Pain in the chest with a cough, why does the chest hurt while coughing?

When coughing, it hurts in the chest: possible causes and treatment

Pain sensations accompanying coughing - a frequent unpleasant phenomenon.

In addition to physical discomfort, the patient is worried about anxiety, whether this is a sign of a serious complication.

Partly the experiences are justified, since the pains in the chest are of different nature, intensity, are explained by a variety of factors, are treated differently.

More often when coughing, it hurts in the chest due to overstrain of the intercostal muscles and diaphragm.

Similar symptoms are intercostal neuralgia, bruises and injuries of the chest. The cause of the pain syndrome can be colds, complicated by inflammation of the trachea, bronchi.

Significant pains occur with pneumonia, involvement in the inflammatory process of the pleura or mediastinum aggravates the patient's condition.

Cough with pain in the chest can indicate specific (tuberculosis, sarcoidosis of the lungs) and tumor diseases. The cause of pain often becomes spasm of the bronchi (asthmatic bronchitis, bronchial asthma).

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Painful syndrome, worsening with cough, is accompanied by cardiac pathology (pericarditis, myocarditis, angina pectoris, acute myocardial infarction).

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The symptomatology of the ailment is diverse, manifested by severe pain, tingling, burning in the chest, areas of numbness or hypersensitivity of the skin are possible.

Unpleasant sensations dramatically increase the deep breath, cough. Neuralgia of the chest often resembles the symptoms of angina, gastritis, bronchitis.

The disease can provoke:

• hard labour;
• lifting weights;
• a sharp turn of the trunk;
• long stay in an uncomfortable position;
• injury;
• cold;
• supercooling;
• stress;
• osteocondritis of the spine.

Neuralgic syndrome develops due to spasm of muscles and subsequent irritation of intercostal nerves. There are two signs that help to recognize this disease.

First: you can find the position of the body, in which pain is not felt.

Second: cautious pressing with your fingertips along the intercostal spaces reveals a patch of sharp soreness along the lower edge of the rib, where the nerve passes.

Colds

Cough accompanying respiratory infections, provokes pain in the chest in the middle, according to the projection of the trachea.

Cough movements irritate the respiratory muscles, resulting in soreness at the bottom of the thoracic cavity, where the diaphragm is attached, intercostal spaces hurt.

Pain syndrome is often so pronounced that it makes breathing difficult.

Pleurisy

Inflammation of the pleura is manifested by tingling, pulling pains, which are significantly worse with coughing.

Dry pleurisy creates a feeling of friction under the ribs, soreness increases with a slope on the healthy side.

Exudative pleurisy may be asymptomatic for a while, but the accumulation of effusion presses the lungs, leading to shortness of breath. A characteristic sign is the severity, lagging of the sick half of the thorax during breathing.

Pneumonia

Inflammation of the lung tissue is accompanied by a temperature reaction, coughing, sputum discharge. With a dry cough it hurts in the chest closer to the sternum, as the bronchi covered with spongy sputum suffer.

The development of a moist component somewhat facilitates the departure of sputum, but there are thrusts on the side of the inflammation focus.

Symptomatology essentially depends on the vastness of the defeat of the respiratory organs (segmental, lobar, total pneumonia).

Breast Injury

The situation, when even with a minor cough hurts in the chest, requires the exclusion of traumatic damage to the ribs, sternum, pleura.

The patient could forget about the bruise, while cracks, bone fractures for a long time are manifested by pain symptoms. A thorough examination will reveal the changes from the soft tissues, careful pressing will detect a lesion focus.

Bone fragments are capable of traumatizing the lung, possibly the development of pneumothorax.

Heart Disease

Cough can be accompanied by pain, when there is a concomitant cardiac pathology. Painful coughing movements provoke pericarditis, myocarditis. Sensations are exacerbated by physical exertion, dyspnea arises, the patient can not take a deep breath.

Pressing pain behind the breastbone, burning is a dangerous symptom, often indicative of the development of an attack of angina pectoris. If the pain is given under the scapula, the supraclavicular area, the left arm, emergency care is required, since acute myocardial infarction is manifested in this way.

Lungs' cancer

Oncological pulmonary pathology lasts for a long time with subtle symptomatology, manifesting gradually increasing weakness, fatigue. Only the involvement of bronchial structures and the pleura causes coughing, pain in the chest.

Squeezing the bronchus with the tumor leads to atelectasis below the level of obstruction, respiration is disturbed, hypoxia of the internal organs begins. Tumor intoxication is manifested by nausea, vomiting, dizziness.

Possible development of pulmonary hemorrhages, acute anemia.

