When you cough, burning in the chest

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Burning, pain in the chest: in the middle, in the left, right side, the reasons for what to do

Symptoms such as pain and burning in the chest are rather frightening. After all, we all know that there is a heart, whose diseases are dangerous. But there are other organs: large vessels, lungs, esophagus. In addition, the walls of the chest are made of bones, muscles and ligaments, while in women there are mammary glands abundantly permeated with nerve fibers. All these organs can get sick.

In order to differentiate the "terrible" pain from the "fearless" one, we propose the following algorithm: first we determine where it hurts, then we are guided by additional symptoms. For some conditions, transportation is needed "Ambulance for others - specialists of the local polyclinic.

Hurts right

The pain syndrome, localized on the right side of the chest, usually make themselves felt:

Diseases of the liver and bile ducts

In this case the pain is usually:

  • stupid;
  • paroxysmal;
  • does not depend on the movement of the trunk;
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  • gives to the scapula, half of the neck, the arm to the right;
  • has a connection with the food intake: it increases with fat and roast, which makes it often disgusting for such dishes.

At the same time a yellow coating appears on the tongue, bitterness can be in the mouth. If a stone (or tumor) "wound up" in the bile ducts, interfering with the passage of bile along its natural pathways, then the whites of the eyes, then the skin, will turn yellow. Urine becomes dark, feces - light. The same can be observed when the liver itself is affected by hepatitis, hepatosis, or cirrhosis. Differentiate the state in the state only by qualified specialists: surgeons and infectious disease (see. also pain in the right hypochondrium, pain in the left hypochondrium).

Other diseases of the digestive tract

Gastritis, an ulcer of the upper part of the digestive tract, intestinal colic can also manifest themselves or pain, or a burning sensation in the right side of the chest, but are more often localized on the left or directly behind sternum. These pathologies are associated with eating. Consider them in more detail in the part devoted to pain in the rest of the chest.

Intercostal neuralgia

This is the name of the state where the nerves that go to the intercostal muscles (they "fill" with breathing), become inflamed or infringed. The most common cause of the disease is the herpes zoster, caused by the chickenpox virus. In this case, to the symptoms listed below, a rash is added in the form of vesicles in one or more intercostal spaces.

The main signs of intercostal neuralgia are:

  • pain is strong, can be described as a burning sensation, but - in a strictly localized place, which can be palpated;
  • pain increases with inhalation, turns of the trunk, coughing, inclinations.

If the "progenitor" of intercostal neuralgia is osteochondrosis, chest pain can be supplemented with "lumbago" in the right arm or right half of the neck. And if you ask the assistant to put his fingers on each vertebra, starting from the cervical, in one place the pain will intensify.

Pneumonia

Inflammation of the right lung, if it flows with an inflammation of the lung's membrane, pleura (a complication called pleurisy), can also be accompanied by pain in the chest on the left. If you have this disease, then even before the onset of pain, weakness, fatigue, loss of appetite, vomiting, aching muscles and / or bones are felt. Almost always the temperature rises, coughing occurs, sometimes with blood, sometimes with sputum mucus or mucopurulent, or a dry cough. Immediately before the appearance of pain in the chest, it becomes difficult to breathe.

Pain during premenstrual syndrome

One of the signs of mastopathy is pain in the premenstrual period. Usually it is localized in both mammary glands, but it can affect only the right one, which can be recognized as a pain in the chest.

In favor of mastopathy will say that the pain syndrome manifests itself just before the menstrual period, while the breast swells ("poured") and one or several nodules can be felt in it.

Intercostal myositis

Myositis is an inflammation of an individual muscle, in this case - an intercostal muscle. The pain is clearly localized. It can be noted that there is no pain at rest, but it appears with a certain movement, accompanies only a deep breath or cough.

Scoliosis

The curvature of the thoracic spine in the lateral side is extremely rare: this pathology is more susceptible to the "mobile" parts of its spine - cervical, lumbar. But if the thoracic scoliosis still develops, and it has a C- or S-shaped appearance, the convex side facing right, then if one of the intercostal nerves is infringed, there is pain in the right side thorax.

