Severe cough and chest pain

What to do and what to be afraid of when the chest starts to hurt with coughing attacks?

Very often, coughing attacks are accompanied by pain in the chest area. Some patients simply do not pay attention to this condition, and do not even think about why there is a pain in the chest with a cough. In this case, the causes of such manifestations can be many, and in most cases they indicate the occurrence of any disease in the human body.In such cases, the main task of the patient and doctors is to determine in a timely manner the presence of irregularities in the functioning of certain organs and systems, and to conduct proper treatment.

Why are coughing attacks accompanied by pain?

Pain in the chest when coughing is not considered normal and inevitably indicates certain abnormalities. Painful sensations can arise in such cases:

1. Inflammation of the membrane.As is known, the lungs and the inner part of the chest are covered with a special membrane. If there is an inflammatory process in this membrane, there is a pain in the sternum during a cough. Such an inflammatory process in medicine is known as dry pleurisy and occurs most often with pneumonia.
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2. Functional disorders of the thoracic spine.A common disorder is dry pericarditis, which is accompanied by pain in the sternum with coughing, inhaling and any movements. Usually the pain is sharp and periodic. If the rib cage is damaged, the pain increases even with inhalation.
3. Shortening of the intercurrent ligament.With this process, a person will constantly suffer a cough that causes pain in the sternum. If you watch your body for a while, the patients may notice that they become more intense during exercise or during a conversation.
4. Inflammation of the trachea.With ARVI and flu, the trachea often becomes inflamed, then a cough starts and the chest hurts. In the treatment of diseases, the pain immediately passes.
5. Bronchitis.At a bronchitis the patient experiences a pain in a thorax and a burning sensation at a cough. Sometimes it becomes so intense that it causes a headache.
6. Formation of tumors on the lungs.The presence of a strong cough, which almost never stops, is a signal about the formation of a malignant tumor on the lungs. In this case, the pain in the chest with a cough is acute and stitching, in which the patient's breathing becomes much more difficult. Usually it occurs constantly in one specific place, but sometimes also extends to the neck and arms. Sometimes the tumor goes to the spine, then the chest coughing pains more and more.
7. Presence of tuberculosis.With tuberculosis, there is a moist or dry cough and pain in the sternum during any physical activity.
8. Crick.Very often, chest pain when coughing occurs when stretching muscles or from the fact that the chest proskvozilo. This process is accompanied by a dry cough and minor pain in the chest. After the course of treatment, the pain is removed and the person does not bother anymore.

You can not let the disease go by itself, as often chest pain, which appears against the background of a cold, can indicate damage to the mucous membrane, lung tissue or pleura.

Diagnosis of emerging pains

With a deterioration in health, which manifests itself as a cough and pain in the chest, it is necessary to visit such doctors as a pulmonologist, therapist, neurologist. In the case when the cause of the pain can not be established, the doctors for diagnosis can use the unfolded radiograph lung, general blood test, sputum culture, tuberculin test, blood test for the presence of viral or bacterial infection.

To exclude the presence of a tumor in the lungs, it is necessary to make a puncture of the lung tissue for histological examination. When suspected of such diseases as tracheitis, bronchitis, pharyngitis, acute respiratory viral infection, pulmonary radiography and sputum analysis are prescribed.

Having studied the indicators of the developed blood test, it is possible to determine the depth of the inflammatory process in the organs of the respiratory system.

What measures to take?

When there are coughing attacks, causing pain in the sternum, you can slightly ease the patient's condition. But it is necessary to abandon self-treatment in cases when the cause of such a process is unknown. If the patient knows that the pain in the chest when coughing occurs as a result of stretching muscles, you can use a warming ointment.Buy ointment should be as prescribed by the doctor, apply to a sore spot and rub well, so that the affected area is hot. Such actions need to be done for 3 days, during this time the inflammatory process will be removed.

It is also recommended to take drugs that suppress coughing attacks, or agents that increase the amount of sputum and help it to go away. Pain in the chest with a cough in any case is an indicator of the disorders occurring in the functioning of the body, which is why it is important to contact a specialist as early as possible.