The localization of pain often helps to determine the source, cause. There are many reasons for the pain syndrome:

• overwork of the respiratory muscles from frequent coughing movements;
• inflammation of the mucous membranes of the respiratory tract, drying out of the respiratory epithelium;
• irritation or inflammation of the pleura;
• intercostal neuralgia;
• germination, compression of the bronchus with a tumor;
• Traumatic injuries of the thorax and thoracic cavity organs;
• inflammatory or ischemic diseases of the cardiac system.

In the middle

Painful sensations in the center of the chest during coughing are more often due to catarrhal tracheitis or bronchitis.

Another cause is the inflammatory mediastinum process, mediastinitis, including tuberculosis.

Stupid pulling pains behind the sternum, giving in the back, causes esophagitis (inflammation of the esophagus), neurasthenia is manifested like a symptomatology.

Behind the sternum

Acute burning behind the breastbone often indicates a cardiac pathology, although the same sensations can manifest as esophagitis, heartburn.

A distinctive feature of pain in angina pectoris, myocardial ischemia is a sharp weakness, rapid pulse, the presence of reflex fear.

Aching pains on the center of the chest when coughing rather talk about tracheitis, spreading them to nearby departments - about bronchitis.

On right

A common cause is intercostal neuralgia. Cough becomes painful, the patient takes a forced position, which at least partially alleviates the condition.

The common soreness of the right half of the thorax requires the exclusion of pleurisy, the tuberculosis process. Pain with a cough will be accompanied by a right-sided hotbed of pneumonia.

Stitching, "shooting" the nature of pain is accompanied by traumatic injury of the ribs.

Left

In addition to intercostal neuralgia, pleurisy, pneumonia, left-sided pains are caused by pericarditis, myocarditis, angina.

Alertness should cause a feeling of burning, squeezing in the heart, lack of air, palpitation, tachycardia.

Such a symptomatology is typical for ischemic lesions of the heart muscle, may indicate a developing myocardial infarction.

What kind of doctor should I contact?

the task in painful coughing is to establish and eliminate the cause. With respiratory infections, tracheitis, bronchitis should consult a therapist (the child - to the pediatrician). Suspicion of chest damage requires examination by a traumatologist, surgeon.

The neurologist will find out the source of intercostal neuralgia. With pain behind the sternum, in the area of ​​the heart, you need to call an emergency or visit a cardiologist. Further X-ray and laboratory examination will clarify the diagnosis, prescribe the appropriate treatment.

What to take if you have a chest cough?

Treatment should appoint a doctor, because the pain syndrome with a cough has a different origin. Having established the respiratory character of the disease, the specialist will advise antiviral drugs, more often these are interferon derivatives.

You may need antipyretic, anti-inflammatory (Paracetamol, Ibuprofen) and antihistamines. With bronchitis, the attending physician takes into account the nature of the inflammation.

Dry, unproductive cough requires the use of expectorants, diluted sputum funds: "ATSTS "Lazolvan "Bromgeksin "Ambroxol".

Vitaminotherapy is indicated, massage, acupuncture may be needed.

Drug treatment of pneumonia, chest injuries, cancer, heart pathology is strictly individual, taking into account all the features of the disease and the patient.

: Intercostal neuralgia and chest pain

A source: http://sovets24.ru/310-pri-kashle-bolit-v-grudnoi-kletke.html

Why does it hurt in the chest when I cough?

Sometimes it happens that the pain in the chest with a cough appears suddenly. In some cases, it does not appear constantly, only occasionally disturbing a person. Of course, if the intensity of pain is strong enough, people immediately turn to the doctor.

With a mild symptom, a person often does not focus on it and does not try to find an answer to the question of why there is a pain in the chest with a cough. But there are quite a few reasons.

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Most often this symptom indicates the development in the body of certain ailments. The main task in its detection is to diagnose a violation in the work of the organ or organ system in time and start adequate treatment.

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Burning in the chest with a cough and pain in this area are serious symptoms that should be given the closest attention.

Causes of chest pain

Pain in the chest with a cough - not a normal phenomenon. And in itself it just will not work. It clearly indicates that the body is not all right. So, unpleasant soreness of varying degrees of intensity can appear in such cases:

1. If a person is sick with bronchitis, then the chest cough is sore. Sometimes it feels like baking in it. Cough in some cases increases so much that even causes a headache.
2. Inflamed trachea. In case of cold infections, transmitted by airborne droplets, as well as influenza, the inflammatory process often affects the trachea. It is manifested by a debilitating cough. In addition, a person becomes hurt in the chest area. As soon as adequate treatment is started, soreness will weaken and will disappear in the future.
3. Dry pleurisy. Light and thorax inside is covered by a special membrane - pleura. When it is affected by the inflammatory process, a person coughing senses the pain in the sternum. Often so manifests itself pneumonia.
4. Shortening of the inter pleural ligament. With such a problem, cough and pain in the sternum region will become permanent companions of man. In the process of short observation of the body there is an increase in the intensity of unpleasant sensations during conversation or during physical exertion. These are indirect signs indicating this diagnosis.
5. Dry pericarditis. This is a disease in which the chest hurts during inspiration, coughing and in general any movement. As a rule, such a pain is rather sharp and arises periodically. If a person has damaged the framework of the ribs, the pain will increase significantly even during inspiration.
6. This disease is manifested by dry or wet cough in combination with pain in the chest area. Note that the pain occurs with any physical exertion, even the most insignificant.
7. Neoplasms on the lungs. A severe debilitating cough without the slightest hint of its cessation or at least weakening can signal the appearance of a malignant neoplasm on the lungs. In this case, it is accompanied by pain in the chest thrusting and acute nature. With such a cough, breathing is greatly complicated. Pain sensations can be localized in one place, but sometimes they affect both the hands (one or both) and the neck area. If the tumor spreads to the spine, the pain in the chest becomes more intense.
8. Crick. This is one of the most safe reasons for health. Also, the muscles of the chest can easily chill. Both of these conditions are accompanied by a dry cough and chest pain of low intensity. After the completion of treatment, discomfort disappears completely.

Which doctor should I contact

The first task, when there is pain in the chest and during and after a cough, is to determine why it has appeared. After that, you can successfully eliminate the cause.

To exclude serious damage to lung tissue or diseases of the cardiovascular system, the doctor will write to the referring patient for a number of tests and examinations.

So, it will be required:

• to make radiographic pictures of the lungs (they are usually done in several projections);
• to donate blood for analysis (general and for the definition of infection - viral and bacterial);
• to give sputum for sowing;
• make a tuberculin test;
• to make an electrocardiogram.

When it turned out that you have some kind of respiratory infection, tracheitis or bronchitis, you need to seek advice and treatment for the therapist.

If any of this sick child - of course, to the pediatrician. At the slightest suspicion of a trauma to the chest, it is necessary to go for an examination to the surgeon and traumatologist.

Intercostal neuralgia requires professional consultation of a neurologist.

If there are pains behind the breastbone and in the heart, you should not lose time, call an ambulance. At a pain of insignificant intensity it is possible to descend or go to the cardiologist independently. However, it is undesirable to postpone the visit.

The faster the exact cause of your ailment is found, the faster and more successful you will get rid of it. X-ray and laboratory methods of examination make it possible to clarify the presumptive diagnosis in order to prescribe the most effective treatment.

When I need help from a doctor

Immediately visit a doctor if:

• a fairly high temperature is maintained;
• cough becomes stronger every day;
• you feel very bad;
• it's been 7 days already, and the cough has not weakened;
• expectorated mucus with an admixture of blood;
• it becomes difficult to breathe;
• the face acquires a pale shade.

If you cough for a long time already, and the temperature remains normal - this is not a reason to refuse medical advice. On the contrary, this state requires a special approach to treatment. Especially if in the chest there were unpleasant sensations - a pain or a burning sensation.

How to treat

Any appointment should be done solely by the doctor, as the pain in the chest with a cough is of a different nature. Self-medication in this case is not only inappropriate, but also dangerous.

If an acute respiratory viral infection is diagnosed, the doctor will recommend to drink a course of antiviral medicines.

If necessary, he can additionally prescribe antipyretic, anti-inflammatory (the most common - "Ibuprofen" and "Paracetamol") and antiallergic drugs. If it turns out that the chest pain still provokes bronchitis, the doctor should take into account the nature of the cough.

Intercostal neuralgia is treated with a whole complex of measures. All of them are designed to eliminate irritation of the intercostal nerves.

The patient is usually prescribed non-steroidal anti-inflammatory medications (often prescribed "Phenylbutazone "Fenacetin and "Indomethacin").

Medicamentous treatment is supplemented with vitamin therapy, acupuncture and massage.

The pathologies of the heart and blood vessels, oncology, chest injuries and pneumonia are treated purely individually, taking into account all details of the course of a particular disease and the presence of concomitant ailments in patient.

And finally

If suddenly there was a cough and pain in the chest, do not try to drink drugs at random - maybe something will help.

First of all, we establish the cause of the indisposition.

After the doctor in detail has consulted you and has appointed or nominated course of treatment, it is necessary to start reception of the preparations written out by it.

As the respiratory system suffers from coughing, it causes considerable discomfort.

For the prompt elimination of unpleasant sensations it is possible to take not only pharmacy medicines, but also folk medicine. Certainly, having specified the list of admissible in your case of means at the doctor.

