Why does my sternum hurt when I cough?

In winter, many people will have symptoms of cold and cough. Generally, drinking some cough and anti-inflammatory medicines will relieve the symptoms. Chest pain when coughing is caused by a cold. Chest pain when coughing is caused by vibration when coughing. This situation happens frequently, so don’t worry too much, but don’t underestimate this disease. If it is not treated in time, it will cause pleurisy, so you can take some medication to treat it and avoid the accumulation of pleural effusion.

Clinical symptoms of pleurisy. Pleurisy, also known as pleurisy, is an inflammation of the pleura. Pleurisy is an inflammation of the pleura caused by irritation of the pleura by pathogenic factors (usually viruses or bacteria). There may be fluid accumulation in the chest cavity (exudative pleurisy) or no fluid accumulation (dry pleurisy). After the inflammation subsides, the pleura may return to normal, or the two layers of pleura may adhere to each other.

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Causes of chest pain when coughing

Pleurisy is an inflammation of the pleura caused by irritation of the pleura by pathogenic factors (usually viruses or bacteria). It is caused by a variety of causes, such as infection, malignant tumors, connective tissue diseases, pulmonary embolism, etc.

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Diagnosis and diagnosis of chest pain when coughing

1. Patients with mild illness have no symptoms.

2. The main clinical manifestations are chest pain, cough, chest tightness, shortness of breath, and even difficulty breathing. When infectious pleurisy or pleural effusion is secondary to infection, there may be chills and fever.

3. Pleurisy caused by different etiologies may be accompanied by clinical manifestations of the corresponding diseases.

Differential Diagnosis

Differentiating between easily confused symptoms of chest pain when coughing

1. Anxiety-induced chest pain: Symptoms of chest pain caused by excessive anxiety. The patient claims that the pain lasts for hours, days, years, or even more than ten years; the pain may occur anywhere on the chest, and the patient usually feels a clouding or stuffiness; when the patient is still, such as sitting, lying down, or not working, the patient begins to feel chest discomfort; this does not happen when the patient is working or exercising; as soon as the patient sits down to see the doctor, he or she is eager to describe a variety of "symptoms": dizziness, sweating, nausea, shortness of breath, intolerance to heat or cold, numbness of the hands, feet, or lips, and he or she really wants the doctor to "cure" his or her illness quickly.

2. Chest pain when inhaling: Chest pain when inhaling is one of the clinical manifestations of chest wall pain

3. Chest pain when exhaling: Pleurisy, also known as pleurisy, is an inflammation of the pleura. The most common symptom of pleurisy is chest pain. Chest pain often occurs suddenly and can vary greatly in severity, from vague discomfort to severe stabbing pain. It may only occur when the patient takes a deep breath or coughs, or it may be persistent and aggravated by deep breathing or coughing.

4. Hemoptysis with chest pain: Hemoptysis refers to bleeding from the respiratory organs below the larynx that is discharged from the mouth through coughing. Hemoptysis must first be distinguished from bleeding in the mouth, pharynx, and nose. Oral and pharyngeal bleeding is easy to observe local bleeding foci. Nasal bleeding usually flows out from the anterior nostril, and the bleeding focus is often found in the anterior and inferior part of the nasal septum, making it easier to diagnose. Sometimes, the amount of bleeding in the back of the nasal cavity is large, which can be misdiagnosed as hemoptysis. If a nasopharyngeal endoscopy is used to examine the blood flowing down from the posterior nostril along the pharyngeal wall, the diagnosis can be confirmed. Massive hemoptysis must also be differentiated from hematemesis (upper gastrointestinal bleeding). The former often has a history of pulmonary tuberculosis, bronchiectasis, lung cancer, heart disease, etc., and has cough, itchy throat and chest tightness before bleeding. The coughed up blood is bright red, mixed with foamy sputum and generally no tarry stools; the latter often has a history of peptic ulcer, liver cirrhosis, etc. and has symptoms such as upper abdominal discomfort, nausea and vomiting before bleeding. The vomited blood is brown-black or dark red, sometimes bright red, mixed with food residues and gastric juice, with tarry stools, which may continue for several days after the hematemesis stops.