[26F] Experiencing cough with mucus and sharp chest/back pain

Patient Description

A 26-year-old female is experiencing a moderate, wet cough that has been persisting for 2 days, with mucus that has transitioned from yellow to clear. She is also suffering from sharp, cramp-like pain rated 8/10 in severity, located where the ribs connect to the spine and sternum on the left side of her body. The pain is exacerbated by coughing and sitting, and it radiates along one of her ribs. There is no relief from the pain reported, and it does not vary throughout the day. No shortness of breath, recent injuries, leg swelling, pain, redness, or other symptoms were reported. The patient is not currently pregnant and has no known recent exposure to risk factors for these symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Musculoskeletal Strain: The intense coughing from your recent strep throat infection could have strained the muscles and ligaments in your chest and upper back, leading to the sharp pain you're experiencing. This is usually not serious and will improve as your cough subsides.

    • Treatment typically involves rest, over-the-counter pain relievers, and heat or cold therapy.
  • Pleurisy: This is inflammation of the lining of the lungs and chest (the pleura) that leads to chest pain (usually sharp) when you take a breath or cough. It can be caused by a variety of conditions, including viral or bacterial infections like strep throat.

    • Treatment involves addressing the underlying cause and managing symptoms with anti-inflammatory drugs or pain relievers.
  • Costochondritis: This is inflammation of the cartilage in your rib cage. It usually occurs after heavy lifting or strenuous exercise, but can also occur after severe coughing. The pain is typically located in the mid-chest area and can radiate to the back or abdomen.

    • Treatment typically involves rest, over-the-counter pain relievers, and heat or cold therapy.

What you can do

  1. Rest and avoid activities that make your pain worse.
  2. Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage your pain. Always follow the instructions on the label and consult your doctor if you have any questions.
  3. Apply a warm compress or heating pad to the painful area several times a day.
  4. Continue to monitor your symptoms and seek medical attention if they worsen.

What you should look out for

Reasons to see a doctor more urgently:

  • If your pain becomes severe or unbearable
  • If you develop difficulty breathing or shortness of breath
  • If you develop a high fever or chills
  • If your symptoms do not improve after a week

Remember, I'm an AI and this advice is based on the information you've provided. It's always a good idea to consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What causes a wet cough with mucus that changes color?

A wet cough with mucus that changes color can be caused by various factors, including infections like the common cold or flu. Yellow mucus often indicates the presence of white blood cells fighting an infection, while clear mucus can be a sign of recovery or less severe irritation.


What is costochondritis and how is it treated?

Costochondritis is an inflammation of the cartilage that connects a rib to the breastbone. It can cause sharp chest pain and is often treated with rest, over-the-counter pain relievers, and applying heat or cold to the affected area.


How can I differentiate between musculoskeletal strain and pleurisy?

Musculoskeletal strain typically results from physical exertion or intense coughing and is characterized by localized pain that worsens with movement. Pleurisy involves inflammation of the lung lining and causes sharp pain during breathing or coughing. A healthcare provider can help differentiate between the two based on symptoms and physical examination.


When should I seek medical attention for chest pain?

You should seek medical attention for chest pain if it becomes severe or unbearable, if you experience difficulty breathing, if you develop a high fever or chills, or if your symptoms do not improve after a week.


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