Persistent Right Chest Pain After Two Weeks of Coughing: What to Do? - Pulmonology

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Coughing for about two weeks has led to pain in the lower right chest?


Hello, doctor.
I would like to ask about my condition.
I've been coughing for two weeks, and just as my cough symptoms were improving, I started experiencing pain in the lower right side of my chest.
The pain occurs when I cough, take deep breaths, or make large movements, and it has been persistent for two days.
I visited a general outpatient clinic where the doctor administered two injections of muscle relaxants, but my symptoms have not improved.
Should I wait for some time for the symptoms to improve, or should I go directly to the hospital for further evaluation? Thank you very much.

Miss Yang, 10~19 year old female. Ask Date: 2021/04/08

Dr. Lu Mingzhi reply Pulmonology


Hello: The pain may be due to excessive strain on the musculoskeletal system caused by coughing.
If the pain persists, it is recommended to visit our hospital's pulmonology department for an X-ray and further evaluation by a physician.

Reply Date: 2021/04/08

More Info


Persistent right chest pain following two weeks of coughing can be concerning and warrants careful consideration. Given your symptoms, it is essential to understand the potential causes and appropriate steps to take.

Firstly, the pain you are experiencing could be related to several factors. After prolonged coughing, it is not uncommon to develop muscle strain in the chest area. The muscles between the ribs (intercostal muscles) can become sore and painful due to the repetitive action of coughing. This type of pain is typically sharp and worsens with movement, deep breathing, or coughing. However, it is crucial to rule out other potential causes of chest pain, especially if the pain is persistent and severe.

In your case, since the pain has persisted for two days after the onset of coughing, and given that you have already received muscle relaxants without improvement, it may be prudent to seek further medical evaluation. While muscle strain is a likely culprit, other conditions such as pleurisy (inflammation of the lining of the lungs), pneumonia, or even a pulmonary embolism could present with similar symptoms. These conditions may require different treatments and could pose more significant health risks if left unaddressed.

Here are some steps you can take:
1. Monitor Symptoms: Keep track of your symptoms, including the intensity of the pain, any changes in your cough, and any new symptoms such as fever, shortness of breath, or changes in sputum color. This information will be helpful for your healthcare provider.

2. Seek Further Evaluation: If the pain persists or worsens, or if you develop new symptoms, it is advisable to return to a healthcare facility for further evaluation. A chest X-ray or CT scan may be necessary to rule out any serious conditions.

3. Pain Management: In the meantime, over-the-counter pain relievers such as ibuprofen or acetaminophen may help alleviate discomfort. However, consult with your healthcare provider before taking any new medications.

4. Rest and Hydration: Ensure you are getting adequate rest and staying hydrated. This can help your body recover from the coughing and any associated muscle strain.

5. Avoid Strain: Try to avoid activities that may exacerbate the pain, such as heavy lifting or vigorous exercise, until you have a clearer understanding of the cause of your symptoms.

6. Follow-Up: If you have not seen improvement in a few days or if your symptoms change, follow up with your healthcare provider. They may consider additional tests or referrals to specialists, such as a pulmonologist, if necessary.

In summary, while muscle strain from coughing is a common cause of chest pain, persistent or worsening symptoms should not be ignored. It is essential to seek further medical evaluation to rule out more serious conditions and to receive appropriate treatment. Your health and well-being are paramount, and timely intervention can lead to better outcomes.

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