Pain in the side when coughing: diagnosis and treatment tactics for the symptom

Cough is one of the main symptoms of a cold. This is what most patients think, but this is where their mistake lies. At the beginning of a flu infection, many suffer from a dry, irritable cough, which later develops along with mucus production. Pain in the left side when coughing, in the area of ​​the ribs, as well as sneezing and fever may accompany the disease.

Side pain is not always a symptom of a cold

The reflex is a natural defense mechanism against external irritants: dust, small particles and pathogens. If the cough becomes sharp and stronger, combined with shortness of breath, the diagnosis may be whooping cough or heart failure, so a medical examination is required.

Irritating factors of pain on the left

When you have a cold, viruses activate cough receptors on the mucous membranes of the respiratory tract. The process involves the diaphragm, back and abdominal muscles. When a flu infection is attached, as a rule, the reflex will be dry and irritating. Typically, phlegm production begins during a cold. The discarded mucus is colored yellowish and greenish or is discolored, but quite viscous.

In addition to the cold, smoking is a possible cause of cough. In addition, bronchial asthma and other chronic lung diseases cause the same symptoms.

In such cases, it is imperative to undergo diagnostics and consult a doctor to assess the extent of internal damage. Treatment can begin with the use of imaging techniques.

Smoking causes cough

If the pain spreads or increases in intensity, you should consult a doctor. This can lead to disruption of life as general procedures are limited.

Decreased breathing leads to increased heart activity. This increases the risk of having a heart attack. A sore throat, fever, or runny nose indicates a cold or flu. The germs involved are often viruses or bacteria. They spread in the body within a few hours and lead to deterioration of health without medical attention.

And now in more detail about why discomfort occurs in a particular direction. So, when you cough, it hurts in your side due to the activation of your chest and abdominal muscles.

But such a sensation can be encountered during pathology, if the patient experiences mechanical irritation of the nervous structures and organs located nearby.

So, a person may cough if there are complications, if the inflammation begins to spread.

Pain in the side occurs with pleurisy

The left side hurts when coughing for various reasons, so it is considered a nonspecific symptom. If the discomfort is located above, pneumonia or pleurisy should be suspected. A sign that is localized below the diaphragm is characterized by an enlarged spleen (splenomegaly) or a heart attack. Left-sided chest pain when coughing always raises suspicion of pneumonia. This is associated with complex pleurisy.

Pathology often occurs on the left as a result of infection of the bronchial system. Associated signs: fever, fatigue and mucus reflex. When pleurisy does not form in isolation, serious respiratory discomfort develops.

A possible cause of severe pain in the sides when coughing is pulmonary artery occlusion (embolism). However, this is extremely unusual in previously healthy patients, which is often a complication after a severe course of long-term cardiovascular disease. In addition to cough and breathing-dependent pain, pulmonary embolism includes many different symptoms:

• unconscious state;

Pulmonary embolism is accompanied by cough and pain in the side

• coughing up blood;
• dyspnea;
• tachycardia.

There are frequent cases of infection: toxoplasmosis or rubella, liver pathologies, leukemia, anemia. The cardinal sign is left-sided pain under the costal arch, which may be accompanied by varying symptoms depending on the underlying disease.

Pathologies of other abdominal organs: colitis or inflammation of the pancreas can also cause these symptoms, but are atypical. The side hurts when coughing due to pleurisy, because the clinical picture is caused by inflammation of the adjacent lung. Such processes cause irritation of the sensitive visceral pleura, which ultimately leads to pain.

Unpleasant sensations in the side appear with colitis

The spleen protects and also filters out old blood cells. Various diseases require a large capacity of the organ to mobilize white blood cells (lymphocytes) from it into the immune system. For this reason, the vessels dilate and the spleen enlarges. The rough capsule rotates, which causes pain in the back or front, and also radiates to the left side.

Some diseases (eg, splenic infarction) produce the secretion of a clotting protein on the surface of the organ. Because it becomes unstable, it causes friction and pain when coughing or breathing.

Pneumonia has a high mortality rate, especially in the immunocompromised and elderly.

Pain in the side may indicate splenic infarction

Since persistent left-sided pain when coughing is a nonspecific symptom, you should consult a doctor. All of the listed possible causes usually cannot be treated on their own and lead to complications. Splenomegaly can lead to a critical episode in which the surrounding splenic capsule ruptures, followed by internal bleeding and shock.

