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Suggest remedy for persistent chest pain while coughing

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Posted on Fri, 11 Dec 2015
Question: I have left sided chest pain today is day two , pain increases coughing sneezing laughing . Pain is constant some positional changes increase the pain . No fever no productive cough , no cough at all
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Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would explain as follows:

Detailed Answer:

Hello xxxxxxxxxx!

Welcome and thank you for asking on HCM!

Regarding your concern, I would like to explain that facing your chest pain features (modulation with respiration, coughing, sneezing, and with posture), it doesn't seem to be cardiac ischemia related.

So relax!

But, coming to this point it is necessary to perform a differential diagnosis of your chest pain.

Most probable causes of your complain are a musculoskeletal disorder, costochondritis, pleural or pericardial inflammation, or a radicular nerve disorder, etc.

Do you have experienced any flu like infection recently? Fever?

Any previous history of backbone degenerative damage? Are you overweight?

I recommend performing a medical check up by your attending physician (GP or internist) for a careful physical exam and some additional tests, like:

- resting ECG,
- chest X ray study including backbone investigation,
- cardiac ultrasound,
- compete blood count,
- PCR,
- AST & ALT,
- LDH,
- CPK

Anti-inflammatory non-steroidal pain killers, like Naproxen, Ibuprofen, etc. would be beneficial in relieving chest pain.

You should discuss with your doctor about the above mentioned issues.

Hope to have been helpful to you!

If you have further uncertainties, do not hesitate to ask me!

Kind regards,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 8485 Questions

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Suggest remedy for persistent chest pain while coughing

Brief Answer: I would explain as follows: Detailed Answer: Hello xxxxxxxxxx! Welcome and thank you for asking on HCM! Regarding your concern, I would like to explain that facing your chest pain features (modulation with respiration, coughing, sneezing, and with posture), it doesn't seem to be cardiac ischemia related. So relax! But, coming to this point it is necessary to perform a differential diagnosis of your chest pain. Most probable causes of your complain are a musculoskeletal disorder, costochondritis, pleural or pericardial inflammation, or a radicular nerve disorder, etc. Do you have experienced any flu like infection recently? Fever? Any previous history of backbone degenerative damage? Are you overweight? I recommend performing a medical check up by your attending physician (GP or internist) for a careful physical exam and some additional tests, like: - resting ECG, - chest X ray study including backbone investigation, - cardiac ultrasound, - compete blood count, - PCR, - AST & ALT, - LDH, - CPK Anti-inflammatory non-steroidal pain killers, like Naproxen, Ibuprofen, etc. would be beneficial in relieving chest pain. You should discuss with your doctor about the above mentioned issues. Hope to have been helpful to you! If you have further uncertainties, do not hesitate to ask me! Kind regards, Dr. Iliri