NasmorkuNet.ru

When coughing, it hurts in the chest

Stitching, stitching and other unpleasant sensations in the chest area, as a rule, indicate the diseases of the respiratory tract, especially when there is a cough. However, this symptom is not always a sign of bronchitis, pneumonia or tuberculosis. It happens that when you cough, it hurts in the chest due to the pathologies of the heart, the digestive system, the nervous system and the diseases of the musculoskeletal system.

Why does the chest hurt when coughing?

The main causes of the condition considered are pathology of the respiratory tract:

• acute, chronic bronchitis;
• ARVI;
• pulmonary embolism;
• tracheitis;
• chronic obstructive pulmonary disease;
• Pleuritis (inflammation of the pulmonary membrane);
• bronchial asthma;
• pneumothorax;
• pharyngitis;
• bronchiectatic disease;
• emphysema of the lungs.

With these diseases, a strong dry or wet cough develops and the chest hurts. These clinical manifestations can occur as seizures, often observed at night and in the morning.

In addition, the causes of pain in the chest region are such diseases and conditions:

• destruction, trauma of the costal skeleton;
• osteocondritis of the spine;
• tumors in the chest;
• cardiovascular diseases;
• intercostal neuralgia;
• hiatal hernia;
• reflux esophagitis;
• allergic reaction;
• heart failure;
• the presence of a foreign body in the airways;
• epiglottitis;
• shortening of the intercurrent ligament;
• renal colic.

It is worth noting that this list of pathologies is rarely accompanied by a cough. If this symptom is present, most likely, there are concomitant diseases.

What if my chest hurts from coughing?

To start treatment it is important to establish the cause of the described clinical manifestations. Therefore, you should refer to several specialists:

• therapist;
• otolaryngologist;
• pulmonologist;
• the neuropathologist;
• surgeon;
• oncologist.

When the factor provoking the problem is clarified, attention should be paid to the nature of the cough and the presence of concomitant symptoms.

If the cause of the pain syndrome is neurological disease or osteochondrosis, it is necessary to reduce load on the spine, perform warming and take non-steroidal anti-inflammatory drugs (NSAIDs).

With a dry painful cough, antitussive drugs are required. They contribute to the suppression of seizures, provide a normal night's sleep. Additionally, you can take NSAIDs to relieve pain.

Wet cough involves thinning and facilitating the excretion of phlegm. Mucolytics and bronchodilators are prescribed for these purposes. It is important to observe the drinking regime, which includes an abundant amount of warm liquid.

It is important to note that cough and chest pain are just signs of a major illness. Without his therapy, it is pointless to fight against such manifestations.

The chest pains during a cough - than to treat such symptoms?

Of non-steroidal anti-inflammatory drugs are recommended:

• Ibuprofen;
• Orthophene;
• Paracetamol;
• Diclofenac;
• Aspirin.

Antitussives:

• Codterpine;
• Sinecod;
• Terpinkod;
• Kodelak;
• Libexin;
• Stoptussin.

Expectorant drugs that facilitate the removal of bronchopulmonary secretions:

• Ambroxol;
• Lazolvan;
• ATSTS;
• Mukaltin;
• Bromhexine;
• liquorice root.

If necessary, the doctor may also prescribe antiallergic medicines:

• Diazoline;
• Zodak;
• Claritin;
• Tavegil;
• Zirtek.

Antibiotics for the bacterial nature of cough:

• Ceftriaxone;
• Amoxiclav;
• Sumamed;
• Yunidox Solutab.

Sometimes you need antiviral drugs:

• Interferon;
• Oscillococcinum;
• Amizon;
• Remantadine.

WomanAdvice.ru

Pain in the chest when coughing

Causes of chest pain when coughing can be a disease that a person does not even suspect. The most common causes are diseases of the area near the heart or around it or in its middle wall, which manifest as pains. Pain during breathing and coughing can be signs of diseases of the respiratory system, although they are easily confused with heart disease. Such pains are most often localized to the side of the breast - right or left. They can be sharp, pricking or, on the contrary, blunt, pulling. What specific diseases is the pain in the chest signaling when coughing?

