 [ Symptoms ] does your upper backlung 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 have been taking ibuprofen for the lung pain but it does not help today i have an icy hot patch on the middle of my back can not say it helps but it does not make things worse [ Disease ] 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