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Most importantly, if you have managed to get sick, you do not need to ignore the symptoms and strictly follow all the doctor's recommendations.

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Julia Zablocka

A source: https://lorcabinet.com/kashel/zabolevanie/bol-v-grudnoj-kletke.html

Pain in the chest with a cough: why, treatment and what to do?

The onset of chest pain when coughing is always troubling, especially if there are no relevant reasons for this.

Very often such pain occurs due to inflammation of the human respiratory system with various respiratory infections.

But there are cases when this state characterizes completely different diseases.

To properly understand the pain in the chest, you need to study all possible ways of its occurrence and try to prevent the onset of the disease.

If there are any signs, you should contact an experienced specialist as soon as possible and get information about how and what to treat this disease.

Causes of pain

Pain when coughing can not occur for no reason, so it is a consequence of a disease that begins to develop in the body. For its rapid treatment, it is necessary to conduct a correct analysis, to establish the source of the disease. Causes:

1. Inflammation of the respiratory system.
2. Diseases of the heart.
3. The onset of allergic reactions.
4. Tumor processes.
5. Bronchitis.
6. Pneumonia.
7. The presence of asthma.
8. Pleurisy.
9. Tracheitis.

When inflammation of the respiratory system usually there are diseases of the catarrhal character. These include:

1. Flu.
2. ARVI.
3. Bronchitis.
4. Pneumonia.

They are characterized by symptoms such as general lethargic state, fever, runny nose, sore throat, cough wet or dry, with inflammation of the lungs, the temperature rise is instantaneous and does not pass, it can be knocked down only with the help of medicines. This diagnosis is very dangerous and requires immediate hospitalization!

When there is a constant pain in the sternum in the middle, most likely, it indicates the occurrence of cardiovascular diseases, for example:

• various heart defects;
• acute heart failure;
• damage to the heart valves;

Heart diseases are characterized by heavy breathing, high cardiac pressure, stitching pain to the left of the chest.

Together with the cough, mucus and blood sputum may be secreted.

It is very difficult to independently determine the diseases associated with the heart, this should be done by an experienced cardiologist, having carried out all the necessary studies.

The presence of pleurisy in the lungs can also cause pain when coughing. It is dominated by a dry cough, which is accompanied by a lot of sweating in the patient.

Pleurisy should be treated quickly enough to avoid complications.

Consider the following diseases, in which it hurts in the chest during a cough:

1. Tracheitis. The main signs of the disease are a sharp increase in temperature, the presence of abundant dry cough, a cold. Pain resembles severe burning and pressure on the lungs.
2. Neuralgia. When the nerve endings are jammed, pain in the chest is also observed with a cough. It is quite sharp especially after a cough with lumbago in the back. It is easy to confuse with heart disease, so it is necessary to establish a diagnosis from a specialist doctor.
3. Renal failure. Pain in the right hypochondrium is felt, as the kidneys and urinary system are disturbed. The pain is localized in the right upper quadrant, as well as in the abdomen and back area on the right side.
4. Breast damage. Pain during coughing can be observed with fracture of the ribs, which put pressure on the chest. A distinctive feature of a chest injury is that pain occurs not only during coughing, but even with weak movements of a person. Against the background of a sternum injury, a dangerous disease called pneumothorax can develop. When the damaged side of the sternum squeezes the lungs, which can lead to severe cough and pain in the chest. The main manifestations of pneumothorax: the presence of severe pain when coughing on both sides, rapid breathing, high fever, cold shivering.
5. Oncological processes in the lungs. The presence of the tumor also causes painful sensations when coughing, and metastases develop. Pain in the left hypochondrium has a sharp, pricking character and gives back, neck, arms, shoulder blades to the area. But before you can establish the diagnosis you need to confirm it definitively and undergo extensive research.
6. The presence of a short inter pleural ligament. This pathology causes pain in the chest and burning sensation. It can be congenital or arise from inflammation of the pleura.
7. Damage to the posture and curvature of the spine. With this diagnosis, the pain is sharp enough, especially with body twists and movements. It is impossible to completely cure the disease, but with the observance of preventive measures it is possible to achieve a positive effect.

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Types of pain and diagnosis

Depending on the location of the pain, the specialist will establish the correct diagnosis, and also quickly prescribe a course of rehabilitation.

It is worth noting that the pain in the chest during a strong cough is the same in a child and an adult.

Therefore, you need to know clearly the causes of pain, its main types:

• periodically arising sharp pain;
• sharp or blunt turning into a cutting;
• aching pain of a permanent nature;
• increasing pain from weak to strong;
• pain giving in the back, both hands;
• the presence of severe pain, which is accompanied by a strong, rapid breathing;
• pain on the right or left side;
• increased pain during breathing.

