Symptoms Near the Solar Plexus: Coughing and Chest Pain - Pulmonology

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Epigastric issues?


Hello Doctor, I have been feeling a sensation of phlegm in the area just above my solar plexus for some time now.
I find myself constantly clearing my throat, making sounds (even about once a minute), but I can't seem to expel any phlegm.
Additionally, I occasionally experience sharp pains near my chest, and I'm unsure if there's a connection.
I would like to ask the doctor what disease these symptoms might indicate (I have looked online and I'm worried it could be lung cancer).
These symptoms have persisted for over three months, and I have visited a clinic.
When I took the expectorant prescribed by the clinic, it seemed to help reduce the throat clearing, but when I stopped taking it, the symptoms returned.
Thank you for your response and for reading this; I would greatly appreciate your assessment.
Thank you.

Lin Feng, 40~49 year old female. Ask Date: 2020/02/07

Dr. Zhou Ziguang reply Pulmonology


Hello: The symptoms mentioned above still require a consultation and examination by a physician.
Please visit a pulmonologist.

Reply Date: 2020/02/07

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding the symptoms you are experiencing near the solar plexus, specifically the persistent sensation of phlegm in your throat and occasional chest pain. It’s understandable to feel anxious about these symptoms, especially with the fear of serious conditions like lung cancer. Let’s break down your symptoms and explore potential causes.

Firstly, the sensation of having phlegm in your throat that leads to frequent throat clearing can be indicative of several conditions. One common cause is post-nasal drip, where mucus from the nasal passages drips down the back of the throat, leading to irritation and the urge to clear your throat. This can be exacerbated by allergies, sinus infections, or even environmental irritants such as smoke or pollution.
Additionally, gastroesophageal reflux disease (GERD) can also cause similar symptoms. In GERD, stomach acid flows back into the esophagus, which can lead to throat irritation and a sensation of mucus or phlegm in the throat. This condition can also cause chest discomfort, which may feel like a sharp pain or pressure in the chest area.

The chest pain you described, particularly if it is sharp and intermittent, could be related to muscular strain, especially if you have been coughing frequently. However, it is crucial to differentiate between musculoskeletal pain and pain that may arise from the heart or lungs. If the pain is accompanied by other symptoms such as shortness of breath, dizziness, or radiating pain to the arm or jaw, it would be essential to seek immediate medical attention.

Given that your symptoms have persisted for over three months, it is advisable to follow up with a healthcare provider for a thorough evaluation. This may include a physical examination, a review of your medical history, and possibly imaging studies or pulmonary function tests to rule out any serious underlying conditions.
While your concern about lung cancer is understandable, it is important to note that many other conditions can present with similar symptoms. Lung cancer typically presents with additional symptoms such as a persistent cough, changes in sputum, unexplained weight loss, or hemoptysis (coughing up blood). If you are not experiencing these symptoms, the likelihood of lung cancer may be lower, but it is still essential to have a professional evaluation.

In the meantime, consider keeping a symptom diary to track when your symptoms worsen or improve, any potential triggers, and any other associated symptoms. This information can be very helpful for your healthcare provider in making a diagnosis.

In summary, your symptoms could be related to post-nasal drip, GERD, or even muscular strain from frequent coughing. However, a thorough evaluation by a healthcare professional is necessary to determine the exact cause and appropriate treatment. If you have not already done so, please consider scheduling an appointment with a physician who can provide a comprehensive assessment and guide you through the next steps.

Take care, and I hope you find relief from your symptoms soon.

Best regards.

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