Emergency surgical treatment is necessary to stop bleeding. The sudden absence of these signs (fast heart rate and low blood pressure or even loss of consciousness) indicates splenomegaly.

Localization in the right side

Simple coughing is accompanied by atypical sensations. For example, when you cough, your right side hurts. The reason for the development of this symptomatology is a number of problems:

• pneumonia (localization of the inflammatory process on the right);

Right-sided pneumonia may present as pain in the side

• kidney or liver pathologies;
• spinal dysfunction;
• pleurisy;
• intercostal neuralgia;
• problems with the functioning of the gallbladder;
• injuries or damage to the ribs.

Sometimes pain below the costal arch can be a sign of abdominal disease. In particular, liver and gall pathologies can be considered here. Right-sided pain when coughing is a sign of concomitant pleurisy (pneumonia), especially in cases of obvious cold symptoms.

Pain in the right side due to chronic cholecystitis

Cholecystitis or cholelithiasis is observed with pain in the area of ​​the right shoulder blade. If the pathology is accompanied by flatulence or diarrhea, the diagnosis may change to enteritis or inflammatory bowel disease. Chronic appendicitis is also accompanied by severe discomfort on the right side.

Concomitant pleurisy develops as part of a respiratory tract infection. It can spread and infect the lungs and pleura of a person with a weak immune system or in the absence of treatment for the underlying disease, and then when coughing it radiates to the right side. Symptoms in the foreground:

Pleurisy is accompanied by fever

• cough is dry or productive;
• fever;
• chills;
• fatigue;
• headache.

If the pain is localized in the lower hypochondrium, liver or gallbladder disease may be suspected. However, the correlation of this symptom with cough is unusual.

Pain under the ribs occurs with liver disease

Diagnostic measures to determine the sign under the ribs

In the case of pain in the ribs when coughing, both the left and right costal arch are affected, but sometimes the entire area is affected. The symptom itself can have different facets: discomfort occurs only during coughing, and in other cases it persists even after the reflex disappears.

With left-sided rib pain there may be complaints about the spleen, heart, pancreas or colon.

Coughing is defined as a convulsive movement during exhalation. It is initiated by the muscles and is most often caused by irritation (chronic or acute). Pain in the intercostal region and cough do not represent a separate disease.

The doctor must identify the exact cause of the pain in the side

Here it is important to correctly establish the causes: whether rib pain is caused by coughing or is it an independent sign that can be enhanced by a reflex. In the first case, there is excessive stress on the muscles of the ribs, which are responsible for the movement of the chest when inhaling. High voltage can cause soreness, leading to pain when coughing.

If the symptoms are concomitant, the doctor will diagnose inflammation of the pleura. In this case, the underlying disease is often pneumonia, which also includes the presence of a cough. Sometimes a deep breath brings discomfort, and sneezing or other sudden movement will increase the intensity of the symptoms.

The appearance of pain in the ribs during coughing may be accompanied by an increase or decrease in discomfort. Sometimes when the body is positioned on its side, the sensations fade.

The patient is referred for general laboratory tests

If the acute rib pain is on the left side, a heart attack may also occur. In this case, it is necessary to take action and begin treatment immediately to avoid worse consequences.

If signs are observed for a long time or if they develop suddenly, a man (woman) should consult a doctor to avoid serious complications.

Rib pain caused by coughing is a concern for many people. Symptoms may be associated with respiratory and pulmonary diseases. The following organs are affected in a similar way: the spleen, heart or stomach. Therefore, timely diagnosis is an important stage in diagnosing the disease. This includes a set of measures:

• determination of antibodies to herpes;
• examination of sputum, urine and blood;

The condition of the lungs can be assessed by the results of an x-ray

• Ultrasound;
• ECG;
• liver tests;
• X-ray;
• examination of related specialists of a narrow profile.

Only a doctor can make a diagnosis by determining the cause of the pain, by pressing in the navel area, in the middle and below, as well as on the side of the abdomen, examining and collecting complaints. During a cold, coughing is the most likely cause.

Additionally, the patient is sent for a cardiogram

Course of treatment for possible pathologies

If a dry cough is associated with chest pain, a reflex remedy taken from a pharmacy will alleviate the condition of the infected person.

