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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Cough And Sharp Pain In Back While Coughing?

I ve had a pretty bad cough the last few weeks, went to the Doctor and have it under control now, but two days ago I coughed so hard I felt something on the right side of my back - very sharp pain - and believe I may have strained something. It doesn t really hurt when I push on it, but if I cough, it feels like a knife in my back. Do you think rest & pain meds will heal this problem or should I get an x-ray, etc.
Mon, 6 Apr 2015
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
A sharp pain felt on the back after coughing could be due to involvement of musculoskeletal system or it could be due to pleural involvement.
A X-ray of the chest is required as first line treatment.
In addition, treatment of the cough is also required.
Cough can be either infectious, allergic or due to irritation.
Thus, based on underlying cause, treatment has to be planned and thus managed.

Thanks and take care
Dr Shailja Puri
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What Causes Severe Cough And Sharp Pain In Back While Coughing?

Hello and welcome to HCM, A sharp pain felt on the back after coughing could be due to involvement of musculoskeletal system or it could be due to pleural involvement. A X-ray of the chest is required as first line treatment. In addition, treatment of the cough is also required. Cough can be either infectious, allergic or due to irritation. Thus, based on underlying cause, treatment has to be planned and thus managed. Thanks and take care Dr Shailja Puri