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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Chest Pain While Coughing?

Hello. I had a terrible coughing cold and ended up with walking pneumonia about two months ago. I have been coughing hard on and off about five or ten times a day to bring up phlegm since then, but not sick. I d developed a dire area on my rib about four days ago, but it was mild. Yesterday, I coughed hard and heard/ felt a pop and snap in this exact spot. I felt instant terrible pain. And now if I cough, I about pass out with pain. If I sit still, there is just a mild ache. Certain movements and bearing down to go to the bathroom also make it hurt terribly. I m worried because now I m not able to bring up the phlegm. Should I go to the ER, or wait to see my Doc on Monday.
posted on Tue, 30 Dec 2014
Twitter Mon, 23 Feb 2015 Answered on
Twitter Mon, 23 Feb 2015 Last reviewed on
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General & Family Physician,  's  Response
Hi,
From history it seems that due to spasmodic cough there is spasm of inter-costal muscles giving this severe pain on the part.
Due to pneumonitis this pain can be there as it takes some time to resolve pneumonia patch.
Go for x-ray chest to rule out pleural effusion.go for deep breathing exercises daily.
Take some cough suppressant syrup.
Ok and take care.
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What Causes Severe Chest Pain While Coughing?

Hi, From history it seems that due to spasmodic cough there is spasm of inter-costal muscles giving this severe pain on the part. Due to pneumonitis this pain can be there as it takes some time to resolve pneumonia patch. Go for x-ray chest to rule out pleural effusion.go for deep breathing exercises daily. Take some cough suppressant syrup. Ok and take care.