However, it is better to consider using the drug after consultation with your doctor. For productive coughs, a mucus remover will provide relief.

If such a drug is used, the patient should be careful. A combination of several medications is not recommended.

A suitable cough remedy is ivy extract. The active ingredients of the plant relax muscles and dissolve mucus in the respiratory tract. By taking syrup or tea from this medicinal plant, a person quickly recovers if the doctor makes the correct diagnosis.

Even home remedies are effective against acute cough. Many patients feel that inhaling water vapor is calming. The long process moisturizes irritated mucous membranes and helps loosen stuck mucus, which makes coughing easier.

Inhalations with medicinal solutions will help cure cough

Special inhalers with applications for the mouth and nose make treatment easier for the child. But even a bowl of hot water with homemade or sea salt and a towel over your head gives good results. A warm bath can relieve chest or rib pain when coughing. Heat relaxes the muscles above, but the lower limbs should not freeze.

For mildly elevated fevers and pain when coughing, bed rest is often the best therapy. To reduce fever, pregnant women should observe the main condition - coordinate everything with their doctor, and do not use drugs familiar to a non-pregnant woman. According to modern research, taking paracetamol during pregnancy is acceptable.

The doctor will talk about the causes of pain in the side when coughing in the video:

Source: http://bolezni.com/stati-o-simptomax/kashel/bol-v-bolu-pri-kashle.html

When coughing, the right side hurts under the ribs: what could it be, causes and treatment

When the right side hurts under the ribs with prolonged coughing, patients usually do not pay attention to it and attribute everything to muscle fatigue. However, the combination of these symptoms can be caused by serious pathologies that, without proper treatment, lead to negative consequences.

Causes

Cough is a reflex that appears in response to the penetration of irritants into the respiratory tract: dust, chemicals, allergens, pathogenic microflora.

This reaction occurs through coordinated contraction of the smooth muscle layer of the trachea, bronchi and skeletal muscles.

If there are disorders of the musculoskeletal system or internal organs, pain may occur at this moment.

Pathologies of the respiratory system

When a combination of cough, shortness of breath or suffocation and the addition of fever, we can talk about infectious inflammation. If the symptoms are accompanied by pain in the right side of the chest, it means that bacteria or viruses have reached the interstitial tissue of the lungs or pleura.

Pneumonia

Temperatures above 38 °C and other typical signs of intoxication (nausea, headaches, chills), as well as an increase in respiratory rate, severe bronchospasm and pain from coughing attacks in some cases indicate the formation of pneumonia. The causative agents are viruses (influenza, parainfluenza, adenoviruses) and bacteria (pneumococcus, streptococcus, E. coli). Sometimes it is a complication of untreated tracheitis or bronchitis.

Pleurisy

It is a lesion of the pleural layers with subsequent deposition of connective tissue and the appearance of exudate. Based on etiology, it is divided into infectious and non-infectious. Accompanied by pain in the side, radiating to the shoulder or abdomen and intensifying when bending in the other direction. Characterized by shortness of breath, dry painful cough, increased body temperature.

Intercostal neuralgia

Pathology is a lesion of the nerve endings passing between the ribs. As it progresses, the pain increases, and the unpleasant sensations can be different: sharp, pressing, aching, cutting, and so on.

The reasons for the changes are:

• foci of chronic infection;
• osteochondrosis;
• tumor growth;
• prolonged stress;
• lack of B vitamins;
• constant hypothermia.

Movement towards the lesion usually causes severe pain, stimulating the patient to return to the starting position.

Injuries

Occurs from a direct blow, compression, or fall. Fractures of the ribs on the right cause severe pain, aggravated by coughing or physical activity. Breathing becomes frequent and shallow. It is complicated by the formation of pneumothorax (accumulation of air between the layers of the pleura), and therefore requires fixation with bandages.

A right-sided rib bruise develops for the same reasons as a fracture, but it occurs much more easily, since it does not affect the integrity of the bone. With sliding blows, hematomas are formed.

Gallstones and pancreatitis

When the gallbladder or pancreas is inflamed, the skeletal muscles are involved in the process, which is why the right side begins to hurt even with a slight cough. The symptom is combined with colic, which decreases with a change in body position in the opposite direction.

The clinical picture also includes:

• nausea after eating;
• vomit;
• decreased or lack of appetite;
• general weakness;
• diarrhea.

