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Pain in back, behind the heart when coughing. How to overcome this?

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Orthopaedic Surgeon
Practicing since : 1997
Answered : 150 Questions
Question
I have pain in my back, behind the heart and is pronounced when I cough or breath hard. What might it be?
Posted Fri, 8 Nov 2013 in Bones, Muscles and Joints
 
 
Answered by Dr. Moustafa Saeed 35 minutes later
Brief Answer:
Detailed answer below

Detailed Answer:
Hi, thank you for your question.

Although it could be muscular pain, but we should first role out any serious causes such as heart or lung related.

Chest infection or blood clot on the lung can give similar symptoms.
Chest infection should associate with cough and raised temperature,
Blood clot associate with short of breathing and high heart rate.

I will recommend you to have ECG to the heart (Heart tracing) and chest X-ray at the least to role out those serious conditions.

kind regards
Above answer was peer-reviewed by
 
Follow-up: Pain in back, behind the heart when coughing. How to overcome this? 1 hour later
I have both tests recently and they were normal.
 
 
Answered by Dr. Moustafa Saeed 9 minutes later
Brief Answer:
Detailed answer below

Detailed Answer:

Hello again,

Thanks for the follow up.

I am glad to know that you have been investigated and the results are reassuring.
Most likely it is muscular pain, but other option is arthritis in the thoracic spine which can give you radiating pain.

You need analgesia ( pain killers) regularly and few sessions with physiotherapy and that should hopefully help in easing your symptoms.

Wish you speedy recovery
Above answer was peer-reviewed by
 
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