infections should be treated with antibiotics. Anti-inflammatory drugs can be given to relieve pain and speed up healing.
Reviewed By:
Scott Nass, MD, MPA, FAAFP, AAHIVS (Primary Care)
Dr. Nass received dual medical degrees from the David Geffen School of Medicine at UCLA and Charles R. Drew University in Medicine and Science. He completed Family Medicine residency at Ventura County Medical Center with subsequent fellowships at Ventura, University of North Carolina-Chapel Hill, George Washington University, and University of California-Irvine. He holds faculty appointments at Keck School of Medicine of USC, Loma Linda University School of Medicine, and Western University of Health Sciences.
Eisaku Kamakura, MD (Pulmonology)
Dr. Kamakura graduated from the Tokyo Medical and Dental University, School of Dentistry, and the Niigata University School of Medicine. He trained at Yokosuka Kyosai Hospital and held positions in the Respiratory Medicine departments at Yokosuka Kyosai Hospital, Tokyo Medical and Dental University, Ome City General Hospital, and Musashino Red Cross Hospital. In 2021, he became the specially appointed assistant professor at the Department of General Medicine, Niigata University School of Medicine.
Content updated on Mar 31, 2024
Following the Medical Content Editorial Policy
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Q.
Sharp Pain Under Your Left Rib When You Breathe? It’s Likely Not Your Heart—It’s This.
A.
Sharp left under rib pain that worsens when you breathe is usually pleuritic pain or rib inflammation, not your heart, often after a recent infection, coughing, or physical strain. There are several factors to consider. See below for the red flags that need urgent care, how doctors evaluate this, and simple treatments that may guide your next steps.
References:
* Stochkendahl MJ, Kjaer P, Vach W, et al. Costochondritis: A narrative review of diagnosis and treatment. BMJ Open Sport Exerc Med. 2021 May 26;7(2):e001046. doi: 10.1136/bmjsem-2020-001046. PMID: 34104523; PMCID: PMC8168233.
* Truesdale A, Garcia A, Moye L, et al. Noncardiac chest pain: a review for the practicing clinician. J Thorac Dis. 2020 Mar;12(3):1219-1225. doi: 10.21037/jtd.2019.10.45. PMID: 32273934; PMCID: PMC7150550.
* Stubbs DJ. Chest Wall Pain: Causes, Evaluation, and Treatment. Am J Med. 2022 Jul;135(7):e258-e263. doi: 10.1016/j.amjmed.2022.01.036. Epub 2022 Mar 22. PMID: 35339678.
* Fanaroff AC, Calvello EJ, Giardina P, et al. Clinical Approach to Acute Chest Pain. Am J Cardiol. 2023 Jan 1;186:149-160. doi: 10.1016/j.amjcard.2022.10.038. Epub 2022 Nov 3. PMID: 36343949.
* Sahn SA. Clinical Approach to Pleural Disease. Ann Am Thorac Soc. 2017 Jul;14(7):1160-1168. doi: 10.1513/AnnalsATS.201701-057FR. PMID: 28678601.
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Ubie’s symptom checker demonstrated a Top-10 hit accuracy of 71.6%, surpassing the performance of several leading symptom checkers in the market, which averaged around 60% accuracy in similar assessments.
Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1Kass SM, Williams PM, Reamy BV. Pleurisy. Am Fam Physician. 2007 May 1;75(9):1357-64. PMID: 17508531.
https://www.aafp.org/pubs/afp/issues/2007/0501/p1357.htmlBliven ML, Otterness IG. Carrageenan pleurisy. Methods Enzymol. 1988;162:334-9. doi: 10.1016/0076-6879(88)62088-x. PMID: 3226314.
https://www.sciencedirect.com/science/article/abs/pii/007668798862088X?via%3Dihub