Pain in the chest with a cough can be of different nature and the reasons for its occurrence are many. It can be both cardiovascular diseases, and many other pathologies.

If there is a characteristic pain in the chest with a cough, the doctor should quickly and correctly establish a diagnosis. It is best to use clinical and laboratory methods:

1. Ultrasound of the lungs.
2. Fluorography
3. Clinical and general blood count.
4. Bacterial sputum culture.
5. Electrocardiogram.
6. Histology (if suspected of swelling in the lungs).
7. Conducting a reaction to the presence of tuberculosis.

And only after that apply the prescribed treatment. It is worth remembering that research is typical for both an adult and a child.

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Treatment and preventive measures

Depending on the established cause of pain, you can begin treatment and take prescribed medications. The methods of treatment for various diseases that cause chest pain when coughing are the following:

• Application of a warming-type ointment. Mainly used for osteochondrosis and stretching of muscular ligaments. It is enough only to smear on the sick part of the body and make a warming compress. Such a method after a while will give a result;
• Taking anti-inflammatory and coughing drugs. The doctor prescribes these medications if an inflammation of the respiratory system is established. In this case, inflammation is quickly removed, and all signs of coughing are removed;
• Administration of antibiotics. Remove serious inflammation. For example, pneumonia, because the development of the disease must be quickly stopped and the body's state restored to normal;
• Soothing drugs. When heart diseases should be treated strictly according to the recommendations of the doctor in charge. To calm the general condition, you can take a tincture of valerian, motherwort. They will not exacerbate the state of affairs, but lead the organism into a state of equilibrium;
• Anesthetics. With severe sharp pains in the chest, you can take drugs that eliminate pain. But it should be remembered that it is best to first consult with a doctor.
• Antihistamines. In the treatment of an allergic reaction, a large range of appropriate drugs is used. They quickly block the allergen, and remove it from the body. This contributes to the rapid improvement of the general condition.

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Use of folk remedies

Especially popular in the treatment of cough use folk remedies. There is a wide range of medical prescriptions for preventing cough, for example:

1. Herbal collection. Prepare a decoction based on such herbs: licorice 40 g, mother-and-stepmother 30 g, plantain 30 g. Mix all the ingredients together, pour boiling water. A filtered decoction is taken once in quantity, a glass throughout the day. Good for bronchitis and infectious diseases of the respiratory tract.
2. Juice made from radish. Cut into thin slices, sprinkle with sugar. Leave for a few hours. Then squeeze the resulting juice with gauze. Take on, art. spoon a day before meals.
3. Tincture of wormwood on vodka. To 20 grams of wormwood add, bottle of vodka after insisting for a week. Then take three times a day for 1 tbsp. spoon before eating.
4. Carrots with honey. A very useful prescription for preventing disease for children. Freshly squeezed carrot juice should be mixed in equal proportions with honey. Use 4-6 times throughout the day.
5. A mixture of milk with garlic. Combine five cloves of chopped garlic with a glass of milk, bring to a boil. Take several times a day for 1 hour. spoon.
6. A combination of raspberries and oregano. The fruits of raspberries should be brewed with oregano and used as ordinary tea.
7. Rubbing the breast with lard. In advance, you need to wipe the chest thoroughly, then lubricate with lard or melted butter. After sheltering with a warm blanket, lie at rest for about an hour.
8. Juice of cabbage with sugar. Has a good expectorant effect. Take several times for 1 hour. spoon.
9. Molten sugar with milk. One st. Spoon the sugar on the fire, then add the milk. The resulting viscous mass should be formed into lozenges after dissolving until completely dissolved. A good remedy for dry cough. At the child such medicine will cause only positive emotions!
10. Tea with butter and milk. It is a preventive prescription, helps to relieve inflammation, improves coughing. It is recommended to drink several times a day.

Why it is necessary to adhere to certain preventive measures? The answer is simple, so as not to get sick and have excellent health! Basic preventive measures:

• clothing must comply with weather conditions;
• compliance with quarantine conditions during epidemics of respiratory infections;
• timely visit to the doctor;
• prevention of various situations that can cause injury to the body;
• healthy lifestyle;
• absence of bad habits.

If you experience such an unpleasant phenomenon as chest pain when you cough, you should carefully consider all the symptoms that appear, assess their degree, and consult a specialist. After all, excellent human health plays one of the main roles in his life and entirely depends on him!

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Pain in the chest when coughing

For Women »Beauty and Health» Home Doctor »Symptoms

When the chest starts to ache during a cough and such feelings appear constantly - you should consult a doctor for advice. If this is not done, then there is a real threat to miss the development of pathology, the treatment of which can take a lot of time and energy.

