[42F] Experiencing severe cough, chest pain, and pronounced shaking

Patient Description

A 42-year-old female presents with a moderate to severe barking chest cough that worsens with talking, accompanied by white sputum production. The cough has been persistent for 3 days and is worsening. Chest pain, rated 1 out of 10, is present and is related to the coughing episodes. The patient also experiences pronounced shaking in the legs associated with severe coughing spells, which started concurrently with the cough. No fever, chills, or breathing difficulties were reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Acute Bronchitis: This is an inflammation of the bronchial tubes in your lungs. Symptoms include a cough that brings up mucus, chest discomfort, and fatigue. It's usually caused by a viral infection.

    • Treatment typically involves rest, fluids, and over-the-counter pain relievers and cough suppressants. Antibiotics are not usually needed unless a bacterial infection is suspected.
  • Pneumonia: This is an infection that inflames the air sacs in one or both lungs. Symptoms can range from mild to severe and include a cough with phlegm, chest pain, and shaking chills.

    • Treatment usually involves antibiotics, rest, fluids, and medication to relieve symptoms.
  • Pertussis (Whooping Cough): This is a highly contagious respiratory tract infection. In many people, it's marked by a severe hacking cough followed by a high-pitched intake of breath that sounds like "whoop."

    • Treatment usually involves antibiotics to kill the bacteria causing the infection.

Please note, these are just possibilities and not a definitive diagnosis.

What you can do

You should seek immediate medical attention given the severity of your symptoms. In the meantime, here are some things you can do:

  1. Stay hydrated: Drink lots of fluids to help loosen the mucus in your lungs.
  2. Rest: Your body needs energy to fight off the virus. Getting enough sleep can help.
  3. Use a humidifier: This can help keep your throat and nasal passages moist and relieve the cough.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms get worse or do not improve after a week.
  • You have difficulty breathing or experience shortness of breath.
  • You cough up blood or have a persistent fever of 100.4 F (38 C) or higher.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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11 mo ago

People Also Ask


What are the common causes of a barking chest cough with sputum production?

A barking chest cough with sputum production can be caused by conditions such as acute bronchitis, pneumonia, or pertussis (whooping cough). These conditions often involve inflammation or infection of the respiratory tract.


How can I differentiate between acute bronchitis and pneumonia based on symptoms?

Acute bronchitis typically presents with a cough that produces mucus, mild chest discomfort, and fatigue, often following a viral infection. Pneumonia, on the other hand, may include more severe symptoms such as high fever, chest pain, and difficulty breathing, and is often caused by bacterial infection.


What home remedies can help alleviate a severe cough?

Home remedies for alleviating a severe cough include staying hydrated, using a humidifier to keep airways moist, resting to help the body recover, and using over-the-counter cough suppressants or pain relievers as needed.


When should I seek medical attention for a persistent cough?

You should seek medical attention if your cough worsens or does not improve after a week, if you experience difficulty breathing, if you cough up blood, or if you have a persistent fever of 100.4 F (38 C) or higher.


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