What should be done about mild inflammation under the pleura in the lower lobes of both lungs?

Minor inflammatory changes subpleurally in the lower lobes of both lungs require management through identifying the underlying cause, standardized anti-infective treatment, symptomatic relief, regular follow-up monitoring, and lifestyle adjustments. Seek prompt medical attention if symptoms such as worsening cough, fever, or chest pain occur.

1. Identify the cause: Based on clinical symptoms, physical signs, blood tests, chest CT, and pathogen testing, determine whether the inflammation is due to infectious factors (such as bacteria, viruses, or mycoplasma) or non-infectious triggers, to guide targeted treatment.

2. Standardized anti-infective treatment: Bacterial infections should be treated with antibiotics as prescribed by a physician. Viral infections are mainly managed symptomatically. Avoid self-medicating or stopping medications prematurely, and ensure adequate dosage and full course of treatment.

3. Symptomatic symptom relief: For cough and sputum production, appropriate use of expectorants and cough suppressants may be helpful. Avoid strenuous activity if chest pain is significant, and use analgesics under medical guidance when necessary.

4. Regular follow-up monitoring: Repeat chest CT 1–3 months after treatment to assess resolution of inflammation. Monitor vital signs such as body temperature and breathing, and promptly identify any abnormal changes.

5. Lifestyle modifications: Ensure adequate sleep and avoid fatigue or staying up late. Quit smoking and alcohol consumption. Stay away from irritants such as dust and smoke. Maintain a light, balanced diet to strengthen immune resistance.

Daily care should include keeping warm to prevent cold-induced respiratory infections, engaging in moderate, gentle exercise to improve lung function, ensuring indoor ventilation to reduce microbial growth, and maintaining regular作息 and healthy eating habits to support recovery from inflammation.