More on the causes of chest pain when coughing

Causes of chest pain when coughing, except for heart disease, blood vessels and the respiratory system, can be infections. They cause coughing, sneezing, lack of air and other symptoms that are not too pleasant for a person and encourage him to immediately consult a doctor. Here is an incomplete list of the most common causes of chest pain when coughing.

• Colds, seasonal influenza (flu), swine flu, ARVI (acute respiratory viral infection).
• Epiglottitis (epiglottitis), tracheitis, acute or chronic bronchitis, pneumonia and diphtheria
• Tuberculosis
• Respiratory tract infection
• Asthma
• Chronic obstructive pulmonary disease, emphysema.
• Inhalation of smoke
• Allergy
• Foreign body
• Tumors
• Pleurisy, which can cause chest pain and cough with deep breathing
• Cardiovascular diseases
• Heart failure.
• Pulmonary embolism

What diseases cause chest pain when coughing?

Let's take a closer look at the diseases that can cause chest pain when coughing.

Inflammation of the membrane (pleurisy)

In the chest cavity and lungs, there is a special membrane, which acts as a kind of litter. If this membrane becomes inflamed, a person may have a cough - deaf and barking or dry, not passing through. Such a disease is most often diagnosed as pleurisy or dry pleurisy. Most often it is a consequence of pneumonia.

Symptoms

If a person is affected by dry pleurisy, the following symptoms may occur.

• Turning on one side, which hurts, can cause a reduction in pain.
• It is difficult to breathe, especially one side of the chest, in which pains appear.
• Breathing can be weakened, especially if a person tries not to strain the painful side of the chest.
• When listening to breathing, the doctor can determine the noise in the chest and lungs - this is due to the friction of the pleural membranes.
• Subfebrile body temperature may develop (37, 5 - 38 degrees Celsius)
• Chills and night sweats, as well as rapid breathing and fatigue.

Destruction of the skeleton of ribs

In this disease, a person can also have chest pain when coughing.

Symptoms

The ribbed frame or thoracic spine can be destroyed or damaged as a result of trauma, causing it to become less mobile as before. In this case, a person can also suffer from pleural tumors or a disease called pericarditis. Pain in the chest in such cases becomes stronger during coughing, elementary movements, running, even walking. There is shortness of breath, and pain with shortness of breath can be either strong or at times weaken.

Too short inter pleural ligament

If the inter pleural ligament is shorter than physiologically necessary, a person can cough and his chest hurts. The ligament is called interpleural, because it lies between two parts of the pleura - the parietal and the visceral, which are located near the so-called roots of the lungs. This ligament provides resistance to the lungs when the diaphragm moves with any effort. The fact that with mild problems can be judged by the displacement of the inter pleural ligaments. For example, they are shortened in the development of pneumonia.

Symptoms

Cough and chest pain is aggravated when a person talks, sighs deeply, breathes actively, gives himself more physical exertion than usual. He can have chest pains in the form of tingling when running or walking.

Intercostal neuralgia

This disease is characterized by severe pain in the chest in the form of shots. They bother the person so much that he can scream in pain. It is important not to confuse intercostal neuralgia with attacks of heart pain, because the symptoms are similar.

Symptoms

Pain in the chest with intercostal neuralgia increases dramatically as soon as a person coughs or if he just sniffs.

Renal colic

This disease can cause pain not only in the back area, where the kidneys are located, but also chest pain when coughing. Renal colic can occur due to a violation of the outflow of urine, which develops due to poor work of the urinary tract and kidneys.

Symptoms

The pain under the ribs on the right side of the chest increases with coughing and movements. Pain in renal colic can also bother under the spoon (a common symptom) and another person has pain in the area of ​​the entire abdomen. Pain in renal colic can give under the scapula on the right side or in the right forearm. If the doctor examines the patient and by palpation checks the operation of the gallbladder, the pain can be troubling there. Especially can signal the pain of the tenth and twelfth vertebrae of the chest.

Breast Injury

They, too, can be the cause of chest pain, which is aggravated by coughing. Breast injuries can include fractures or bruises of the ribs, as well as dislocations and subluxations of the shoulder joint.

