Chronic Cough and Chest Pain: Your Symptoms and Concerns - Pulmonology

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Chronic cough and chest pain?


Hello, Doctor.
I've been experiencing a persistent cough for about four years.
It tends to improve on its own after a while, but then it recurs.
Sometimes, I feel the urge to clear my throat, but I can't seem to produce anything; it just feels like there's something stuck in my throat.
The last time I had an X-ray was two years ago, and it showed no issues at that time, but the cough problem still persists.
Recently, I've been feeling pain in the left side of my chest, and sometimes in my back as well, but the pain does not worsen when I cough or breathe.
I don't smoke, but I'm really worried it could be cancer...
Is that a possibility? I'm currently four months pregnant; is it safe to have an X-ray?

Jie, 20~29 year old female. Ask Date: 2017/07/31

Dr. Zhou Ziguang reply Pulmonology


Hello: Based on the information provided, it is necessary to consult a pulmonologist to discuss whether another chest X-ray is needed.

Reply Date: 2017/07/31

More Info


Chronic cough and chest pain can be concerning symptoms, especially when they persist over a long period. Based on your description, it seems that you have been experiencing a recurrent cough for about four years, along with episodes of throat clearing and recent chest pain on the left side. It is understandable to worry about serious conditions such as cancer, especially given the persistent nature of your symptoms. However, it is important to approach this situation with a comprehensive understanding of potential causes and appropriate medical evaluations.

Chronic cough can arise from various underlying conditions, including but not limited to asthma, chronic bronchitis, gastroesophageal reflux disease (GERD), post-nasal drip, or even allergies. Given that you have had intermittent episodes of cough that resolve and then recur, it might be worth considering whether there are any environmental triggers or allergens that could be contributing to your symptoms. Additionally, since you mentioned that you sometimes feel the need to clear your throat but cannot produce any mucus, this could suggest irritation or inflammation in the throat or upper airways.

The chest pain you are experiencing, particularly on the left side, can be caused by a range of factors. While it is natural to be concerned about serious conditions like lung cancer, especially in the context of chronic cough, it is essential to remember that many benign conditions can also cause similar symptoms. For instance, musculoskeletal issues, anxiety, or even conditions like pleurisy (inflammation of the lining of the lungs) can lead to chest pain without being indicative of cancer.

Regarding your concern about whether you can undergo an X-ray while pregnant, it is crucial to discuss this with your healthcare provider. Generally, X-rays are avoided during pregnancy unless absolutely necessary due to the potential risks to the developing fetus. If imaging is required, your doctor may consider alternative methods, such as ultrasound or MRI, which do not involve radiation.

Given your symptoms and the duration of your cough, it would be advisable to consult a healthcare professional who can perform a thorough evaluation. This may include a physical examination, a detailed history of your symptoms, and possibly additional tests such as pulmonary function tests, allergy testing, or imaging studies if deemed necessary. If you have not had a chest X-ray in the last two years, your doctor may recommend one to rule out any significant lung pathology, especially if your symptoms have changed or worsened.

In the meantime, consider keeping a symptom diary to track when your cough worsens, any associated activities, and any potential triggers. This information can be invaluable for your healthcare provider in determining the underlying cause of your symptoms.

In summary, while your symptoms are concerning, they do not automatically indicate a serious condition like cancer. A thorough evaluation by a healthcare professional is essential to determine the cause of your chronic cough and chest pain, especially considering your pregnancy. Always prioritize open communication with your healthcare provider about your symptoms and any concerns you may have.

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