Flu Symptoms: Chest Pain and Abdominal Issues Explained - Pulmonology

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Influenza, chest, and abdominal issues?


Hello doctor, a few days ago I went to the clinic and was diagnosed with influenza.
I was prescribed medication, including antibiotics.
After that, my fever subsided, and my body aches improved.
My cough and runny nose also got better, but I had a severe cough that caused some chest pain.
Now, although I cough less, I still experience intermittent mild pain, which feels like a slight pressure in that area.
The pain is located in the center of my chest, along the right rib cage, and in the lower right abdomen.

In addition to the chest pain, I have been experiencing diarrhea, which is watery.
Initially, I thought it was due to the antibiotics, but I had another episode of diarrhea the day after taking the second dose of antibiotics.
I'm not sure if it's still related to the antibiotics.
My family says the chest pain is just from coughing too hard and that the diarrhea is a side effect of the antibiotics.
However, I am still a bit worried and concerned about the possibility of pneumonia.
Should I go to a larger hospital for further examination?

Chen Tongxue, 20~29 year old female. Ask Date: 2017/06/02

Dr. Wu Yingxun reply Pulmonology


Hello: Severe coughing can lead to chest pain and abdominal pain.
If there are concerns about pneumonia, a chest X-ray can be performed to rule it out.
Additionally, antibiotics can also cause diarrhea, which should improve after discontinuing the medication.

Reply Date: 2017/06/02

More Info


It sounds like you are experiencing a combination of symptoms following a recent flu diagnosis, including chest pain and abdominal issues such as diarrhea. Let’s break down these symptoms and their potential causes.


Chest Pain After Coughing
The chest pain you are experiencing is likely related to the intense coughing you had during your flu illness. Coughing can strain the muscles in the chest wall, leading to muscle soreness or pain. This is often referred to as "cough-induced chest pain." The pain can feel like a sharp or dull ache and may be exacerbated by deep breaths, coughing, or certain movements.
In most cases, this type of pain is benign and resolves as the cough subsides. However, if the pain persists, worsens, or is accompanied by other concerning symptoms such as shortness of breath, fever, or a significant change in your overall health, it would be prudent to seek further evaluation.

Abdominal Issues: Diarrhea
Regarding your diarrhea, it is indeed possible that the antibiotics you were prescribed could be contributing to this symptom. Antibiotics can disrupt the normal balance of bacteria in the gut, leading to antibiotic-associated diarrhea. This condition can range from mild to severe and may sometimes lead to a more serious infection called Clostridium difficile (C. diff) colitis, especially if the diarrhea is persistent or accompanied by fever and abdominal pain.

It’s also worth noting that viral infections, such as the flu, can sometimes cause gastrointestinal symptoms, including diarrhea. This is particularly true in children but can occur in adults as well.

When to Seek Further Medical Attention
Given your symptoms, here are some guidelines on when to seek further medical attention:
1. Persistent Chest Pain: If the chest pain does not improve or worsens, or if you experience new symptoms such as difficulty breathing, it is important to consult a healthcare provider. While muscle strain is common, other conditions such as pneumonia or pleuritis (inflammation of the lining around the lungs) could also be a concern.

2. Severe or Prolonged Diarrhea: If your diarrhea persists for more than a couple of days, is accompanied by high fever, or if you notice blood in your stool, you should seek medical attention. Dehydration is a risk with prolonged diarrhea, and it may require treatment.

3. General Health Concerns: If you feel that your overall health is declining or if you have any other concerning symptoms, it’s always better to err on the side of caution and consult a healthcare professional.


Conclusion
In summary, while your symptoms may be related to the aftereffects of the flu and the medications you are taking, it is essential to monitor them closely. If you have any doubts or if your symptoms change or worsen, visiting a larger hospital or a specialist for a thorough evaluation would be a wise decision. They can perform the necessary tests to rule out any serious conditions and provide you with appropriate treatment options. Always prioritize your health and well-being, and don’t hesitate to seek help when needed.

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