If acute pain occurs, you should immediately consult a doctor for advice and undergo a full diagnosis.

Pathologies of the kidneys and liver

Exacerbation of chronic inflammation of these organs leads to severe pain in the right side, which radiates to the lower back and slightly below. With renal colic, patients usually rush from place to place and cannot take a position that would alleviate their condition. Sometimes the administration of narcotic analgesics is required to relieve pain.

Skeletal muscle spasm

With a severe cough against the background of strong contraction of the muscles of the chest and abdomen, the side may hurt on the right. Possible reasons:

• violation of the integrity of the ribs;
• myositis – infectious inflammation of the muscles;
• incorrect posture while sleeping or walking (with curvature of the spinal column).

Symptoms disappear for a while, especially after taking non-steroidal anti-inflammatory drugs and antispasmodics.

Oncology and neoplasms

As the tumors increase in size, the cyst on the right begins to hurt the side on the affected side. The nature of the discomfort depends on the severity of the pathology and its location.

A distinctive feature of pain is constancy; the intensity of the symptom does not depend on physical activity or basic movements.

The clinic may also include weakness, increased fatigue, malaise and an increase in body temperature up to 37.5 ° C.

Appendicitis

Against the background of inflammation of the appendix, a person’s right side hurts, but not under the ribs, but closer to the groin area. With an atypical location of the process, pain occurs precisely in the area where the liver is located. The exact cause of the disease is difficult to establish; opportunistic microflora, impaired blood supply to the organ, and plug-type filling with feces play a role.

In addition to pain that gets worse when coughing, symptoms include:

• nausea;
• vomiting;
• pale skin;
• increased body temperature;
• diarrhea or constipation;
• flatulence.

In 2% of the population, chronic appendicitis develops, in which pain occurs only after drinking alcohol or poor-quality food.

Diagnostics

To eliminate the clinical picture, reduce pain and restore ability to work, the patient must see a doctor and undergo an examination.

Examination and interview of the patient

The doctor clarifies the nature and duration of the cough, the severity of pain, as well as the presence of accompanying symptoms. The specialist asks in detail about your life history, after which he proceeds to examine the skin and oral cavity. The doctor should pay attention to the forced position that the patient can take to alleviate the condition.

Physical examination

Includes palpation, percussion, auscultation. When listening to the lungs against the background of damage to the interstitial tissue, dry or moist rales are detected. If a person is bothered by pleurisy, then a characteristic friction noise or crepitus in combination with weakened breathing is noted. Upon percussion over the affected area, dullness of sound is determined.

In case of injuries, intercostal neuralgia, cholelithiasis and muscle spasm, the pain syndrome increases at the time of palpation. In addition, with renal colic, effleurage is a positive symptom.

Laboratory and instrumental examinations

After examination by a doctor, additional diagnostics are required to confirm his assumptions. The most informative ones are:

• general and biochemical blood test;
• urine test (for kidney disease);
• macroscopic diagnosis of sputum;
• bacterial culture of biological fluids and testing for sensitivity to antibiotics;
• Ultrasound of organs in the abdominal cavity (if gallstone disease (GSD) and pancreatitis are suspected);
• plain radiography of the chest organs;
• computed tomography or magnetic resonance imaging.

When the tumor grows, a biopsy is required to identify atypical cells. If there is a suspicion of the development of pleurisy, the patient undergoes a puncture of the pleural cavity. Sometimes, when coughing and pain in the right side, consultation with specialized specialists is required: a neurologist, an orthopedic traumatologist, an oncologist, a surgeon.

Treatment

It is divided into two directions: etiopathogenetic and symptomatic. The first type of therapy depends on the type of pathology leading to pain, which is aggravated by coughing. You can take medications such as:

• antibiotics - for bacterial inflammation of the lungs, pleura, myositis;
• antiviral medications - effective against viral infection;
• anticonvulsants - relieve spasms of skeletal muscles;
• antidepressants, sedatives - necessary to eliminate intercostal neuralgia.

In case of cholelithiasis, oncology, appendicitis, surgical intervention is required. In case of rib injury, tight bandaging is performed.

To eliminate pain, non-steroidal anti-inflammatory drugs or antispasmodics are prescribed. Cough is treated with three types of drugs: central action (suppression of the reflex), mucolytics, and combination medications.