Symptoms

Pain in chest injuries is usually sharp, shooting, amplified with each movement. It is important not to confuse such pain with osteochondrosis. With this disease, chest pain also increases with cough, but is treated quite differently.

Pain in the chest when coughing due to colds

Causes of chest pain when coughing can be colds that occur due to viruses or bacteria. The diseases themselves are influenza, SARS, pertussis, trachea inflammation (tracheitis) and other diseases of the common cold.

Symptoms

• Dry cough that does not last long
• Chills
• Pain in the throat
• Heat
• Fast fatiguability
• Sensations, as if the chest inside someone scratches

Typically, these pains occur immediately, as soon as a person eliminates the source of the disease - bacteria or viruses that caused pain and cough.

Lungs' cancer

Lung cancer is a disease that is characterized by uncontrolled growth of cells in the lung tissue. If cancer is not treated, this growth can spread beyond the lungs (metastases) into nearby tissues and other parts of the body. The most common cause of lung cancer is the long-term exposure to tobacco smoke. It is important to know that non-smokers have 10-15% of cases of lung cancer, and these cases are often associated with a combination of genetic factors. The remaining 80-85% of cases of lung cancer are the consequences of smoking.

Symptoms

The nature of chest pain when coughing, which are due to lung cancer - are sharp, pricking, tingling the entire thorax. Pain can disturb a person only in one part of the chest or give in the arm, abdomen or neck. If the metastases penetrate the department of the ribs or the spine, the person experiences very strong, intolerable pains in the chest, which are intensified by the slightest movements.

Pneumotorax

Collapse of the lung, or pneumothorax, is an air pillow in the space around the lungs. This accumulation of air puts pressure on the lungs, so they can not expand as much as necessary for normal breathing. The collapse of the lung occurs when the air comes out of the lungs and fills the space outside the lungs, inside the chest. This disease can be caused by a gunshot or knife wound in the chest, broken ribs or medical procedures. In some cases, the collapse of the lung occurs without a reason. This condition is called spontaneous pneumothorax.

Symptoms

Unbearable pain in the chest, which sometimes pass independently, and sometimes require surgical intervention. Pain in the chest can be moderate, but intensify when coughing or abrupt movements.

Diagnosis of chest pain when coughing

To completely exclude serious damage to lung tissue or to find out that the causes of pain in the breasts when coughing are diseases of the heart and blood vessels, the doctor can prescribe the following methods diagnostics

• an expanded radiograph of the lungs in several projections;
• general blood analysis
• sputum culture
• tuberculin test
• ECG
• blood test for bacterial or viral infection

If you suspect a cancer, you need a puncture of the lung tissue for a histological examination. Only after that you can talk about what kind of disease you are concerned about

In the presence of obvious symptoms of bronchitis, pharyngitis, tracheitis and SARS, lung radiography, tuberculin test and sputum analysis are performed. The doctor can also prescribe a detailed general blood test. According to its indicators, it will be possible to judge the depth of the inflammatory process in the respiratory organs.

Pain in the chest with cough, as you already knew, can arise because of different diseases. Therefore, the treatment in each case is different. The method of treating chest pains with a cough depends entirely on the qualification of the doctor, so it is important to find a specialist that you can fully trust.

ilive.com.ua

Prolonged cough without fever

Many people pay attention to cough only if it is accompanied by fever. In the remaining cases, the symptom is not serious, they are waiting for an unpleasant phenomenon to pass by itself. They do not even think about going to the hospital, and a long cough without temperature persists for months.

The frivolous attitude to a signal of an organism in most cases comes to an end pitiful enough:

• The underlying disease that caused the cough and was not treated for a long time, grows into a severe form.
• The patient begins to show additional ailments, caused by a permanent weakening of the body's immune system.
• Treatment requires large financial costs.
• The patient falls out of active life for a long time.
• Often the neglected form of the underlying ailment that caused a cough without temperature, because of untimely medical care, can not be cured completely. A person for a lifetime gets a chronic illness.

