Can a Cold Cause Chest and Back Pain? Your Symptoms - Pulmonology

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Can a cold cause chest and back pain?


Recently, I experienced some coughing symptoms due to a mild cold, which led to some pain in the left side of my chest.
After drinking plenty of water and taking over-the-counter medication, my cold has improved, but I still experience pressure-like pain in my chest when I cough or take deep breaths, located about three fingers below the clavicle.
The next day, the chest pain disappeared, but it was replaced by abnormal pain in the back.
Using topical pain relief did not effectively alleviate the discomfort; it hurts every time I cough.
By tonight, the pain in my back has gradually eased, but now I have a slight pain in the left side of my chest again.
I'm unsure if this is related to the cold or possibly caused by a bacterial infection.

Pa Pa Zhan, 20~29 year old female. Ask Date: 2009/01/18

Dr. Qu Changke reply Pulmonology


Hello: After a cold, if there is a viral infection, it may cause muscle soreness, or after severe coughing, it may lead to neuromuscular pain.
These symptoms will improve as the cold resolves.
Your issues may vary depending on age and gender, so it is advisable to consult a pulmonologist for further evaluation and treatment.

Reply Date: 2009/01/18

More Info


When experiencing chest and back pain following a cold, it is essential to understand the potential causes and implications of these symptoms. While a common cold primarily affects the upper respiratory system, it can lead to various secondary symptoms, including chest and back pain.
Firstly, it's important to recognize that coughing, which often accompanies a cold, can lead to muscle strain. The act of coughing can exert significant pressure on the muscles of the chest and back, leading to soreness or pain. This is particularly true if the coughing is persistent or severe, as it can cause muscle fatigue and discomfort in the areas surrounding the ribs and spine.

In your case, the pain you described as being located under the collarbone and then shifting to the back could be attributed to muscle strain from coughing. The pain may feel like a pressure or tightness, which can be exacerbated by deep breaths or further coughing. This type of pain is generally benign and tends to resolve as the underlying cold symptoms improve.

However, it is also crucial to consider other potential causes of chest pain, especially if the pain is persistent or severe. For instance, bronchitis, which can develop from a cold, may cause inflammation in the airways and lead to chest discomfort. Additionally, if there is any concern regarding the possibility of pneumonia, which can also follow a cold, it is important to seek medical attention. Pneumonia can present with symptoms such as persistent cough, fever, chills, and chest pain that worsens with breathing or coughing.

Another consideration is the possibility of a viral infection affecting the pleura, the lining of the lungs, which can cause pleuritic chest pain. This type of pain is typically sharp and worsens with deep breathing or coughing. If you experience symptoms such as shortness of breath, high fever, or a cough that produces discolored mucus, it would be advisable to consult a healthcare professional for further evaluation.

In your situation, since the pain has shifted from the chest to the back and is associated with coughing, it is likely related to muscle strain. However, if the pain persists, worsens, or is accompanied by other concerning symptoms, it would be prudent to seek medical advice. A healthcare provider may recommend imaging studies, such as a chest X-ray, to rule out any serious underlying conditions.

In summary, while a cold can lead to chest and back pain primarily due to muscle strain from coughing, it is essential to monitor your symptoms closely. If the pain persists or is accompanied by other symptoms such as difficulty breathing, fever, or significant discomfort, it is crucial to seek medical attention to rule out more serious conditions. Always prioritize your health and well-being, and do not hesitate to consult a healthcare professional if you have concerns about your symptoms.

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