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I have had chest congestion with tremendous coughing. As of

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Posted on Sat, 9 Mar 2019
Question: I have had chest congestion with tremendous coughing. As of yesterday it became "productive."
During an awful coughing fit (to the point of vomiting and gagina along with coughing to 7+ minutes) a sharp pain along with a dull and full filling has hit my left lung area. When I cough or breathe deeply there is a fair amount of pain.
What should I do!
doctor
Answered by Dr. Panagiotis Zografakis (42 minutes later)
Brief Answer:
chest x-ray

Detailed Answer:
Hello,

welcome to the 'Ask a Doctor' service.

Unilateral sudden chest pain after strenuous coughing may raise suspicion for pneumothorax. Pneumothorax occurs when a part of the lung ruptures and air becomes trapped in the dysfunctional part. Pain and shortness of breath depend on the severity of this disorder. It can be diagnosed both clinically (difficult if limited to a small part of the lung) and radiologically (easier).

Other considerations include the following:
- muscular strain due to coughing. The X-ray should be negative and local tenderness may be evident on the involved muscle.
- rib fracture: it should be extremely painful when palpated.

The best next step for you would be to do a chest X-ray. You should visit either your doctor or the ER for clinical and radiological assessment.

I hope I've answered your question. Please let me know if you need further assistance.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (1 hour later)
At the ER now. Took xrays, awaiting the results.
Thank you for your time.
Joy
doctor
Answered by Dr. Panagiotis Zografakis (14 minutes later)
Brief Answer:
you're welcome

Detailed Answer:
You're welcome!

I hope everything turns out to be OK.

Best wishes!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3702 Questions

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I have had chest congestion with tremendous coughing. As of

Brief Answer: chest x-ray Detailed Answer: Hello, welcome to the 'Ask a Doctor' service. Unilateral sudden chest pain after strenuous coughing may raise suspicion for pneumothorax. Pneumothorax occurs when a part of the lung ruptures and air becomes trapped in the dysfunctional part. Pain and shortness of breath depend on the severity of this disorder. It can be diagnosed both clinically (difficult if limited to a small part of the lung) and radiologically (easier). Other considerations include the following: - muscular strain due to coughing. The X-ray should be negative and local tenderness may be evident on the involved muscle. - rib fracture: it should be extremely painful when palpated. The best next step for you would be to do a chest X-ray. You should visit either your doctor or the ER for clinical and radiological assessment. I hope I've answered your question. Please let me know if you need further assistance. Kind Regards!