The severe consequences of ignoring a prolonged cough without fever are explained by the fact that often it is a companion of quite serious and dangerous processes occurring in the body. They can affect various organs, as well as worsen the state of the immune system as a whole.

Prolonged cough, chest pain without fever due to chronic bronchitis

Reflex spasms of the respiratory tract often serve as a sign of ailments, not necessarily having a sharp form. A prolonged cough (more than a month) without a temperature is very often observed with chronic bronchitis. Its main features are:

• Parallel appearance of painful sensations in the chest.
• Gain in windy and damp weather.
• Allocating abundant sputum.

Prolonged disregard of the symptom and lack of adequate treatment of the underlying disease can lead to the development of chronic obstructive pulmonary disease.

Long cough without fever with tuberculosis

In addition to protracted bronchitis, there is a more serious respiratory disease, which can be evidenced by bronchospasm, which do not give rest for a long time. A prolonged cough (3 weeks) without fever can be a sign of such a terrible ailment as tuberculosis. The symptom that accompanies this disease has the following characteristics:

• It may be dry or with a small amount of sputum.
• Has a metallic sound.
• It manifests itself mainly in the morning hours, after the patient got out of bed.
• Individual seizures can be quite long.

The danger of ignoring a prolonged cough without the temperature caused by tuberculosis is that during reflex spasms, which are becoming more intense, respiratory organs can be injured and pulmonary bleeding. The main disease in the absence of adequate treatment will progress, growing into a more severe form.

Constant cough without temperature in smokers

Reflex spastic exhalations, which last for a long time, can be caused not only directly by diseases of the bronchi or lungs. Often they develop due to the presence of a harmful habit - nicotine addiction, which provokes the beginning of the development of various pathological processes in the respiratory organs.

If the cough lasts 3 weeks (no temperature), while a person has a long experience of a smoker, it is worth paying attention to the following symptoms:

• Are there any signs of any infectious diseases.
• Does cough appear most often in the mornings, after physical exertion (even fast walking), with sudden inhalations.
• Are bronchospasm accompanied by the release of dense clots of mucus.

If a prolonged cough without temperature in a smoker is accompanied by similar symptoms, then there is a high probability that an unpleasant phenomenon is caused by the constant inhalation of tobacco smoke.

The only way to get rid of a prolonged cough without temperature in this case is to stop smoking. All other methods (inhalations, mint or eucalyptus sweets, softening the throat of the rinse) may slightly weaken the intensity of reflex spasms, but they will not be able to completely rid themselves of them.

Just as it is impossible without abandoning the harmful habit and stop the pathological processes that began in the respiratory system. After all, very often a prolonged cough in smokers develops into chronic obstructive pulmonary disease, which threatens with serious consequences for health.

Prolonged cough without fever with heart disease

Continuous reflex spasms of the diaphragm can be caused not only by pathological processes occurring directly in the respiratory organs. If, for example, a cough lasts 2 weeks without a temperature, then it is worth paying attention to other sensations and signs:

• A symptom without temperature, accompanied by the separation of mucus and blood clots, will indicate a possible failure of the right ventricle of the heart, which appeared against the background of atrial fibrillation. The prolonged course of this disease causes stagnation in the lungs. As a consequence, there is a thromboembolic syndrome that causes bronchospasm.
• A sharp dry cough, accompanied by pain, not only in the heart area, but in the entire chest can be a sign of pericarditis or rheumatism. The absence of treatment of these diseases for a long time is fraught with the onset of heart attacks.
• A prolonged, exhausting and loud cough without temperature, which occurs after a person's stay for some time in a supine position, may indicate a heart failure of the left ventricle. It is accompanied by a strong choking. Coughing in this case brings noticeable relief.
• A prolonged dry cough without fever can be a symptom of a strong increase in the size of the left atrium. An unpleasant phenomenon can be accompanied by weakness and abundant sweating.
• In children, a prolonged cough without fever can indicate the presence of congenital heart disease. This disease is fraught with various complications. However, a child can outgrow it.