Causes of pain

The causes of pain are illnesses that a person has never suspected and, perhaps, did not hear. Often, patients do not pay attention to such symptoms until they become too intense.

Painful sensations when coughing in the chest often occur against the background of a common cold. They signal that the mucous membrane, lung tissue or pleura has been damaged.

Causes of painful sensations are:

• Pleurisy- Inflammation of the double membrane (pleural sheets), which surrounds the lungs and lines the thorax. This pathological condition significantly complicates the work of the lungs. Pleuritis burdens the course of many ailments in cardiology, phthisiology, pulmonology, oncology and rheumatology. Inflammation often accompanies pneumonia. Even a slight cough causes a painful tingling in the sternum.
• Injuries to the thoracic. As a result of the blows, cracks, fractures of the ribs, dislocations of the shoulder joint are possible. The pain is felt not only during a cough, but also with minor bends of the trunk, while walking.
• Dry pericarditis- inflammation of the outer shell of the heart (pericardial sac, pericardium). One of the reasons for its development - a strong blow to the heart, damage in injuries and operations. The pains in the chest are quite noticeable and become even more intense when a person coughs. At the same time, there is a violation of the depth of breathing, dyspnea increases.
• Contraction of the inter pleural ligament- accompanied by a constant cough. From his chest aches a bit. Cough intensifies when a person is talking or doing physical exercises.
• Intercostal neuralgia- irritation of nerves located between the ribs, or squeezing them. The disease is accompanied by periodic or paroxysmal acute and piercing pain. It increases with coughing, sneezing, a slight change in the position of the body. It is important to distinguish the ailment from a heart attack, because the symptoms are very similar.
• The appearance of neoplasm in the lungs, with the development of which there is uncontrolled growth of cells, and the tumor spreads to neighboring organs.
• Tracheitis- one of the ailments that affects the upper respiratory tract. The disease can occur during ARVI, flu, laryngitis or pharyngitis. Tracheitis often develops independently. It can cause various allergens, staphylococci and streptococci. In the chest, there are pains that are worse when coughing. Both symptoms are treated in the treatment of tracheitis.
• Bronchitis- an ailment of the respiratory system, in which the inflammatory process penetrates the bronchi. The disease is accompanied by chest pain and burning sensation while coughing.
• Tuberculosis- a dangerous infectious disease, which is caused by the sticks of Koch. A prolonged cough is one of the classic symptoms of the disease. It is wet or dry, strengthens the pain in the sternum.
• Crick- probably, the most harmless reason of pains in the field of a thorax at a dry cough. Correctly appointed course of treatment will relieve the painful sensations. They quickly pass without a trace.
• With an attack of renal colicthe focus of pain is concentrated under the right hypochondrium and spoon. Gradually, her wave is poured over the entire surface of the abdomen, gives in the shoulder blade and shoulder. It increases not only when coughing, but also with a small sigh.
• Intervertebral osteochondrosis- a possible cause of pain in the chest when coughing and inhaling. The disease develops because of curvature or spinal injuries, heavy loads on the ridge.
• Pneumothorax- an acute condition, in which air accumulates in the space between the chest wall and the lung. It penetrates into the pleura. As a result, when breathing in, the lungs can not expand sufficiently. Breathing is shortened, there is pain, which is especially noticeable when coughing. Pneumothorax often occurs after trauma to the chest or as a complication of a viral disease.
• Cardiovascular ailments. They are also capable of provoking pain when coughing. Among such diseases: arrhythmia and angina pectoris; cardiac ischemia; peripheral vascular disease; hypertension and stroke.

When a cough resounds with pain in the area of ​​the chest, it is necessary to consult a therapist, pulmonologist, neurologist.

Diagnostics

The specialist will start treatment only after a thorough examination, during which the true causes of pain in the sternum will be revealed and diagnosed. Research consists of:

• blood test for general and for infection;
• unfolded chest radiograph (in several projections);
• sputum culture;
• electrocardiograms;
• tuberculin test.

To exclude oncological diseases, a sample (puncture) of the lung tissue is taken, and a histological examination is performed.

The results of the tests will prompt what causes the pain in the chest with a cough.

They will help to determine how deeply the inflammatory process has penetrated the respiratory system, whether there are lesions of the lung tissue and what is the degree of their severity. It is possible that the causes lie in the ailments of the heart and blood vessels.

Help with chest pains

When the cause of cough pain is muscle tension, then any warming ointment can be used. With her help, the swelling of the muscles is removed.

Ointment, penetrating the skin, will remove pain, since it normalizes the contraction of muscle fibers.

If the body temperature is normal, you should use compresses or mustard plasters.

Effects are also rubbing with local anesthetic agents, such as menovasin.

