What is an inflammation?

When a wound swells up, turns red and hurts, it may be a sign of . Very generally speaking, is the body’s ’s response to an irritant. The irritant might be a germ, but it could also be a foreign object, such as a splinter in your finger.

This means that an doesn’t only start when, for instance, a wound has already been infected by , is oozing pus or healing poorly. It already starts when the body is trying to fight against the harmful irritant.

Causes of an inflammation

Many different things can cause inflammations. These are the most common:

  • Pathogens (germs) like , viruses or fungi
  • External injuries like scrapes or damage through foreign objects (for example a thorn in your finger)
  • Effects of chemicals or radiation

Diseases or medical conditions that cause often have a name ending in “-itis.” For example:

  • Cystitis: an of the bladder
  • Bronchitis: an of the
  • Otitis media: an of the middle ear
  • Dermatitis: a disease where the skin is inflamed

Signs of an inflammation

There are five symptoms that may be signs of an acute :

  • Redness
  • Heat
  • Swelling
  • Pain
  • Loss of function

Examples of a loss of function include not being able to move an inflamed joint properly, having a worse sense of smell during a cold, or finding it more difficult to breathe when you have .

Inflammations don’t always cause all five symptoms. Some inflammations occur “silently” and don’t cause any symptoms.

General responses in the body

If the is severe, it can cause general reactions in the body. These may include the following signs and symptoms:

  • Generally feeling ill, exhaustion and fever. These are signs that the is very active and needs a lot of energy, which may be lacking for other activities. If the rate of metabolism is higher due to a fever, more antibodies and cells of the can be produced.
  • Changes in the blood, such as an increased number of cells.

A very rare but dangerous complication of an is called septicemia (blood poisoning). The possible signs of this complication include chills, feeling very ill, and a very high fever.

Septicemia may occur if multiply quickly in a certain part of the body and then a lot of them suddenly enter the bloodstream. This can happen if the body isn’t able to fight the locally, if the germs are very aggressive, or if the is very weak. Septicemia is a medical emergency and needs to be treated by a doctor as soon as possible.

What happens when you have an inflammation

When an occurs in your body, many different cells may be involved. They release various substances, known as inflammatory mediators. These include the bradykinin and histamine. They cause the small blood vessels in the tissue to become wider (dilate), allowing more blood to reach the injured tissue. For this reason, inflamed areas turn red and feel hot.

The increased blood flow also allows more cells to be carried to the injured tissue, where they help with the healing process. What’s more, both of these irritate nerves and cause pain signals to be sent to the brain. This has a protective function: If the hurts, you tend to protect the affected part of the body.

The inflammatory mediators have yet another function: They make it easier for cells to pass out of the small blood vessels, so that more of them can enter the affected tissue. The cells also cause more fluid to enter the inflamed tissue, which is why it often swells up. The swelling goes down again after a while, when this fluid is transported out of the tissue.

Mucous membranes also release more fluid when they are inflamed. For instance, this happens when you have a stuffy nose and the membranes lining your nose are inflamed. Then the extra fluid can help to quickly flush the viruses out of your body.

Inflammations can cause chronic diseases too

Inflammations don’t always help the body. In some diseases the fights against the body’s own cells by mistake, causing harmful inflammations. These include, for example:

  • Rheumatoid arthritis, where many joints throughout the body are permanently inflamed
  • Psoriasis – a chronic skin disease
  • Inflammatory bowel diseases like or
Collectively known as chronic inflammatory diseases, these diseases can last for years or even a lifetime. Their severity and level of activity varies.

Andreae S. Lexikon der Krankheiten und Untersuchungen. Stuttgart: Thieme; 2008.

Kaspers DL, Hauser SL, Jameson JL, Fauci AS, Longo DL, Loscalzo J. Harrison’s Principles of internal medicine. New York: McGraw-Hill Companies. 19th ed; 2015.

Pschyrembel W. Klinisches Wörterbuch. Berlin: De Gruyter; 2017.

IQWiG health information is written with the aim of helping people understand the advantages and disadvantages of the main treatment options and health care services.

Because IQWiG is a German institute, some of the information provided here is specific to the German health care system. The suitability of any of the described options in an individual case can be determined by talking to a doctor. informedhealth.org can provide support for talks with doctors and other medical professionals, but cannot replace them. We do not offer individual consultations.

Our information is based on the results of good-quality studies. It is written by a team of health care professionals, scientists and editors, and reviewed by external experts. You can find a detailed description of how our health information is produced and updated in our methods.

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Updated on February 22, 2018
Next planned update: 2021

Authors/Publishers:

Institute for Quality and Efficiency in Health Care (IQWiG, Germany)

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