How to Treat Bornholm Disease?

  • October 04, 2023
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How to Treat Bornholm Disease?

What is Bornholm Disease?

Bornholm disease, recognized as epidemic pleurodynia or devil's grip, is an abrupt viral infection marked by the sudden onset of intense chest and abdominal pain. It stems from the Coxsackie B virus, a member of the Enterovirus family, primarily affecting the intercostal muscles between the ribs, causing acute pain during breathing and movement. Also known as pleurodynia, this viral infection induces chest or upper abdominal pain along with flu-like symptoms. Typically, it resolves on its own within a few days, but in some instances, the discomfort may persist for up to three weeks. Predominantly impacting children and young adults, Bornholm disease can be characterized by its transient yet significant impact on health.

Why is Bornholm Disease Treated?

Bornholm disease is treated to alleviate symptoms and provide relief from the severe pain associated with the condition. While the infection is typically self-limiting and resolves on its own, treatment aims to manage pain, reduce discomfort, and ensure a quicker recovery. Additionally, in some cases, complications may arise, and medical intervention becomes necessary.


How is Bornholm Disease Treated?

  1. Pain Management: The primary focus of treatment for Bornholm disease is managing the intense pain that accompanies the condition. Over-the-counter pain relievers such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended to alleviate pain and reduce inflammation.
  2. Bed Rest: Resting is crucial for individuals with Bornholm disease. Adequate bed rest allows the body to recover, and it helps in minimizing movements that can trigger or worsen the chest and abdominal pain.
  3. Hydration: Staying well-hydrated is important during the course of the illness. It aids in supporting the body's immune response and helps prevent complications related to dehydration.
  4. Antiviral Medications: In severe cases or when complications arise, antiviral medications may be prescribed. However, these are not routinely used, and the decision to prescribe antivirals depends on the severity of symptoms and the overall health of the individual.

Treatment Solutions for Bornholm Disease:

  1. Pain Relievers: Over-the-counter pain medications, such as acetaminophen or NSAIDs, can be effective in managing the severe pain associated with Bornholm disease. These medications also help reduce inflammation in the affected muscles.
  2. Symptomatic Relief Measures: Applying heat packs to the affected area can provide additional relief from muscle pain. Warm compresses or hot water bottles can be used, but it's important to avoid burns by placing a cloth between the heat source and the skin.
  3. Respiratory Support: In some cases, respiratory support may be necessary, especially if the chest pain leads to difficulty in breathing. Oxygen therapy or the use of respiratory devices may be considered under the guidance of healthcare professionals.
  4. Fluid Replacement: Ensuring adequate fluid intake is crucial to prevent dehydration, especially if the individual has difficulty eating or drinking due to the pain. In severe cases, intravenous fluids may be administered.

Benefits of Treating Bornholm Disease:

  1. Pain Relief: Treatment helps alleviate the intense chest and abdominal pain associated with Bornholm disease, improving the overall comfort of the individual.
  2. Faster Recovery: While Bornholm disease is self-limiting, treatment measures can contribute to a quicker recovery by managing symptoms and supporting the body's healing process.
  3. Complication Prevention: Timely and appropriate treatment can help prevent complications associated with severe cases of Bornholm disease, such as respiratory distress or dehydration.
  4. Improved Quality of Life: Effective treatment enhances the quality of life for individuals with Bornholm disease by reducing pain and discomfort, allowing them to resume normal activities sooner.

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