[21F] Experiencing sharp rib pain after coughing and sneezing

Patient Description

A 21-year-old female reports experiencing sharp pain in the left rib area. The pain began 3 days ago after a period of illness that involved coughing. The patient heard a crack during a sneeze, which was followed by more intense pain. The pain is described as sharp when breathing and worsens with movement or deep breaths. It is rated as a 7 out of 10 in severity. There has been no recent injury or trauma to the chest or ribs, and the pain started immediately after the cracking sound. There is no fever, redness, or warmth indicating infection, nor is there any severe shortness of breath or coughing up blood. The patient can still take deep breaths despite the pain.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Rib Fracture: This is a possibility given the sudden onset of pain after a sneeze and the "crack" sound you heard. Rib fractures can occur due to trauma or strain on the rib cage, such as from severe coughing or sneezing. The pain is typically sharp and worsens with movement or deep breathing.

    • Treatment usually involves pain management and rest. In some cases, a brace or bandage may be used to stabilize the area.
  • Costochondritis: This is inflammation of the cartilage that connects a rib to the breastbone (sternum). It can cause sharp pain when breathing or moving, similar to what you're experiencing.

    • Treatment typically involves rest, pain relievers, and possibly physical therapy.
  • Pleurisy: This is inflammation of the tissues that line the lungs and chest cavity. It can cause sharp pain that worsens with breathing or coughing.

    • Treatment usually involves addressing the underlying cause, which could be an infection or other medical condition.

What you can do

You should definitely see a healthcare professional for a proper evaluation. They may need to do an X-ray or other tests to determine the cause of your pain. In the meantime, here are some things you can do:

  1. Rest and avoid any activities that worsen your pain.
  2. Over-the-counter pain relievers, such as ibuprofen, may help reduce your pain. However, always follow the package instructions and do not exceed the recommended dose.
  3. Applying a warm compress to the painful area may also help.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You have difficulty breathing or shortness of breath
  • You start coughing up blood
  • You develop a fever or other signs of infection, such as redness or warmth around the painful area

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for a proper diagnosis and treatment.

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11 mo ago

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People Also Ask


What are the common symptoms of a rib fracture?

Common symptoms of a rib fracture include sharp pain at the site of the fracture, pain that worsens with movement or deep breathing, and sometimes a cracking or popping sound at the time of injury. Bruising and swelling may also occur.


How can costochondritis be distinguished from a rib fracture?

Costochondritis typically causes pain and tenderness at the junction where the ribs meet the sternum, and the pain may be reproduced by pressing on the affected area. In contrast, a rib fracture usually involves pain directly over the rib and may be associated with a cracking sound at the time of injury.


What are the potential causes of pleurisy?

Pleurisy can be caused by infections such as viral or bacterial pneumonia, autoimmune conditions like lupus or rheumatoid arthritis, pulmonary embolism, or trauma to the chest. It involves inflammation of the pleura, the lining around the lungs.


What home remedies can help alleviate rib pain?

Home remedies for alleviating rib pain include resting and avoiding activities that exacerbate the pain, using over-the-counter pain relievers like ibuprofen, and applying a warm compress to the affected area to help reduce discomfort.


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