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Post nasal drip, cough, pain in left ribs, breathlessness. Pulled muscle?

I have had what I think is postnasal drip, like everyone else here, for a few weeks and have been coughing quite a bit. Last night I started having pain in my upper left ribs/under the left pectoral. It is very painful and tender to the touch and hurts like crazy when I cough, but not necessarily when I breathe? Have I pulled a muscle or even broken a rib perhaps?
Asked On : Sun, 14 Oct 2012
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Internal Medicine Specialist 's  Response
Hi there,

Thanks for your query.

Chronic post-nasal drip denotes chronic sinus condition. Recurrent attacks of common cold, with associated sneezing, throat irritation, nasal discharge and stuffiness in nose (in the presence of chronic sinus problem) point towards nasal allergy. Regular anti-allergic drugs like cetirizine + montelukast + azelastin nasal spray and steam inhalation, will give tremendous relief.

and, YES. It is certainly spasm of the concerned muscles (but NOT broken ribs). A 5-7 days' course of a combination of anti-inflammatory pain-killers and a muscle relaxant and hot compresses will cure your muscle pull.

Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports- will prescribe suitable/modified treatment as advised.

If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries.

Take care

Dr. Rakesh Karanwal
Answered: Wed, 25 Dec 2013
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