Thus there are such signs:

  • pain localized: a person can clearly indicate the point where it hurts;
  • pain increases with breathing and coughing;
  • weakness, nausea and coughing.

Mental diseases

This may be indicated by the absence of cough, fever, association with breathing or eating. A person may feel difficulty breathing, but if you ask the assistant to calculate the number of respiratory movements per minute in an arbitrary period of time when the patient himself will not know about it, it turns out that it is within the norm (12-16 in minute). When listening to the lungs, the doctor objectively does not hear any pathological noise, and radiography, MRI or chest CT scan of the pathology does not reveal.

Such diseases can be suspected if they started after severe nervous stress or summarized chronic fatigue. The psychiatrist is sent when other causes of pain in the thorax to the right are excluded.

Pain in the remaining sections of the thorax: in the middle, on the left

Due to the peculiarities of the anatomical course of the nerves going to the internal organs, pain in the chest in the middle and on the left may have common causes. We list the possible diseases according to the leading symptom.

There is a cough

If burning in the chest accompanies a cough, it can be:

  • Pneumonia complicated by pleurisy. In this case, burning is usually localized on the left, in a larger or smaller area, but:
    • not behind the breastbone;
    • not in the area from 3 to 5 intercostal space to the left of the sternum to the middle of the clavicle.

Pain or burning is constant, but intensifies with breathing. There is weakness, fatigue, lack of appetite, a sense of lack of air. Usually - a high temperature, but if pneumonia with pleurisy were complications of tuberculosis, then it may not rise at all. In some cases, diarrhea can occur with complete absence of symptoms on the part of the breath.

  • Bronchitis. There will be pain in the chest in the middle, coughing (usually moist, when mucus purulent sputum clears throat), loss of appetite, temperature rise.
  • Flu. This disease, which is based on a virus of a special structure, causing more or less small hemorrhages in the upper respiratory tract. Such hemorrhagic impregnation of the mucosa of the trachea causes pain or burning behind the sternum. In addition, the flu is manifested by high body temperature, weakness, pain in muscles and bones. Runny nose with this disease does not appear immediately, but on the second-third day of the disease, but a cough can occur on the first day.

If the initial symptoms were very similar to the flu: the temperature increased, there was an ache in the bones and muscles, at the same time or a little later there was pain behind the sternum, and then she moved to the side, this hardly means the development of hemorrhagic pneumonia. The latter, caused by impregnation of the lung tissue with blood, is manifested by difficulty breathing and symptoms of intoxication, and not by the movement of pain.

Pain after overwork

So can manifest themselves VSD, mental illness:

Vegeto-vascular dystonia - in the first case it hurts in the region of the heart, the pain is not intensive and has no connection with the load, the position of the body or breathing. In addition to pain, a person often blushes / turns pale, he throws in sweat or fever.

With mental disorders, there are no such vegetative disorders, but there is a change in mood, a decrease in the desire to do something, a deterioration in appetite. But there is no nausea, weakness, fever.

Pain in Exercise

The causes of chest pain during exercise, arising both on the left side and behind the breastbone, are, in the main, heart disease. This includes ischemic disease and its subtypes - angina pectoris and myocardial infarction. Also, pain with physical stress can occur with myocarditis and cardiomyopathy. In this case, the load should be considered not only the performance of physical work, but also:

  • climbing the stairs;
  • walking against the wind (especially cold);
  • the performance of even minimal work after exposure to cold.

If it is painful to perform only certain movements, then the matter is most likely in myositis or intercostal neuralgia.

Angina of Stress

  • The pain is localized in the region of the heart, that is, approximately in one of the places of such a square: horizontally - from the right side of the sternum to the line drawn through the middle of the clavicle, vertically - from 3 to 5 intercostal spaces;
  • Pain gives either to the left side of the jaw, or to the left scapula; irradiation can also go along the inner side of the left hand to the little finger inclusive;
  • feels like pressure, contraction, heaviness, dull pain;
  • provoked by physical exertion, sometimes - excitement or abundant food intake;
  • pain or burning passes through time or after rest, or - as a result of taking the nitroglycerin pill under the tongue;
  • coughing, changing the position of the body, the pain does not increase.

