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Questions for Dr. Kennedy
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Lupus, pregnancy and pleurisy
Posted by: Karen
Date: November 13, 1999 9:44 PM

Two years ago when my daughter was born six weeks early, I was diagnosed with lupus. I had experienced extreme pleurisy and could not breathe. Now I am currently 27 weeks pregnant and am starting to have the same symptoms. What causes pleurisy, and what can I do to make it not get so severe. Are there any treatments for it?

Lupus, pregnancy and pleurisy
Posted by: Ron Kennedy, MD
Date: November 14, 1999 8:35 AM

Pleurisy is an inflammation of the sac (the pleura) which holds the lung. Normally the pluerae are smooth and slide against the lining of the chest cavity (also termed pleurae). However when inflamed this sliding is more like grinding and is thus painful - like a knife being stabbed into your back. In your case the inflammation may be the usual bacterial disease or it may have something to do with your LE. If it is bacterial a short course of antibiotic usually takes care of it. If related to the LE you are confronted with controlling the LE and in a nutritional sense this sometimes has to do with food sensitivities which in turn are triggered by chronic gut wall infection. In either case you need a good doctor. If you don't have one, use the yellow tab in the upper left.

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