Prevention

Specific prevention is relevant only if there is a risk of pneumonia. Children from 3 months, according to the National Vaccination Calendar, are given a pneumococcal vaccine to prevent pneumonia. General recommendations include:

• preventing hypothermia;
• proper, nutritious nutrition;
• maintaining personal hygiene;
• getting rid of bad habits.

Doctors recommend not to delay treatment of cough and pain, but to seek help if an early clinical picture develops. It is advisable to undergo medical examination and annual examinations.

Conclusion

If the right side hurts under the ribs during a cough, this indicates the formation of an additional pathological process that requires diagnosis and adequate therapy.

Otherwise, the patient’s well-being deteriorates sharply: catarrhal infectious inflammation spreads to neighboring organs, the tumor gradually grows, and as a result a lot of complications develop, and the pain syndrome increases significantly in intensity.

Source: https://prikashel.ru/bolezni/bolit-pravyj-bok-pod-rebrami.html

When coughing it radiates to the right side

Causes of pain in the side when coughing

Coughing can not only exhaust a person, but also bring him pain. For example, coughing attacks in certain situations are reflected by pain in the ribs.

If the left or right side hurts when coughing, a person begins to panic and sound the alarm. Each of us has vital organs on the right side of our body. When there is a malfunction in their functioning, this is manifested by pain symptoms.

In order to find out what ailment may foreshadow pain in the right hypochondrium, it is not enough to determine only its location. An important point in establishing a diagnosis is the nature of the pain attacks.

Depending on the nature of the pain and other signs present, it is possible to determine which specific organ needs a thorough medical examination followed by therapeutic therapy.

The most common causes of such pain:

• right-sided pneumonia;
• injuries in the rib area;
• kidney diseases;
• liver pathologies:
• gallbladder diseases;
• pleurisy;
• stomach ulcer;
• intercostal neuralgia;
• diseases of the spine.

A disease such as pleurisy often causes pain in the rib area when a person coughs. This disease is characterized by pain symptoms in the lateral zone, which can increase over time.

  When inhaling or sneezing, the discomfort intensifies. Painful symptoms can also appear with sudden movements. If a person lies on his side, the pain will subside.

In order to determine the nature of the pain, you need to see a doctor and undergo a series of laboratory and diagnostic tests:

• blood analysis;
• chest x-ray;
• Ultrasound of the abdominal organs;
• MRI or CT.
• Electrocardiogram.

The research results will help determine the cause, identify possible disorders in the functioning of internal organs, make the correct diagnosis, and prescribe the necessary treatment.

Nature and symptoms of pain on the side under the ribs

Pain on the right side under the ribs often intensifies when coughing. The pain can be sharp, stabbing, cutting, and decrease or disappear after coughing.

In diseases of the internal organs, pain may be present constantly or appear intermittently.

When it comes to pain during coughing, the cause of such symptoms in 80% will be pleurisy, pneumonia or intercostal neuralgia.

In addition to pain, it is important to pay attention to other characteristic symptoms that may be present with a particular disease:

• increased body temperature;
• pain in the epigastric region;
• bowel dysfunction;
• labored breathing;
• shortness of breath;
• deterioration of the patient's general condition.

We recommend reading an article about why it causes pain in the back when you cough.

If the cause of pain is pathologies of the gastrointestinal tract, then a person may be bothered by:

• gagging;
• loose stools;
• constipation;
• heartburn.
• nausea;
• vomit;
• intoxication of the body;
• increase in body temperature.

The right side under the ribs gives off pain when coughing, also with chronic liver diseases that accompany its enlargement. In addition, such pain can occur in the presence of tumors. The left side of the lower abdomen gives pain when coughing, also due to gynecological diseases in women.

Recommended reading: Why does my left side under my ribs hurt when I cough?

The right side hurts when coughing due to a number of ailments. The following ailments can cause pain in the lateral area when coughing:

• In case of dysfunction of the rib frame or thoracic spine.
• Dry pericarditis can cause pain in the side when coughing.
• Intercostal neuralgia.
• Kidney failure.

What can you do at home to relieve severe pain?

If pain syndromes have arisen for the first time and are of a pressing nature, you cannot treat them yourself. You should also not take painkillers, as they can blur the clinical picture, which will mislead the specialist during the examination. In such situations, acute appendicitis cannot be ruled out.