Myocardial infarction

This pathology, which rarely appears abruptly: it is usually preceded by warning "signs" in the form of angina attacks, while in order to provoke them, an ever-lower load is needed.

Characterized by a heart attack sharp pain in the heart, which, arising on the background of the load (not always significant), does not pass after rest and is not removed by taking even several nitroglycerin tablets under language. It gives pain to the left side of the body: arm, scapula, jaw. Often the pain syndrome is accompanied by a cold sweat, heart rhythm disturbances, dizziness and shortness of breath.

Myocarditis

This is called inflammation of the heart muscle, which is due to the infectious process (influenza, angina, diphtheria, scarlet fever), intoxication, systemic autoimmune pathologies. It often develops in young people (see Fig. myocarditis).

The disease manifests itself by the pain behind the sternum or elsewhere in the heart area, disruptions in the work of this muscular organ, shortness of breath, edema on the legs. Similar symptoms can periodically regress, and then recur.


Pain / burning associated with food

Thus, the pathology of the gastrointestinal tract manifests itself: esophagitis, foreign bodies in the esophagus, esophageal cancer, gastritis, peptic ulcer, pancreatitis, intestinal colic. Each of the diseases has its own characteristic symptoms.

So, with a lesion of the esophagus, pain in the middle of the chest arises precisely when swallowing.

Inflammation of the stomach makes itself felt by the pain developing after eating, located just below the rib cage. The suffering of the duodenum, on the contrary, is a pain syndrome that develops on an empty stomach. Pancreatitis and intestinal colic react with pain after 1, 1 hour after eating. Localized pain syndrome with inflammation of the intestine and pancreas also just below the costal arch.

If bake after breastbone after taking horizontal position

A severe burning sensation behind the sternum, appearing after a person had eaten before half an hour before, and then decided to lie down, is a symptom of gastro-esophageal reflux, that is, throwing food (water) from the stomach into the esophagus (see. preparations for heartburn). In addition to retrosternal burning, a person does not have a decrease in appetite, neither temperature, nor weakness. Only gradually hoarseness of the voice grows, he starts periodically "coughing" with a dry cough. If a tumor starts to grow in the esophagus, which has been "burned" with acid, a constant lump in the throat appears, a violation of the passage first of solid, and then - of liquid food.

Pain associated with breathing

Likewise, in the left part of the breast, the pathologies of the organs appear, whose membranes touch the inner side of the ribs. This - inflammation of the heart bag, pleura, the presence of free air in the cavity of the pleura. The same symptom will be accompanied by intercostal neuralgia, described earlier.

Pericarditis

This disease has two subspecies:

  • Dry pericarditis, when the outer shell of the heart (its "bag") is inflamed, with the release of inflammatory fluid it does not occur. The disease shows weakness, a cough, the pain in the heart is constant, dull, intensified with deep breathing, swallowing and coughing. Pain syndrome is slightly docked when taking a sitting position, but it is worse when lying down.
  • Exudative pericarditis is an inflammation of the cardiac sac, in which it releases an inflammatory fluid (exudate). He collects it inside and, in the case of a large number, is able to squeeze the heart and large vessels that come out of it. There is a disease diffuse squeezing pain in the heart, dyspnea, fever, hiccough, sensation of a lump in the esophagus when swallowing solid food.

Pleurisy

Inflammation of a two-layer "cover" for the lung, like pericarditis, can be dry and effusive. Symptoms of these subspecies are different. There is a disease only as a complication: either pneumonia, or cancer, or the manifestation of tuberculosis.

Dry left-sided pleurisy will be manifested by stitching pains in the left half of the chest, giving in the hypochondrium and abdomen. It intensifies if a person coughs, breathes deeply, and turns to all the torsos. It becomes easier if you lie on a sick side.

