Chest and Back Pain During Coughing: Possible Causes

Q: Chest and Back Pain During Coughing: Possible Causes

Hello Mr. <br>Zhu： Having a cold with a cough and runny nose for a month is somewhat prolonged. <br>It is very likely that you are experiencing allergic rhinitis with post-nasal drip, or allergic rhinitis combined with airway hyperreactivity. <br>You should see an otolaryngologis

There has been chest pain and pain in the area of the right back behind the chest when coughing, and it has lasted for one week?

First, I have been experiencing a persistent cold with symptoms such as a runny nose and continuous coughing for over a month now.
In the past week, I have also felt pain in my chest and corresponding back when I cough, which is very uncomfortable.
Second, I often experience sharp pains in the upper right abdomen, although these pains are brief, lasting only a second or two.
I'm unsure what might be causing these issues.

Zhu, 30~39 year old female. Ask Date: 2000/11/30

Dr. Guo Conghuai reply Internal Medicine

Hello Mr.
Zhu: Having a cold with a cough and runny nose for a month is somewhat prolonged.
It is very likely that you are experiencing allergic rhinitis with post-nasal drip, or allergic rhinitis combined with airway hyperreactivity.
You should see an otolaryngologist and a pulmonologist for examination and treatment.
Your chest pain will also improve once the underlying condition is treated.
Wishing you a speedy recovery.

Reply Date: 2000/11/30

More Info

Chest and back pain during coughing can be concerning, especially when accompanied by other symptoms such as persistent cough and abdominal discomfort. It is essential to understand the potential causes of these symptoms to determine the appropriate course of action.

Firstly, the pain you are experiencing in your chest and back during coughing could be attributed to several factors. One common cause is muscle strain. Coughing, especially when it is persistent and forceful, can lead to strain in the intercostal muscles, which are located between the ribs. This strain can result in localized pain in the chest and back, particularly when you cough or take deep breaths. If you have been coughing for an extended period, this is a likely explanation for your discomfort.

Another potential cause of chest pain during coughing is bronchitis or other respiratory infections. Inflammation of the airways can lead to increased sensitivity and pain in the chest area. If you have had a cold or flu-like symptoms for over a month, it is possible that you are experiencing bronchitis, which can cause persistent coughing and chest discomfort. Additionally, if there is any underlying lung condition, such as asthma or chronic obstructive pulmonary disease (COPD), these could exacerbate your symptoms.

The right upper abdominal pain you mentioned could be related to several factors as well. One possibility is that it is referred pain from the diaphragm or the lungs. The diaphragm is a muscle that separates the chest from the abdomen and plays a crucial role in breathing. If you are coughing frequently, it can lead to irritation of the diaphragm, which may manifest as pain in the upper abdomen. Another possibility is that the pain is related to gastrointestinal issues, such as acid reflux or gastritis, which can sometimes cause discomfort in the upper abdomen and may be aggravated by coughing.

Given that your symptoms have persisted for over a month, it is crucial to seek medical attention. A healthcare provider will likely perform a thorough evaluation, which may include a physical examination, imaging studies (such as a chest X-ray), and possibly pulmonary function tests to assess lung function. These tests can help rule out serious conditions such as pneumonia, pleurisy, or even pulmonary embolism, which can present with similar symptoms.

In the meantime, there are some self-care measures you can take to alleviate your symptoms. Staying hydrated is essential, as it helps thin mucus and makes it easier to cough up. Over-the-counter cough suppressants or expectorants may provide temporary relief, but it is essential to use them as directed and not to suppress a productive cough that helps clear mucus from your airways. Additionally, using a humidifier can help keep the air moist, which may soothe irritated airways.

In summary, chest and back pain during coughing can result from muscle strain, respiratory infections, or referred pain from the diaphragm. The right upper abdominal pain may also be related to these issues or gastrointestinal problems. Given the duration of your symptoms, it is advisable to consult a healthcare professional for a comprehensive evaluation and appropriate management. Early intervention can help prevent complications and promote a quicker recovery.

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