If your side hurts when you cough, you should use compresses, jars or mustard plasters. You can inject novocaine into painful areas. Pain in the side when coughing will help eliminate antispasmodics. They should be taken in case of acute pain.

Good to know - What are the indications and contraindications for using cupping for coughs?

Effective remedies for pain relief:

• No-spa (take 2 tablets at a time, repeat no more than 3 times a day);
• Nitroglycerin (put one tablet under the tongue);
• Baralgin (solution for injection).

When the pain radiates to the right hypochondrium when coughing, you should lie on your side and wait for the ambulance to arrive. In a supine position, pain attacks should ease.

about what to do if you have back pain from coughing.

How to treat pain in the right side

Pain is a protective mechanism that is aimed at maintaining the integrity of human organs. If you experience pain, this indicates the presence of a pathological process in the body. Pain cannot appear without a reason. Pain in the right side has its own causes, which definitely need to be clarified.

A set of treatment procedures to relieve pain symptoms in the left or right side will be prescribed in accordance with the cause of their occurrence. It is impossible to treat the attacks themselves; you can only numb the area of ​​the body that hurts.

To do this you need to take painkillers. You can also resort to traditional medicine, but it will not be possible to relieve pain in a short period of time using such methods. In some cases, the patient will need surgery.

Depending on the established cause that led to pain when coughing in the side, you can begin medical therapy. It usually consists of the following methods.

• As a treatment, patients are often prescribed warming ointments. You need to apply it to the area and wait for the result, which will occur within half an hour.
• Anti-inflammatory and cough medicines. The doctor prescribes them to a patient who has been diagnosed with inflammation of the respiratory organs. The inflammatory process will quickly pass and the cough will disappear.
• Taking antibiotics. They eliminate serious inflammation. Such medications are often prescribed for pneumonia.
• Antihistamines. These medications are usually prescribed for allergic coughs that are accompanied by rib pain. They block the allergen and remove it from the body.

Folk remedies are very popular. It is impossible to quickly cure a cough using “grandmother’s” recipes, but a long course of home treatment will give tangible results.

Manual therapy

Pain in the right side when coughing can be cured by a chiropractor, but only in cases where the pain syndrome is caused by diseases of the spine - intercostal neuralgia, thoracic osteochondrosis, injuries and bruises. An experienced doctor uses the palpation method to assess the condition of a person’s skin and muscles.

Manual therapy sessions are carried out once every four days. The procedures help eliminate pain in the right side by maintaining muscle tone. After the first sessions, the patient may feel unpleasant pain symptoms in the muscles and weakness in the body.

For preventive purposes, you can resort to manual therapy 2-3 times a year.

Before the course of treatment, you must undergo the following examinations:

• radiography;
• MRI;
• general analysis of blood, urine and lymph;
• computed tomography;

Manual therapy in combination with drug treatment will help eliminate pain in the right side when coughing, which is caused by orthopedic defects and spinal deformity.

Treatment tips

A set of procedures for patients whose ribs hurt when coughing is prescribed only by a doctor after a detailed examination of the patient. It is highly undesirable to deal with such symptoms on your own. If a person has been diagnosed with an acute inflammatory disease of the respiratory organs, he will be prescribed the necessary therapy.

Therapeutic therapy is prescribed individually to each patient, depending on the factors that caused the pain in the side. The main task will be to get rid of the cough, which causes pain. To do this, you need to undergo a course of drug therapy and maintain the effect with folk remedies.

You can protect yourself from coughing with the help of preventive measures. It is recommended to give up bad habits, especially smoking. If you often get colds, you can take vitamins during the season of outbreaks of viral infections. It is necessary to dress according to the weather, and keep your feet warm.

Avoid situations that could cause injury to your chest area.

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Source: https://nasmork.net/pri-kashle-otdaet-v-pravyj-bok/

Pain under the ribs when coughing: understanding the causes

The cough itself is unpleasant. When you add pain under your ribs, the situation becomes complicated. It is impossible to diagnose the causes of discomfort by symptom alone. It can be triggered by a virus, injury, or diseases of the cardiovascular system or internal organs. Nevertheless, let’s try to figure out why my ribs hurt when I cough.