Prolonged cough without fever in allergic reactions

Supersensitivity of the organism to various stimuli can also cause reflex spasms of the respiratory tract. The unpleasant symptom arising from the action of allergens can be quite long. He pursues a person until the patient's contact with the provocateur is excluded. If the cough lasts two weeks (without the temperature), then it will not be superfluous to visit the hospital and take tests to identify various intolerances.

For an unpleasant symptom caused by an allergy, the following course is characteristic:

• Appearance after contact with a specific stimulus.
• Absence of such signs of painful conditions, such as: fever, fever, pain, weakness.
• Possible presence of itching, runny nose, sneezing.
• Absence of phlegm.

A prolonged cough without fever can be evidence of an allergic reaction of the body to such common things as:

• Pollen of plants.
• Food.
• Wool.
• Frost.
• The sun.
• Cosmetical tools.
• Household chemical products.

The reasons for the development of allergies and the occurrence of a prolonged cough without temperature, can be:

• Excessive hygiene, which reduces the protective function of the immune system.
• Antibiotics.
• Food saturated with chemical elements.

Unfortunately, drugs that treat allergies do not exist. Therefore, the only way to get rid of a prolonged cough without temperature is to completely exclude contact with the stimulus that causes intolerance.

Of course, the general knowledge of the causes of reflux airway spasms is not enough to independently diagnose and prescribe treatment. Only a doctor can correctly understand why an unpleasant symptom arose, analyze all available clinical picture and identify a disease that causes an unpleasant long-term cough without temperature. Only after this, the specialist appoints the optimal treatment regimen, which will help the patient in the shortest time to get rid of an unpleasant symptom and the underlying ailment.

prokashel.ru

What is signaled by pain in the chest during inspiration

The pleural shell of the chest contains a lot of nerve endings, so pain during inspiration can occur with many diseases and injuries.

Not always the pain in the chest, felt by breathing, indicates lung disease. Pain can be felt in the respiratory muscles after an excessive load on it - as happens, for example, after a strong multiple vomiting.

If the appearance of pain was preceded by a fall or a blow to the chest (for example, in a traffic accident), then the cause of the pain is a bruise or fracture of the ribs. In this case, the victim must be rushed to the hospital. Transport it should be in a sitting position, attaching a cold to the chest.

Diseases of the lungs

Pain in the chest during breathing is a characteristic sign of pneumonia (pneumonia). Other manifestations of this disease are high fever, coughing with phlegm, hard, wheezing breath.

No less serious danger is a pulmonary embolism - clogging a thrombus of one or more arteries feeding the lungs. Along with a sudden pain when breathing, shortness of breath, sweating, blue skin, coughing up with blood.

Pain when inhaling, as well as when coughing, is characterized by pleurisy - an inflammation of the membrane that surrounds the lungs. The pain can be blunt or sharp, like burning. Other symptoms of pleurisy are dry cough, chills, fever, shortness of breath.

All these diseases are serious enough and can pose a danger to life, therefore, when such symptoms appear, it is necessary to urgently call a doctor without resorting to self-treatment.

Diseases of other organs

Pain during breathing can occur with exacerbation of osteochondrosis, which affects the thoracic spine. In this case, there is a stabbing pain in the chest, "causing" the patient to take a certain position and hold his breath. Pain can occur not only with inspiration, but also with exhalation. You can remove this condition only with the help of an anesthetic injection - this will be done by an ambulance doctor, after which you should consult a therapist.

Dull pain in breathing and coughing in combination with high temperature indicates rib chondritis - inflammation of the cartilage at the junction of the ribs with the sternum. The deeper the breath, the greater the pain. When you press your fingers on the chest pain increases.

Pain in the chest area when breathing occurs and with heart disease - for example, with an attack of angina pectoris, which is popularly called "angina pectoris". Pain occurs suddenly with physical or emotional stress, accompanied by shortness of breath, a sensation of bursting in the chest, an attack lasts up to 15 minutes.

If the pain is felt in the middle of the chest or on the left, accompanied by shortness of breath in a prone position, a malaise, a temperature of 37-3, we are talking about pericarditis - an inflammation of the serosa, which surrounds the heart.

KakProsto.ru

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