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Anthony Bray, MD
Anthony Bray, MD, Doctor
Category: Medical
Satisfied Customers: 10341
Experience:  14 years experience in the field of Family Practice
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My chest has been really heavy on and off for about two

Customer Question

My chest has been really heavy on and off for about two weeks. It's worse when I get up and walk and move around. I start getting extremely lightheaded. Went to the hospital a week ago and they did a CT scan and x chest xray and said I have pleurisy. Nothing is getting better, though. I have piety much been confined to my need for 2 weeks and everything seems to be getting worse.
Side note: about a month ago I noticed I started getting a slightly lightheaded/headrush feeling when I even lightly exercised. At a pace of 2 on a treadmill my heart rate would go from 89 (my usual resting BPM) to 130. My resting blood pressure is also normal and I'm not overweight.
Submitted: 1 year ago.
Category: Medical
Expert:  Anthony Bray, MD replied 1 year ago.


I suggest follow up on this. Pleuritis = pleurisy is inflammation of the lining between the lung and the chest wall. This is more frequently caused by a viral infection of the lower respiratory system. It is often responsive to improve with strong anti-inflammatory treatment such as Indocin 25 -50mg threes times a day ...

Now it may get more complicated as pleuritis can be a symptom also along with a developing pneumonia as one possibility. Sometimes pleurisy may lead to fluid accumulation under one or both lungs = pleural effusion ...

It is also not out of question that same viral infection MIGHT also cause inflammation of the lining around heart = pericarditis or even a viral infection of the heart muscle = myocarditis ..

The latter would likely cause more severe chest pain and shortness of breath...

Based on your history and symptoms I think that follow up evaluation is warranted . I would recommend that you have an echocardiogram of the heart to evaluate and possibly a follow up chest CT....

PULSE oximetry at rest and post exercise of a brisk short walk may be helpful

I hope that this information is helpful for you

Let me know if you have further questions or concerns

I will be happy to get back with you

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Thank you and Best Regards,

Anthony Bray MD