Coughing causes pain in the right or left side: common causes

The spectrum of influence of pathologies in the body in a situation where the ribs hurt when coughing is wide. Let's outline the key points:

• Pneumonia. Among other symptoms, there is pain in the hypochondrium. To reduce discomfort during treatment, try not to provoke attacks; bed rest and reduced physical activity are required.
•      Pinched nerve. Pain in the ribs when coughing can be caused by intercostal neuralgia. Unpleasant sensations worsen with movement and become unbearable. You may need the help of an osteopath to get rid of them completely.
•      Damage. Violation of the integrity of muscle tissue can be especially pronounced when coughing. An obsessive aching pain in the side intensifies with a sharp muscle contraction.
•      Unilateral pleurisy. It can be diagnosed as an independent diagnosis, or as a consequence of a complication. The lateral side of the rib area may hurt, flatulence may be observed, and other symptoms may be associated.

To understand what exactly provokes a cough, you need to listen to the sensations. Feel which side the hypochondrium hurts on, the nature of the pain and the frequency of its occurrence. What disease causes acute processes and how to treat it can only be told by a qualified specialist. Moreover, he will do this after collecting tests and additional examination.

Pain in the right hypochondrium: causes

Many vital organs are located on the right side of a person. To understand why the ribs on the right side hurt when you cough, you need to understand what diseases can affect this.

• Right-sided pneumonia - the part of the right lung in front hurts. A severe cough is a warning sign. This indicates a progressive course and requires an early examination by a doctor.
• Right-sided intercostal neuralgia – the patient has difficulty coughing, and encircling spasms occur that radiate to one side of the body. This happens if a nerve is damaged. The cause may be advanced osteochondrosis or injury.
• Damage to the right hypochondrium - the main characteristics of the disease are aching pain and shooting attacks. Usually there are no difficulties in diagnosis; the patient himself talks about recently received injuries. Symptoms go away quite quickly after starting treatment.
• Right-sided dry pleurisy - the disease is most often diagnosed as a complication after an acute respiratory infection. The doctor will make an accurate diagnosis only after examining the x-ray.
• Liver damage – pain in the side can be caused by an enlarged liver. This is accompanied by other symptoms: high fever, bitter taste in the mouth and problems with stool. Another sign is a yellow tint to the whites of the eyes and skin.
• Appendicitis – the appendix is ​​localized on the right. The inflammatory process that occurs in it will be felt by severe pain on the right, including when coughing.

• Gallstone disease – pain under the scapula and in the epigastric region. This may be evidence of cholecystitis. Often discomfort associated with the gallbladder is observed in women during pregnancy. Moreover, as the fetus grows, the pain increases. This is due to a violation of the bile ducts.
• Pathology of the right kidney - this is the verdict a doctor can make if, when coughing, the patient experiences discomfort on the right and behind. At the same time, it is physically difficult for him to be in the same position. It’s easy to make sure that you have this particular illness - just lightly hit the area of ​​the lower rib from behind. If an attack of acute pain follows, then the right kidney is not in order. If the spine and lower back react to the blow, then most likely the cause of the discomfort is urolithiasis.
• Gastric ulcer – this disease can cause pain in the anterior hypochondrium. A person feels better when pressing on a painful point. The torment stops if you squat down or lie face down.
• Degenerative processes in the pancreas - they are accompanied by sharp lumbago on the side. They are caused by poor diet, alcohol poisoning, overloading the body with fatty foods, or exacerbation of a chronic disease.
• Amebiasis is an ulcerative disease of the intestines. Causes complications, affecting the liver and lungs. Naturally, this causes pain on the right side of the torso.
• Neoplasms on the right side of the chest - pain can be caused by cancer.

Of course, in some cases you can diagnose it yourself. But most diseases occur with similar symptoms. Therefore, self-medication in this case is useless and even dangerous.

Pain in the left hypochondrium: causes

When the left side of the body begins to hurt, it becomes uneasy. This part contains the heart, one of the most important life-support organs. Therefore, when the left side under the ribs hurts when coughing, you need to recognize the causes of the discomfort as quickly as possible. And, as in the case of the right side, there are a lot of them.

• Heart disease - despite the fact that any pain on the left side raises suspicion about the work of the heart, confirmation of this is rare. Diseases of the cardiovascular system usually manifest themselves at rest. But it won’t hurt to get checked by a cardiologist.

