Inflammation of the respiratory system as a cause of chest pain when coughing
Due to severe inflammation of the respiratory organs, unpleasant sensations appear in the chest, which turn into pain when coughing. The following diseases can be included in this list:
- tracheitis.It often appears as a result of inflammation of the upper respiratory tract, for example, with laryngitis or acute rhinitis. Cold or dusty air, inhalation of gases and vapors contribute to the occurrence of inflammation of the trachea. The main symptom is a dry cough at night, especially after sleep. A coughing fit occurs when laughing, crying, breathing deeply and is accompanied by a burning pain in the chest and throat. Therefore, patients try to breathe shallowly. In most cases, the inflammation from the mucous membrane of the trachea descends into the lower respiratory tract, and the cough becomes even more painful and excruciating. With such a prospect of spreading, an antibiotic is usually prescribed (preferably in the form of an aerosol), for a painful cough - codeine, libexin, as well as expectorants.
- bronchitis. Inflammation of the bronchi is usually accompanied by a dry painful cough and develops against the background of ARVI, as well as in people who often suffer from sinusitis, rhinitis, etc. To alleviate chest pain when coughing, apply alkaline inhalation, rubbing the chest or mustard, put the jars, make hot foot baths with the addition of mustard. It helps to cope with a cough abundant hot drink (mors, lime tea, hot milk with soda) and syrups on herbs (althea root, licorice). Of the drugs doctors usually appoint stopptussin, tusuprex.
- pleurisy.The pleura is a thin serous membrane, part of which covers the lungs, and the other part - the chest. Most often, pleurisy is a secondary disease and occurs as a result of chronic processes in the lungs. There are several forms of pleurisy, but a cough with acute pain is usually a symptom of dry (fibrinous) pleurisy. The patient complains of pain when breathing, coughing, bending.
Sweating, subfebrile, is observedtemperature (37-37.5°C) mainly in the evening, rapid breathing. The optimal position for pain relief is on the sore side. Treatment of pleurisy is long-term and complex and is aimed primarily at stopping the underlying process that is the source of the disease. Symptomatic treatment is carried out in particular for the purpose of pain relief.
An excruciating cough as a symptom of lung disease
This symptom also appears in various formspneumonia. This is especially characteristic of lobar pneumonia, which is characterized by its severity and acuteness. The causative agent is pneumococcus. The disease develops quickly, the temperature rises to 39-40 ° C, shortness of breath occurs from the first days of the onset of the disease. On the third day, a cough and sputum of a characteristic rusty color appear. When coughing, there is a strong stabbing pain in the lungs, localized mainly in the inflamed part. With focal pneumonia, such pain is extremely rare. Pneumonia in any form is a dangerous disease that requires immediate and long-term treatment. Collapse of the lung (pneumothorax) is accompanied by sharp stabbing pains in one of the halves of the chest, more often in the upper parts. A feeling of tightness in the chest, lack of air appears, so the patient begins to breathe more often and deeply. Every movement, including coughing, is painful for the patient. This is due to a sudden accumulation of air around the lungs, which presses on them, preventing them from opening up completely for normal breathing. Pneumothorax develops after a traumatic impact on the chest area (rib fracture, stab wound to the chest) or spontaneously after intense physical exertion. Acute chest pain when coughing also occurs with lung cancer. Most often, this common form of tumor appears in men, they suffer from lung cancer four times more often than women. Usually, these are smokers with many years of experience or people working in industries with various types of pollutants. One of the most constant symptoms of cancer is coughing fits. At first dry, then accompanied by the release of a small amount of mucopurulent sputum with streaks of blood, which is why it can be mistaken for tuberculosis. A painful, straining cough is accompanied by the appearance of deep pain in the chest.
The cause in diseases of the cardiovascular system
Pain in the chest when coughingappear not only in respiratory diseases, but also in patients with cardiovascular problems. Usually, the occurrence of such a symptom indicates the seriousness of the disease and the need for emergency medical care. The main thing is to promptly determine the true cause of the pain, because the symptoms associated with heart disease usually differ significantly from similar symptoms associated with other diseases. Therefore, if such signs indicate the development of myocardial infarction or aortic dissection, it is important to correctly diagnose the disease and hospitalize while it is still possible to save the patient. The cause of cough in this case is mainly associated with blood stagnation in the pulmonary circulation. Patients experience paroxysmal cough, which is most pronounced during physical exertion. At rest, it subsides. A dry, painful cough, accompanied by the release of sputum with bloody streaks, appears with pulmonary infarction. Similar symptoms can be observed in patients with mitral valve disease. Coughing, accompanied by long attacks and increased intrathoracic pressure, can cause hypertension and chronic pulmonary heart disease. Chest pain when coughing is also observed with inflammation in the pericardium. In this disease, inflammatory fluid accumulates in the pericardium. Pericarditis often occurs as a complication in diseases of various internal organs. The cause is often infectious agents, such as a bacterial infection caused by pneumococci, mycobacterium tuberculosis, etc. Heart pain is noted as the main symptom of dry pericarditis, although it does not always occur. Pericardial pain intensifies when the patient lies on his back, when coughing, taking a deep breath, swallowing. The disease is complex and requires inpatient treatment.
If the problem is related to other systems and bodies
A sharp shooting pain in the chest when coughing canbe associated with trauma (rib contusions, shoulder dislocations). Diseases of the musculoskeletal system often give this symptom. For example, with cervical and thoracic osteochondrosis, the chest may also hurt, which intensifies with unsuccessful movements or coughing. Pain in the lower thoracic region of the back, which worsens during coughing, turning, straining, awkward movements, also manifests itself in osteoporosis of the spine. This disease mainly occurs in women after menopause and can even cause a vertebral fracture. In addition to the above possible causes, the appearance of this symptom can also be associated with disorders of the nervous system. In this case, all the same signs can appear as with heart disorders: shortness of breath, tachycardia, a feeling of lack of air, increased anxiety, depressive state. In fact, this may be a syndrome such as psychogenic thoracalgia. In any case, one can conclude that a mandatory medical consultation and examination are necessary in the presence of such an alarming symptom as chest pain when coughing.
