[35M] Experiencing sharp chest pain with cough

Patient Description

A 35-year-old male reports experiencing sharp and burning pain on the right side of the chest for the past three weeks. The pain is rated as a 5 out of 10 in severity and occurs throughout the day, lasting about 5 minutes each time. The pain does not worsen with activities but is relieved by laying down or sitting up. The patient also reports a persistent cough. He smokes occasionally, about 2-3 cigarettes per day for a couple of years. There is no history of recent travel or exposure to environmental factors affecting respiratory health. The patient denies any known allergies or previous diagnoses of lung conditions such as asthma or COPD. Additionally, the patient experiences back pain between the shoulders.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Costochondritis: This is an inflammation of the cartilage that connects a rib to the breastbone, which can cause sharp chest pain. The pain may worsen with certain movements or positions, such as stretching, and can sometimes be accompanied by a popping or cracking noise.

    • Treatment typically involves pain relief with over-the-counter medications like ibuprofen or acetaminophen, and avoiding activities that worsen the pain.
  • Musculoskeletal Pain: Given the popping noise and pain when stretching, your symptoms could be related to muscle strain or joint issues in the chest or back area. This can occur from poor posture, repetitive movements, or minor injuries.

    • Treatment often includes rest, applying heat or cold packs, and gentle stretching exercises.
  • Respiratory Issues: Occasional smoking and coughing could contribute to respiratory-related chest pain. While less likely to cause sharp pain, it's important to consider lung health.

    • Quitting smoking and monitoring for any changes in respiratory symptoms is advisable.

What you can do

  1. Consult a Healthcare Provider: It's important to see a doctor to get a formal diagnosis and rule out any serious conditions. They may recommend imaging tests or other evaluations.

  2. Symptom Management: You can try over-the-counter pain relievers like ibuprofen or acetaminophen to manage the pain. Applying heat or cold packs to the affected area may also provide relief.

  3. Lifestyle Adjustments: Consider reducing or quitting smoking to improve your overall lung health. Maintaining good posture and avoiding activities that exacerbate the pain can also help.

  4. Track Your Symptoms: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider for better insights.

What you should look out for

Seek medical attention if you experience:

  • Severe or worsening chest pain
  • Difficulty breathing or shortness of breath
  • Pain that radiates to your arm, neck, or jaw
  • Any new or concerning symptoms

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a proper diagnosis and treatment plan.

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16 d ago


People Also Ask


What is costochondritis and how is it treated?

Costochondritis is an inflammation of the cartilage that connects a rib to the breastbone, causing sharp chest pain. Treatment typically involves pain relief with over-the-counter medications like ibuprofen or acetaminophen, and avoiding activities that worsen the pain.


Can smoking cause chest pain and coughing?

Yes, smoking can irritate the lungs and airways, leading to coughing and potentially contributing to chest pain. Quitting smoking can improve lung health and reduce these symptoms.


What are some common causes of musculoskeletal chest pain?

Musculoskeletal chest pain can be caused by muscle strain, poor posture, repetitive movements, or minor injuries. It often involves pain relief through rest, applying heat or cold packs, and gentle stretching exercises.


When should I seek medical attention for chest pain?

You should seek medical attention if you experience severe or worsening chest pain, difficulty breathing, pain that radiates to your arm, neck, or jaw, or any new or concerning symptoms.

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