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To reduce the intensity of cough, use the appropriate drugs in the form of tablets or potions. They can reduce the number of attacks by blocking the cough center.

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But it should be noted that such drugs can be used only when there is no need for sputum to form and depart.

They are relevant for diseases of laryngitis, pharyngitis, acute respiratory infections.

When the bronchial tree, pulmonary tissue and trachea are affected, sputum is necessary in order to cleanse the respiratory tract from pathogens and various products of their vital activity.

Therefore, drugs that help block the cough, should be taken only once, before bed. This is necessary so that the patient can sleep normally.

The doctor prescribes antimicrobial and antiviral drugs, aimed at treating the underlying disease and contributing to the reduction of intoxication of the body. They will help cough to go away and eliminate the focus of the disease.

Great importance is given to the drinking regime. It is advisable to use more liquid, including milk and mineral water with a weak content of alkali.

In the presence of intercostal neuralgia, you can get rid of pain in the chest therapeutic gymnastics.

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Determine the cause of discomfort arising in the chest, when a person coughs, only a specialist can. Therefore, prescribing treatment alone is dangerous and unacceptable.

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The causes of the appearance of pain in the chest, when a person coughs, a lot. To prevent painful feelings is real, if you lead a healthy and active life.

Regular exercise in sports, the use of useful products, the rejection of bad habits contribute to an increase in immunity.

This means that the body can resist any disease, avoid many pathologies.

A source: http://OnWomen.ru/bol-v-grudnoj-kletke-pri-kashle.html

Why there is pain in the chest with a cough

Cough is a way of cleansing the airways, but it does not only result from irritation sensitive receptors with mucus during inflammation or dust particles when inhaled contaminated air. Cough and chest pain are noted in heart diseases, neurological, neoplastic diseases, cracks, fractures of ribs or sternum.

Sources of pain in the chest

Mechanical shocks when coughing irritate sensitive nerve endings (receptors), and a person can feel pain in the chest.

Anatomically it contains the respiratory system and the mediastinum area - the space between the right and left lungs, bounded by the sternum and spine, and below the diaphragm.

The respiratory organs and mediastinal regions are well innervated by the branches of the vagus nerve, and are provided with a multitude of receptors. Mechanical compression at a cough push can cause irritation of the receptor and cause pain in the esophagus, heart, trachea, sternum.

Sources of pain are mainly:

• pleura - inflammation of the pleura or inter pleural ligament;
• pericardium;
• tumors, cysts of the mediastinum;
• muscles of the chest;
• bone skeleton - sternum, ribs, spine.

Causes

After an acute respiratory disease, sometimes in the chest, there is no discomfort for a long time, there are unpleasant sensations from a cough, it hurts some more time after recovery. Such a pain in the chest is temporary and is caused by overexertion of the respiratory muscles during illness during coughing.

This kind of condition does not pose a threat to human health. It is enough to continue to take expectorants, so that coughing attacks stop.

It is much more dangerous if a person has a pain in the chest for a reason, such as myeloma, in which there is a constant coughing and coughing up the chest discomfort.

Myeloma is bone marrow cancer. This is a rare disease, but the likelihood of it with a chronic cough that does not pass a few weeks, you need to exclude. For this, it is necessary to undergo a survey, this will help to identify the actual cause of pain in the sternum and thorax when coughing.

The most common causes of prolonged discomfort in the chest, which is worse in coughing attacks, are:

• diseases of the respiratory system;
  • pneumonia;
  • pleurisy;
  • bronchitis;
  • tracheitis;
  • epiglottitis;
  • asthma;
  • embolism;
  • ARI;
• heart disease;
• injuries;
  • fractures or cracks in the ribs, collarbone, sternum;
  • foreign body in the respiratory tract;
• tumors of the mediastinum;
• neurological diseases - most often intercostal neuralgia;
• allergy - anaphylactic shock;
• smoking;
• idiopathic (causeless).

Why does the chest hurt, what to do, if there is pain in the chest, under what diseases does it increase from a cough?

Diseases of the respiratory system

With reduced immunity, in older people, pneumonia can occur atypically, with mild symptoms. The only signs of pneumonia in such cases may be chest pain and dry cough.

Discomfort can also occur at the stage of recovery after pneumonia. Cough with acute pain in the chest can be caused by complications of pneumonia, among which:

• adhesions in the cavity of the pleura - pain is sharp, pulling, intensifying and with coughing and deepening of breathing;
• fibrosis of the lungs - after pneumonia in the lung tissue, scars form obstructing the normal functioning of the lungs;
• abscess of the lung - in the lung after pneumonia there is a cavity filled with pus, this focus of inflammation is manifested by dry cough, pain in the chest.

