Can I have a baby with pleurisy during pregnancy?

Patient's question:

At 10 weeks pregnant, I have pain in the right side of my back when breathing, chest tightness, and shortness of breath. The symptoms after 3 days, but now even movement hurts, and I can't walk more than two steps without gasping for air. The pain intensifies with each inhalation. Lying in bed, even jumping hurts. I'm suspecting pleurisy. Now I'm extremely scared, and I can't have a CT scan or chest X-ray. If it's pleurisy, can I still save the baby...

Doctor's answer:

In your case, the recurrence of chest tightness, shortness of breath, and chest pain is most likely caused by pneumonia or bronchial infection induced by a cold. Pleurisy is mostly caused by tuberculosis. Since you don't have symptoms of fever or thirst, the likelihood of pleurisy is relatively low. It is recommended to rest in bed, relax your mindset, and avoid excessive tension. Penicillin or cephalosporin-based anti-inflammatory drugs can be used, either orally or through intravenous infusion. These medications have relatively minimal interference with the fetus. If coughing is significant, appropriate use of lung-cleansing and blood-cooling medications can be considered, such as Chuanbei Pipa Gao. Pay attention to rest, and hope this helps.

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