What causes rib cage pain and coughing up blood?

Brief Answer:
It needs investigation

Detailed Answer:
Hello,

although I cannot provide any certain diagnosis at this time, I can only say that this sounds serious. Having rib cage pain without an injury or fever and coughing up blood may be caused by serious (and perhaps urgent) conditions. I'll mention some:
- pulmonary embolism: this is a clot that moved from the legs to the pulmonary vessels and occluded some of them. This is an urgent situation.
- serious infections like tuberculosis
- cancer (of the lung or metastatic)
- injury

He needs at least a chest X-ray, arterial oxygen assessment, some basic blood tests and perhaps a CT-scan of the chest.

I hope I've helped!

You can contact me again, if you'd like to ask for clarifications or further information, or if you'd like to add some useful details.

Kind Regards!

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Brief Answer:
Probably not

Detailed Answer:
Hello,

although a pulled muscle could have caused the pain, it has nothing to do with the blood. If he had a bleeding ulcer he wouldn't be coughing up blood. He could vomit blood though. Blood that comes out after coughing, originates from the lungs or the upper respiratory tract. Finally a kidney stone, while it could have caused significant pain on the flank (and perhaps radiating to the front and to his genitals) it can't justify the blood.

So it the symptoms are really connected (which is what happens most of the times - most people have only one illness that explains all their symptoms) to each other then the list I've presented in my previous answer is more likely.

Please take into account that clinical examination data are invaluable for making up such lists. I didn't mean to scare you with this list but I meant to emphasize the fact that there are serious diagnoses that have to be excluded. More 'benign' diagnoses are also possible.

Kind Regards!

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