Dry cough and chest pain occur with pleurisy as a complication of pneumonia. Pain in pleurisy depends on the position of the body, subsides in a lying position on the diseased side, increases with inhalation, coughing, swallowing.

The chest pains with tracheitis, bronchitis, laryngitis - frequent diseases in the child, which are always accompanied by a strong cough. Acute sensations are often muscular in nature and are caused by fatigue of the respiratory muscles due to cough suppressant attacks.

The inflammatory process affecting the inter pleural ligament located between the internal and external sheets of the pleura, leads to its shortening, which causes chest pain, worse with coughing and inhalation.

Cough is an obligatory companion of bronchial asthma. With asthma, coughing is almost always associated with chest pain, a burning sensation, a feeling that a person can not fill the chest with air.

Heart diseases

After suffering pneumonia, the patient may develop an infectious lesion:

• myocardium - a disease called myocarditis;
• pericardium or pericardium bag - pericarditis.

Pericarditis can occur without temperature, accompanied by acute sensations in coughing attacks, which can be permanent or appear periodically. From a heart attack, the condition is different in that the attack does not subside after taking nitroglycerin, but is stopped with the help of painkillers.

Myocarditis is characterized by pain localized in the heart, arrhythmia, dyspnea. Myocarditis develops after SARS, and the appearance of pain in the heart is preceded by cough, fever, a runny nose.

Injuries

A severe bruise of the chest can cause fracture or a crack in the bones of the chest. Damage can cause severe pain, in which the slightest movement causes discomfort.

In 60% of cases fractures affect the lungs and pleura, as a result of which the patient has a long time with deep breath, careless turn, coughing, discomfort in the chest.

A blow to the chest can cause a fracture of the sternum. If, after a similar injury, it hurts in the chest behind the sternum, and the pain when coughing becomes very strong, then this may well be one of the types of sternal fractures, which is confirmed by x-rays.

A dangerous injury for bedridden patients and elderly people is a cracked rib. When a rib cracks the victim, it painfully coughs up phlegm, in the chest, when there is a cough, there is a sharp pain, and the mucus stagnates in the bronchial tubes.

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In this case, any innocuous runny nose threatens to develop into pneumonia. In older people, a crack in the rib can provoke pneumonia on the second day after a stroke or a fall that has caused trauma.

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Pain in the child's chest, if it is worse when coughing, touching the site of the injury, may indicate a trauma to the ribs or sternum. To help the child, the parents must provide him with the help of a traumatologist.

Anaphylactic shock

Pain in the chest and cough can occur with developing anaphylactic shock. This serious condition is dangerous for life, accompanied by swelling of the tissues of the face, larynx, threatens suffocation.

Cough appears at an early stage of anaphylactic shock. In such a situation, the patient must immediately call an "ambulance".

Intercostal neuralgia

The main discomfort in intercostal neuralgia patients experience from chest pain, which is often taken for a heart attack. Pain can be permanent or intermittent.

Cough intensifies discomfort. Sensations can be so sharp that the patient has difficulty breathing, which causes him convulsions, dizziness.

Tumors, cysts of the mediastinum

With diseases of the mediastinum, pain is felt with coughing jolts in the middle of the chest and behind the breastbone, coughing is usually dry or with a low amount of sputum. In this area can develop up to 100 different types of tumors and cysts.

Most often in the mediastinum are found:

• tumors;
  • thymus gland;
  • nervous tissue;
  • lymphoid tissue;
  • Germinogenic - caused by the defect of intrauterine development, affects mainly children and adolescents;
• cysts, mainly the thymus.

Malignant tumors of the mediastinum are rare, and account for only 1% of the total number of oncological diseases. The insidiousness of this disease is that it appears more often at a young age, among socially active 30-40-year-old people.

Pain in the chest and coughing without fever is one of the signs of a tumor in the mediastinum. Cough in this case becomes chronic, accompanied by tachycardia, dyspnea.

One of the rare types of mediastinal tumors is germicogenic cancer. This type of tumor can develop in a child from 6 months to 4 years old, manifests itself with a new pain in the chest, shortness of breath, cough.

And, if a child complains that he has a sore chest when coughing, quickly gets tired and suffocates from moving games, It must be carefully examined to exclude the slightest chance of tumors the mediastinum.

Smoking

Cough experienced by smokers with experience. Discomfort often does not leave even those of them who have parted with this bad habit. The most formidable danger to the health of a smoker is a high risk of heart disease, lung cancer, COPD.

All these diseases are accompanied by discomfort in the chest, coughing, deterioration of well-being and gradual disability. More information about the effect of smoking on human health can be found in the heading "Smoking".

A source: http://loramed.ru/simptom/kashel/bol-v-grudi.html