Can Bronchitis Cause Chest Cavity Itching? Your Symptoms - Pulmonology

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Can bronchitis cause itching in the chest?


Dear Doctor: I previously had a cold with bronchitis, and an X-ray showed no pneumonia.
However, I have a very sensitive itching sensation inside my right chest cavity (not on the surface), and pressing on it can trigger a cough.
Sometimes, I also feel an itch in my bronchial area when taking deep breaths, which makes me very worried.
I have already seen a pulmonologist, but the doctor believes the X-ray is clear and there are no issues.
However, I continue to have a persistent cough and cold symptoms.
I would like to ask if pressing on my right breast could be related to my bronchial issues? Do you have any recommendations for further tests (including out-of-pocket options)? I feel lost in this medical journey and hope for your guidance.
Thank you!

Miss Lin, 40~49 year old female. Ask Date: 2016/01/14

Dr. Jian Shuntian reply Pulmonology


Hello: In cases of severe tracheobronchitis or bronchitis, one may experience coughing and a sensation of itchiness behind the sternum, but coughing triggered by pressure on the chest or breast is relatively uncommon.
If the chest X-ray shows no abnormalities, you may seek a second opinion from another pulmonologist.
If there are still concerns regarding thoracic issues, a computed tomography (CT) scan may be warranted, although it may require out-of-pocket expenses.
Sincerely, Jian Shun-Tian.

Reply Date: 2016/01/14

More Info


Bronchitis, particularly when it is chronic or associated with a recent respiratory infection, can indeed lead to a variety of symptoms, including discomfort in the chest area. The sensation of itching or sensitivity in the chest cavity, especially if it is deep and not superficial, can be perplexing and concerning.
In your case, the fact that you experienced bronchitis and are now feeling a deep itch or sensitivity in your right chest cavity could be related to several factors. First, bronchitis often results in inflammation of the airways, which can lead to increased sensitivity in the surrounding tissues. This inflammation can cause a variety of sensations, including itching, tightness, or even pain, particularly when you cough or take deep breaths. The act of coughing itself can irritate the bronchial passages and surrounding areas, leading to a cycle of discomfort.

Additionally, the presence of a persistent cough, especially if it is productive (producing mucus), can indicate that your airways are still inflamed or that there is residual mucus that is irritating the bronchial lining. This irritation can manifest as a deep itch or discomfort in the chest area. It is also worth noting that the sensation of itchiness in the chest can sometimes be a referred sensation from other areas, such as the throat or even the esophagus, particularly if there is any gastroesophageal reflux (GERD) occurring.

Given that your X-ray results were normal and the chest specialist did not find any significant issues, it is possible that your symptoms are related to the lingering effects of bronchitis rather than a new or acute problem. However, if the symptoms persist or worsen, further investigation may be warranted. Here are some recommendations for further evaluation and management:
1. Pulmonary Function Tests (PFTs): These tests can help assess how well your lungs are functioning and whether there is any underlying obstructive or restrictive lung disease.

2. CT Scan of the Chest: A more detailed imaging study than an X-ray, a CT scan can provide a clearer picture of the lungs and surrounding structures, helping to identify any subtle abnormalities that might not be visible on a standard X-ray.

3. Allergy Testing: If you suspect that your symptoms may be related to allergies, especially if they worsen with certain exposures, allergy testing could help identify specific triggers.

4. Esophageal Evaluation: If there is a suspicion of GERD or other esophageal issues, a referral to a gastroenterologist for evaluation may be beneficial.

5. Follow-Up with a Pulmonologist: If your symptoms persist, a follow-up with a pulmonologist may provide additional insights and management options.

In the meantime, consider the following self-care measures to help alleviate your symptoms:
- Stay Hydrated: Drinking plenty of fluids can help thin mucus and soothe irritated airways.

- Use a Humidifier: Adding moisture to the air can help ease coughing and soothe the throat and airways.

- Avoid Irritants: Stay away from smoke, strong odors, and other irritants that can exacerbate your symptoms.

- Practice Controlled Breathing: Techniques such as pursed-lip breathing can help manage coughing and improve airflow.

In conclusion, while bronchitis can lead to sensations of itching or discomfort in the chest cavity, it is essential to continue monitoring your symptoms and seek further evaluation if they persist. Your health and comfort are paramount, and working closely with your healthcare providers will help ensure that you receive the appropriate care and management for your condition.

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