### Human:\ndoes your upper back/lung area hurt badly with plural effusion? . for 3 days now my mid-back where my lungs are hurt something awful when i try to move whether it be rolling over in bed or standing up from a chair. i have a cough when i lie down so i use my athma inhaler and cough syrup to try to relieve the cough so i can sleep. i've been taking ibuprofen for the lung pain but it doesn't help. today i have an icy hot patch on the middle of my back. can't say it helps but it doesn't make things worse.\n\n### Assistant: it can. pleurisy is an irritation of the pleura (the sack covering the lungs) and the inner rib wall. my doc says it is like filling the area with sand.