If pleurisy is exudative, that is, between the two layers of the "cover" there is an inflammatory fluid, the symptomatology is different. The person feels a dull ache in the chest (which is amplified by breathing) (described by the word "heaviness"), dyspnea increases, weakness is noted, the temperature rises to high figures, sweating, a sense of lack air.

The pain behind the breastbone or on the left side of the chest is unrelated to anything

  • Mitral valve prolapse and atrial fibrillation may manifest as pain behind the sternum. In both cases the pain is not pronounced, there is no visible connection with the breathing, the position of the body, the work done is not. Atrial fibrillation requires prompt diagnosis and treatment, as it is a life-threatening condition.
  • Diseases of the aorta and pulmonary artery - in the same way, diseases of large vessels passing through the thoracic cavity can manifest themselves.
    • Aortic dissection is an extremely life-threatening condition requiring emergency care, manifested by a strong, tearing pain in the middle of the chest or with a shift in pain to the left.
    • Thromboembolism of the pulmonary artery, if left in the mind, may manifest severe pain in the chest, which does not respond to taking nitroglycerin. In addition, there is shortness of breath, a feeling of lack of air, a cough, when "rusty" sputum leaves.
  • Oncology:
    • Malignant neoplasms of the mediastinal organs - not associated with breathing stupid pressing pain, which grows very gradually, a tumor of one of the thoracic cavity can manifest itself. It can be cancer of the lung, pleura, bronchi, myxedema of the heart, metastasis to the lymph nodes located in the mediastinum.
    • A tumor in the left breast, if it has grown into the chest, will also show up in pain. In this case, the iron must be deformed, it can define the condensation, fused with the tissues, there can be discharge from the nipple (see Fig. mammary cancer).

Treatment of pain in the chest

As reasons for the symptom, we described a variety of diseases, each of which is treated in its own way. Therefore, before you start treatment, you need to establish a diagnosis. This will help doctors: therapist, gastroenterologist, pulmonologist, surgeon, oncologist or psychiatrist. Our advice is as follows:

  • When the pain is in the left side or middle of the chest, stop and rest. If this helped, go to the pharmacy and buy "Nitroglycerin" - it will be needed for such situations. Make an electrocardiogram and necessarily descend or go on reception to the therapist or the cardiologist.
  • If it's hard with the pain, it's hard to breathe, call the ambulance.
  • When the pain appeared on the left or in the middle, it is strong, open the window, take a semi-sitting position, take "Nitroglycerin". If it does not, or if it did not help, call an ambulance, and for now, take 1-2 tablets of Aspirin (Aspekarda, Aspetera, Cardiomagnola) in a total dose of 300 mg.
  • If the pain - more likely in the mammary gland, is associated with menstruation or discharge from the nipples (even in men), you need to visit a mammologist. Such specialists either conduct a private reception, or work in local Oncology Dispensaries.
  • When the pain syndrome is associated with a cough, you need a chest X-ray or a CT scan, then a therapist is first visited, who will recommend where to go next - to the pulmonologist, oncologist, gastroenterologist or the surgeon.
  • If you become less likely to endure physical stress after an infectious disease, urgently consult a cardiologist. You can do the ECG and have an ultrasound of the heart the same day, before the doctor.
  • Intensive, burgeoning pain with the fact that with physical exertion you did not worry about anything - the reason to call an ambulance and say about the suspicion of an aneurysm of the thoracic aorta.

In any case, do not take any painkillers before you go to see a doctor - so it will be more difficult for you to help. Eat more fresh vegetables and less meat, walk every day at least 2 km at least a slow step and be healthy!

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Pain and burning in the chest when coughing

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All-seeing eye

Try to be treated for centuries by proven means, not chemistry.
The main methods of treatment are inhalations; rinsing; lubrication of the inner throat area; ingestion of antiseptic, restorative and anti-inflammatory drinks.
Well treated
Bee products - honey (especially lime, buckwheat), pollen, propolis;
Berries - cranberries, dogrose, cowberry, sea buckthorn, currants, raspberries, strawberries, strawberries;
Oils - eucalyptus, fir, olive.
Teas are crocade, green.
Decoctions - ginger, sage, yarrow, chamomile, elecampane, linden, rosehip, raspberry, pine and birch buds.
It is desirable to soar your feet with mustard or steam well in the sauna.

