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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest Tender After Been Punched And Hurts While Laughing And Sneezing. Has It Bruised Internally?

i was punched in the chest area above my left breast, but below the clavicle. No bruising, but tender to touch, and hurts when I laugh, cough and sneeze. It happened 4 days ago. is it probably just bruised internally, or am I still at risk for a collapsed lung or pneumothorax?
posted on Thu, 20 Mar 2014
Twitter Wed, 25 Feb 2015 Answered on
Twitter Wed, 25 Feb 2015 Last reviewed on
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
You are having blunt chest trauma.
And following are the possible complications of blunt chest trauma which can cause pain on coughing and laughing.
1. Rib fracture.
2. Pulmonary contusions.
3. Pneumothorax
4. Muscular injury.
So get done chest x ray to rule out all these possible complications.
If chest x ray is normal yhen no need to worry for pulmonary contusions and pneumothorax.
You ard having mostly muscular injury.
So try to follow these steps for better symptomatic relief.
1. Avoid strenuous exercise.
2. Avoid heavyweight lifting
3. Start pain killer and muscle relaxant.
4. Apply warm water pad on affected site.
Don't worry, you will be alright.
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Chest Tender After Been Punched And Hurts While Laughing And Sneezing. Has It Bruised Internally?

Thanks for your question on HCM. I can understand your situation and problem. You are having blunt chest trauma. And following are the possible complications of blunt chest trauma which can cause pain on coughing and laughing. 1. Rib fracture. 2. Pulmonary contusions. 3. Pneumothorax 4. Muscular injury. So get done chest x ray to rule out all these possible complications. If chest x ray is normal yhen no need to worry for pulmonary contusions and pneumothorax. You ard having mostly muscular injury. So try to follow these steps for better symptomatic relief. 1. Avoid strenuous exercise. 2. Avoid heavyweight lifting 3. Start pain killer and muscle relaxant. 4. Apply warm water pad on affected site. Don t worry, you will be alright.