Chest Pain After Cold: Is It Normal or Time to See a Doctor? - Pulmonology

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Chest pain after a cold?


I have a sensitive trachea, and I’ve been coughing due to a cold for the past two weeks.
After recovering from the cold, I noticed pain in the right side of my chest.
I feel discomfort when I laugh or sneeze, and getting up quickly also causes pain.
I’m not sure if this is due to coughing for too long during the cold.
Should I schedule an appointment to see a doctor?

Guai Shou, 10~19 year old female. Ask Date: 2009/08/19

Dr. Yang Wenda reply Pulmonology


Hello, Monster: If you are experiencing chest pain from coughing, it is advisable to consult a pulmonologist for a chest X-ray to check for pneumothorax or a fractured rib.
Taking some medication may also help alleviate your symptoms.
Wishing you well!

Reply Date: 2009/08/19

More Info


Chest pain following a cold can be concerning, especially if it persists or worsens over time. Based on your description, it seems that you experienced a cold that involved significant coughing, which can lead to muscle strain or irritation in the chest area. This is a common occurrence, particularly in individuals with sensitive airways or pre-existing respiratory conditions.

When you cough vigorously, the muscles in your chest and abdomen can become strained, leading to localized pain. This type of pain is often described as sharp or aching and may worsen with certain movements, such as laughing, sneezing, or even getting out of bed. It is usually not serious and tends to resolve as the muscles heal and the cough subsides. However, it is essential to differentiate between muscle pain and pain that could indicate a more serious underlying condition.

In your case, since the pain is localized to the right side of your chest and is associated with a recent respiratory illness, it is likely muscular in nature. However, there are other potential causes of chest pain that should be considered, including:
1. Pleurisy: Inflammation of the lining around the lungs can occur after a respiratory infection and may cause sharp pain, especially with deep breaths or coughing.

2. Costochondritis: This is an inflammation of the cartilage connecting the ribs to the breastbone, which can be exacerbated by coughing or physical activity.

3. Pulmonary Issues: Although less common, conditions such as pneumonia or a pulmonary embolism can cause chest pain and should be ruled out, especially if you experience symptoms like shortness of breath, fever, or a persistent cough.

4. Gastroesophageal Reflux Disease (GERD): Sometimes, acid reflux can mimic chest pain, particularly after coughing or lying down.

Given that you have been experiencing this pain for two weeks following a cold, it would be prudent to consult a healthcare professional. While it may be muscular, a thorough evaluation can help rule out any serious conditions. A doctor may perform a physical examination, listen to your lungs, and possibly order imaging tests such as a chest X-ray or CT scan if deemed necessary.

In summary, while chest pain after a cold is often benign and related to muscle strain, it is essential to monitor your symptoms. If the pain persists, worsens, or is accompanied by other concerning symptoms (such as difficulty breathing, fever, or significant changes in your overall health), seeking medical attention is advisable. Early evaluation can provide peace of mind and ensure that any serious conditions are addressed promptly.

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