Burning in the sternum: causes and treatment

Burning in the sternum is an unpleasant sensation that causes discomfort and negatively affects the quality of our life. In the chest there are many different organs, the diseases of which can be manifested by this unpleasant sensation.

Causes of burning in the thoracic region

A frequent complaint with which a person turns to a doctor is a burning sensation in the sternum in the middle. The reasons for these sensations can be very diverse, both requiring no treatment, and more serious. Of the most common can be noted cardiovascular, mental, catarrhal diseases, malfunctioning of the gastrointestinal tract, osteochondrosis, etc.

Burning in the chest as a sign of cardiovascular disease

Burning in the sternum on the left is not always a sign of heart ailments, as is commonly believed. Such pains are most often localized to the center of the sternum.

Myocardial infarction is a very dangerous disease. The occurrence of burning in the chest can just be a symptom of a heart attack. Such symptoms do not go away even after the person took a cardiac drug ("Nitroglycerin" Validol "). Unpleasant sensations can give to different parts of the body: hands, jaws, legs, scapula. In addition, the person is shivering, throws into cold sweat, he suffers from shortness of breath, the skin pales. Sometimes loss of consciousness is possible.

With stenocardia, there is also a burning sensation in the sternum. Causes of the disease in excessive physical exertion, stress and anxiety. Soreness and burning usually disappear in a calm state. The comfortable position of the body, the influx of fresh air and the tablet "Nitroglycerin" are able to bring relief. But if a person does not get better, it is necessary to call an ambulance to exclude pre-infarction. Heat in the chest is often a symptom of vegetative-vascular dystonia. With such a disease, heart drugs will not improve the condition. Burning often occurs as a result of intense excitement or fear, which are accompanied by the release of adrenaline into the blood. Help to calm down and remove unpleasant symptoms sedative medications. To understand which specialist should be treated with a symptom such as burning in the chest, you need to pay attention to what exactly precedes the appearance of a similar symptom. If these feelings have arisen after a person has experienced a strong shock, was overexerted, overwrought, and in their elimination helped the heart or sedatives, then, most likely, the patient has a malfunction in the cardiovascular work system. If you are concerned about burning in the sternum, a cardiologist or therapist can help.

Burning in the thoracic area with diseases of the digestive tract

It would seem that there is no connection between the gastrointestinal tract and the cardiovascular system. But the fact is that many diseases are well disguised, and it seems that the problem is in another organ. For example, burning in the heart, which becomes stronger when tilted, may be a symptom of a hernia in the edema of the diaphragm.

Heartburn is a rather unpleasant condition that can ruin the pleasure of a delicious meal. In this case, the contents of the stomach are thrown into the esophagus, the tender walls of which are irritated by gastric juice. A person feels a burning sensation in the sternum and throat, it can occur immediately after a meal or in half an hour and even on an empty stomach. The heat in the chest can last as a few minutes, and an hour.

Burning, nausea and vomiting can be signs of cholecystitis, hepatitis, pancreatitis, impaired biliary tract pathways. Diseases of the spleen, kidneys, bile ducts are accompanied by similar symptoms.

A burning sensation causes a buildup of stones in the bile duct and a bladder. Pain and burning in the sternum to the right may be a symptom of calculous cholecystitis. All these conditions are an occasion to appeal to the gastroenterologist.

Problems with back and burning

Most often the cause of burning is osteochondrosis. Restricted nerve roots lead to a feeling of discomfort in the heart. Symptoms of angina and osteochondrosis are similar. The difference is that physical exertion and osteochondrosis are not connected, and in a calm state unpleasant symptoms do not disappear. A person strives to take a position in which discomfort is minimal. In this case, you need a consultation of a neurologist or therapist.

