Why does prolonged coughing cause rib pain?

Doctor's Answers 1

Thanks for your question - it is certainly a common problem for people who have been experiencing a chronic cough and is mainly due to an overload of the intercostal muscles, or in more severe cases, a localised stress reaction of the bone.

Often, there are no externally visible changes but lying down on the side and taking deep breaths can trigger off the pain.

Simple measures usually include anti-inflammatories, heat packs and topical rubs. In situations where the cough is ongoing, holding a towel around the chest while taking a deep breath or coughing, can help support the muscle and bones and therefore limit the pain symptoms.

If its going on for more than a few weeks, I would suggest getting is assessed.

Hope this helps.

Dr Dinesh

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What could be cause of episodic, violent coughing?

Thank you for your question. Coughing during or after a cold is often due to postnasal drip (nose mucous dripping down the back of the throat, causing irritation and inflammation of the voice box). The voice box (medical term is larynx) is a very sensitive organ. Once inflamed, minor irritations of the voicebox (e. g from mucous, phelgm, saliva and in some people even a breath of dirty/cold air) will easily trigger a cough reflex. It takes time for the inflammation of the voice box to settle and often, treating conditions of the nose and acid reflux from the stomach may help.

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What could be the cause of chronic cough at night and in early morning? How can I stop the cough?

Thank you for your question. I’m sorry to hear that your mother is suffering from a prolonged and problematic cough which can be a complex condition. Coughing is a reflex that protects your upper airway and lungs from irritants such as excessive mucous and foreign bodies. When persistent, it is often a symptom of a condition, ranging from conditions arising from the nose & sinuses (e. g sensitive nose, sinus infections), lungs (e. g asthma and bronchitis), throat and stomach (e. g. acid reflux from the stomach) to side effects from medications or smoking.

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