If pericarditis causes fluid buildup around the heart, a surgery or other procedure may be needed to drain the fluid. If pericarditis is caused by a bacterial infection, treatment may include antibiotics and drainage, if necessary. A corticosteroid such as prednisone may be prescribed if pericarditis symptoms don't get better with other medications, or if symptoms keep returning. Corticosteroids are strong medications that fight inflammation. Your health care provider will carefully check your health history before prescribing colchicine. Colchicine can also interfere with other drugs. You should not take this drug if you have liver or kidney disease. It's used to treat acute pericarditis or if symptoms tend to come back. This drug reduces inflammation in the body. Prescription-strength pain relievers also may be used. Pericarditis pain can usually be treated with over-the-counter pain relievers, such as aspirin or ibuprofen (Advil, Motrin IB, others). Medications to reduce the inflammation and swelling are often prescribed. Mild pericarditis may get better without treatment. Treatment for pericarditis depends on the cause and the severity of the symptoms. A cardiac MRI scan can reveal thickening, inflammation or other changes in the thin tissue surrounding the heart. Cardiac MRI uses a magnetic field and radio waves to create cross-sectional images of the heart. Cardiac magnetic resonance imaging (MRI).The test can be used to look for heart thickening that may be a sign of constrictive pericarditis. Cardiac CT scans use X-rays to create images of the heart and chest.
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