[33M] Experiencing sharp pain between rib cages with cough-induced aggravation
Patient Description
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Arora's Assessment
What might be happening
Based on the information you've provided, possible diagnoses include:
-
Costochondritis: This is an inflammation of the cartilage that connects a rib to the breastbone (sternum). It causes sharp pain in the costosternal joint — where your ribs and breastbone are joined by rubbery cartilage. Pain caused by costochondritis might mimic that of a heart attack or other heart conditions.
- Treatment typically involves nonprescription pain relievers and rest.
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Pleurisy: This is a condition in which the pleura — a membrane consisting of a layer of tissue that lines the inner side of the chest cavity and a layer of tissue that surrounds the lungs — becomes inflamed. This can cause sharp chest pain that worsens during breathing or coughing.
- Treatment involves addressing the underlying cause of the pleurisy and may include anti-inflammatory drugs or other medications.
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Gastroesophageal reflux disease (GERD): This is a chronic condition in which stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause chest pain.
- Treatment typically involves lifestyle changes and over-the-counter medications.
What you can do
- Rest and avoid physical activity to see if your symptoms improve.
- Over-the-counter pain relievers such as ibuprofen can help reduce the pain.
- If you suspect GERD, try avoiding spicy foods, caffeine, and alcohol, and see if your symptoms improve.
- Regardless of the cause, it's important to seek medical attention if your symptoms persist or worsen.
What you should look out for
Reasons to seek immediate medical attention:
- Severe chest pain
- Chest pain accompanied by trouble breathing or dizziness
- Chest pain that spreads to your jaw, left arm, or back
- Chest pain that gets worse when you exercise or exert yourself
- New or different symptoms
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 a formal diagnosis and treatment.
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8 mo ago