Similar symptoms can be observed with scoliosis and curvature of the spine. It is necessary to consult a neurologist. A complex of special exercises will help to alleviate the condition.

Heat in the sternum with menopause

During menopause, along with such a phenomenon as "hot flashes women often feel and burn in the chest. To relieve the condition, it is necessary to consult a gynecologist. Taking sedatives will significantly improve your well-being and help you survive such an unpleasant period.

Diseases of the respiratory system

Burning in the sternum on the right usually occurs with diseases of the respiratory system and lungs. Unpleasant sensations occur with a deep breath, sneezing or coughing. If this is a common cold, then burning and pain can disappear after a course of medication and bed rest. But sometimes a person's condition worsens so much that serious problems arise in the work of the respiratory system.

Inflammation of the lungs is a very formidable disease of the respiratory tract, which can affect both one lung and both. In severe cases, a lethal outcome is possible, especially with improper treatment. The main symptoms of pneumonia are fever, pain and burning in the chest, coughing and wheezing. Burning in the chest with pulmonary diseases provokes inflammation of the pleura and accumulation of fluid in the pleural cavity. In addition, burning can occur with abscess, gangrene of lung tissue. In this case, the cough may not be, but when the contents of the cavity break into the bronchial tree, purulent sputum is released. Sometimes, with pneumonia, burning in the sternum may appear in the middle. The causes of this condition in the development of bilateral inflammation.

Mental diseases

Similar symptoms with mental illnesses are infrequent. As a result of severe stress, frustration, experience there is a burning sensation in the sternum. The reasons will help determine the therapist and prescribe the necessary treatment.

Treatment

If the cause of burning in heart diseases, you will need to perform electrocardiography and ultrasound of the heart. After the doctor determines the cause of the unpleasant sensations, the appropriate treatment will be prescribed.

In the event that the problem has arisen due to diseases of the respiratory organs, you will need to take antibiotics, which the doctor should prescribe.

In diseases of the gastrointestinal tract, which are accompanied by burning in the chest, there is a need for the use of medicines that protect the gastric mucosa.

From the above, it can be seen that such an unpleasant sensation as a burning sensation in the sternum, the causes of which can be the most diverse, requires careful examination. It is not necessary to launch possible diseases, the sooner the treatment begins, the easier it will be to get rid of the problem.

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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.
  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.

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Pain in the chest with a cough: possible causes

A coughing attack is often accompanied by pain in the chest. There are many reasons for this state. Pain in the chest with a cough can be a sign of a severe inflammatory process that occurs in the lungs or in the pleura. But respiratory system diseases are not the only cause of possible pain in this area. Also, such a symptom can indicate problems in the cardiovascular system, etc.

Causes

Let's consider the most widespread reasons at which there is a pain in a breast at a cough:

  • SARS, seasonal flu, etc.
  • Bronchitis, tracheitis, pneumonia.
  • Pleurisy.
  • Emphysema of the lungs.
  • Diphtheria.
  • Epiglottitis.
  • Bronchial asthma.
  • Allergic reactions.
  • Foreign body.
  • Pulmonary embolism.
  • Fractures of the ribs.
  • Intercostal neuralgia.
  • Tumors of various origin (benign and malignant).
  • Tuberculosis.
  • Cardiovascular diseases.

Consider some diseases in which this symptom arises, in more detail.

Pleurisy

Pleura is a serous membrane that covers the surface of the lungs and the inner wall of the chest. Thus, there is a pleural cavity between them. With inflammation of the pleura, pleural disease occurs. It can be exudative, with fluid accumulation in the pleural space, and dry.

For pleurisy, the following symptoms are typical:

  • Dry cough, chest pain, shortness of breath.
  • Weakness and excessive sweating, usually at night.
  • The temperature is subfebrile, rarely rises to high figures.
  • If the patient lays down on the affected side, then the pain decreases slightly, because the respiratory movements are limited.