• Left-sided pneumonia , unlike right-sided pneumonia, brings more trouble. The fact is that the left lung consists of two lobes, and in place of the third is the heart. Any inflammation can result in a serious illness.
• Left-sided pleurisy - as already mentioned, this is a complication after ARVI that responds well to treatment.
• Bronchitis is a disease caused by a virus. It looks like a cold, the sputum thins gradually. Lack of treatment leads to development into a chronic form. Constant tension in the muscles provokes pain in the hypochondrium.
• Gastrointestinal diseases - pain in the left side under the ribs with cough can be caused by a stomach ulcer, gastritis, inflammation in the intestines. The patient has a history of difficulty breathing and fever and abdominal pain.
• Kidney diseases - degenerative processes cause colic in the lower left hypochondrium, and it is so strong that there is a risk of losing consciousness. In particular, with pyelonephritis, the patient’s temperature rises and difficulty urinating.

• Pancreatitis - the pancreas is located in the middle of the body, just above the navel. If it cannot cope with the processing of incoming substances, this results in a glut of toxins and an increase in the organ’s size. This may cause discomfort under the ribs. The condition worsens after eating.
• Injuries in the left intercostal space - just as in the case of the right side, mechanical injuries are diagnosed and treated quickly enough.
• Tietze syndrome is an inflammation of the cartilage in the rib area caused by injury.
• Diaphragmatic hernia - the diaphragm separates the thoracic and abdominal sections. When a hernia forms, lumbago appears under the left rib. If a person tries to take a deep breath, it becomes even more painful.
• Osteochondrosis – discomfort when coughing can result from degenerative processes in the joints, as well as injuries to various parts of the spine.
• Neoplasms in the lungs - stabbing lumbago can cause cancer. With metastases, blood appears in the sputum.

Pain in the left side under the ribs when coughing is a controversial, but very serious symptom that cannot be ignored. You need to remember that the sooner you get a professional diagnosis, the sooner you will get rid of unpleasant sensations.

Diagnosis of pain

This review provides general information on what may cause pain in the hypochondrium. Only a specialist can understand the true reasons. It uses modern diagnostic tools:

•    Initial examination - the doctor examines the color of the whites of the eyes, skin and tongue, if there is an assumption that the cause of the illness is liver failure.
•        Palpation - in case of inflammation of the kidneys, liver or gall bladder, pathology can be detected by pressing on the painful points.
•        Studying the medical history for the presence of chronic forms of diseases.
•        Laboratory tests - you need to donate mucus, blood, urine and feces.
•        Chest X-ray - allows you to identify pathologies in the lungs, heart and spine.
•        Electrocardiogram – prescribed for suspected diseases of the cardiovascular system.
•        Ultrasound examination of organs.
•        Fluorography - helps to identify pathology in the lungs.

First, see a therapist. After studying the first results, he will refer you to specialized specialists. In difficult cases, hospitalization is performed. Often both men and women are afraid that treatment will end with surgery. Let us note that surgical intervention is performed in cases of appendicitis, heart disease or damage to the spleen, that is, in cases where life and death are involved.

Acceptable treatments

Frequent use of painkillers can make studying the disease more difficult. But before meeting with a doctor, you need to relieve the pain. You can use antispasmodics, but don’t get carried away. The following medications will help at home:

•       No-spa – take 1-3 times a day.
•         Nitroglycerin - the pill is placed under the tongue, dissolving.
•         Baralgin - prescribed as injections.

Pregnant women should consult their healthcare provider before taking any drug. For pneumonia, pleurisy, bronchitis, and also if sneezing is added to the cough, doctors prescribe medications:

•          antibacterial;
•          anti-inflammatory;
•          bronchodilators;
•          immunomodulators.

Warming ointments are contraindicated for pain in the hypochondrium. But physiotherapy and electrophoresis, on the contrary, have only a positive effect. If you have gallbladder diseases, you do not need to take choleretic drugs; they can cause tissue rupture. If symptoms are observed in a child, you need to call a doctor and feel the tummy. You can apply a cold compress to the sore side. The main thing to remember is that if the doctor has prescribed bed rest, you need to stick to it until the condition improves. This applies to both children and adults. Routine diagnostics will help avoid illness. Regular ultrasounds and tests will keep the whole family healthy. After all, as you know, it is better to prevent a disease than to treat it.

Source: https://zen.yandex.ru/media/id/59f9a0235a104fe1e0d6eaf6/5a88389c168a91266ca8267d