Chest Discomfort: Is It Related to Bronchitis? - Pulmonology

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Bronchitis, itching in the right thoracic cavity?


Dear Doctor: I previously had bronchitis due to a cold, and although my X-ray showed no pneumonia, I experience a very sensitive itching sensation inside my right chest cavity (not on the surface).
Pressing on it can even trigger a cough, and sometimes I feel an itch (sensitivity) in my bronchi when taking a deep breath, which makes me very worried.
I would like to ask if this is related to my bronchial condition.
Do you have any recommendations for further examinations? (Self-paid tests are also acceptable.) I feel lost in this medical journey and hope for your guidance.
Thank you!

Miss Lin, 40~49 year old female. Ask Date: 2016/01/08

Dr. Huang Ruiming reply Pulmonology


For allergic bronchitis, if the cough does not improve, it is recommended to visit the pulmonology clinic for a reevaluation.
Thank you for your message.

Reply Date: 2016/01/08

More Info


Chest discomfort can be a concerning symptom, especially following a respiratory infection like bronchitis. Your description of a sensitive, itchy sensation in the right side of your chest, accompanied by coughing and discomfort during deep breaths, raises several considerations regarding its potential relationship with bronchitis or other underlying conditions.

Bronchitis, which is the inflammation of the bronchial tubes, can lead to symptoms such as coughing, mucus production, and chest discomfort. While bronchitis itself typically does not cause localized bone pain or a specific itchy sensation, the inflammation in the bronchial tubes can lead to referred sensations in the chest area. This means that the irritation in your bronchial passages could potentially cause discomfort that feels like it is coming from the chest wall or even the bones in that area.

The fact that you are experiencing a sensation that triggers coughing when you press on your chest could suggest that there is some irritation or inflammation in the surrounding tissues. This could be due to residual effects from your previous bronchitis, where the airways are still sensitive, or it could be related to muscle strain or even costochondritis, which is inflammation of the cartilage connecting the ribs to the breastbone.
Given your symptoms, it would be prudent to consider a few diagnostic steps:
1. Physical Examination: A thorough physical examination by a healthcare provider can help determine if there are any signs of tenderness, swelling, or other abnormalities in the chest area.

2. Pulmonary Function Tests: These tests can evaluate how well your lungs are functioning and can help identify any underlying respiratory issues that may not be evident on an X-ray.

3. Chest X-ray or CT Scan: Although you mentioned that a previous X-ray did not show pneumonia, a follow-up imaging study, such as a CT scan, may provide more detailed information about the structures in your chest and help rule out other conditions.

4. Allergy Testing: If the itchy sensation persists, it may be worth exploring whether allergies are contributing to your symptoms, especially if you have a history of allergic reactions or sensitivities.

5. Referral to a Specialist: If your symptoms continue or worsen, a referral to a pulmonologist (lung specialist) may be beneficial. They can conduct more specialized tests and provide a comprehensive evaluation of your respiratory health.

6. Consideration of Other Conditions: It’s also important to consider other potential causes of your symptoms, such as gastroesophageal reflux disease (GERD), which can cause chest discomfort and coughing, or even anxiety-related symptoms that can manifest physically.

In conclusion, while your symptoms may be related to the bronchitis you experienced, it is essential to conduct further evaluations to rule out other potential causes. It’s understandable to feel anxious about your health, especially when experiencing discomfort. Seeking a thorough evaluation from a healthcare provider will help clarify the situation and guide you toward appropriate treatment options. Remember, your health is a priority, and addressing these symptoms with a professional will provide you with the reassurance and care you need.

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