Dyspnoea exudation (in case of fluid accumulation) increases dyspnea. And if the pleurisy passes into a purulent form, the temperature rises sharply.

Antibacterial therapy is used to treat this disease, and in the case of purulent pleural cavity, it is recommended to remove fluid by pleural puncture.

Pneumonia

With this disease, chest pain with coughing is also characteristic. Especially if there is a croupous pneumonia with a lesion of the lobe or segment of the lung. The disease usually begins with a sudden rise in temperature. It can reach up to 40 degrees. Painful sensations in the chest appear and with a deep inspiration. Dyspnea occurs in the patient from the first days.

The patient's condition worsens. In addition to the described symptoms - chest pain, cough, temperature - there may be red spots that are noticeable on the face with side lesions, as well as cyanosis (cyanosis) of the lips, in case of involvement in the pathological process of cardiovascular system. Serious heartbeats and heart rhythm disturbances may occur.

After a few days, sputum begins to cough, first clear, then it becomes the color of rust.

Symptoms can build up within two weeks. Then, with proper treatment, the crisis passes, and gradually the patient becomes easier. Croupous pneumonia is a very serious disease. Treat it only with the use of antibiotics. Sometimes several antibacterial drugs are used at once. Before the appearance of antibiotics, this disease often ended in a fatal outcome.

Colds

Pain in the chest when coughing can be caused by colds caused by viruses or bacteria. Such diseases include:

  • ARVI.
  • Flu.
  • Whooping cough.
  • Tracheitis.
  • Bronchitis et al.

These diseases are characterized by the following symptoms: cough, chest pain, runny nose (with bronchitis and tracheitis, it may not be). In addition, the patient is concerned about weakness, chills, there is a temperature increase, sometimes up to 38-39 degrees and above. Often, patients say that they have a feeling, as if someone is scratching their chest from the inside. With the beginning of treatment, these feelings gradually disappear. With bronchitis the patient often suffers a severe cough, the pain in the chest is increased.

Antiviral therapy is used for influenza and ARVI. With a runny nose, vasoconstrictive drugs (drops, sprays) are used. Antibiotics can be used to treat bronchitis and tracheitis.

Intercostal neuralgia

This disease is characterized by pain in the chest, which can occur as sharp exacerbations in the form of shots. They intensify with deep inspiration and can be intolerable, as the patients state.

With intercostal neuralgia, it is important not to confuse this disease with attacks of angina or other heart diseases.

Breast Injury

These include bruises and fractures of the ribs. Pain sensations in this case are pronounced, with any movement intensified. It is important not to confuse them with pain during osteochondrosis. For this, chest X-ray is done. Similar symptoms sometimes give and injuries of the shoulder joint (subluxations, dislocations, fractures).

At fractures of the lungs or other injuries (knife or gunshot wound, etc.) of the chest sometimes there may be pneumothorax - is the penetration into the pleural space around the lungs air, which squeezes the lung and does not allow it to break down when inhaling. Such a condition, as a rule, requires surgical intervention.

Sometimes there may be a small spontaneous pneumothorax, it passes by itself and does not require treatment.

Lungs' cancer

In this tumor process, uncontrolled growth of pathological cells occurs in the lung tissues. The process can also affect nearby organs. It is important to identify pathology as soon as possible and take urgent measures. Therefore, all citizens are recommended to undergo a fluorography or X-ray examination of the lungs at least once a year.

Statistics show that of all cases of lung cancer, 85% of patients are smokers. The remaining 15% are patients with hereditary heredity, living in ecologically unfavorable areas, working in hazardous industries, etc.

Pain sensations in the chest in case of lung cancer pricking, acute. They can encircle the whole thorax or be on only one side, to give to the neck, arm, shoulder blade. If the process has gone far and the metastases penetrate the spine or ribs, the patient suffers from very strong, literally unbearable pain in the chest area, which are amplified in any movements.

If such symptoms occur, you need to identify the cause of discomfort and pain. To do this, you need to seek medical help. Only a specialist will determine their true cause and prescribe the right treatment.

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