What causes cough with right chest pain?

In general, cough accompanied by right chest pain may be caused by intense physical activity, weather changes, rib fractures, pneumonia, pleurisy, or other factors. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. Specific analyses are as follows:

1. Intense Physical Activity

After vigorous exercise, breathing becomes deeper and faster, leading to significant expansion and contraction of the lungs. This may result in strain or overuse of chest muscles, as well as tension in the intercostal and chest wall muscles. Additional muscle contractions during coughing can intensify the sensation of pain. It is advised to get adequate rest and avoid strenuous activities. Applying heat or cold compresses may help relieve muscle discomfort.

2. Weather Changes

Cold or dry air can irritate the respiratory mucosa, causing airway spasms and inflammatory responses, which may trigger coughing. During coughing, pressure on the chest wall and ribs may lead to pain. Maintain indoor humidity, dress appropriately according to weather and physical condition, and use humidifiers or inhale steam to help alleviate symptoms.

3. Rib Fracture

Rib fractures are often caused by trauma. During coughing, fractured ribs may experience further compression or displacement, resulting in pain. Symptoms may include difficulty breathing, chest swelling, and subcutaneous bruising. Under medical supervision, a chest binder may be used to immobilize the fracture site, reduce pain, and promote healing.

4. Pneumonia

Pneumonia may be caused by infections, reduced immunity, or other factors. Inflammation leads to swelling of lung tissue, which may irritate the pleura. Coughing further aggravates this irritation, causing chest pain. Other possible symptoms include fever, cough, sputum production, and shortness of breath. Treatment may include medications such as amoxicillin capsules, cefradine capsules, or compound licorice tablets, as prescribed by a doctor.

5. Pleurisy

Pleurisy may result from infections, autoimmune diseases, or other causes. Inflammatory lesions on the pleura stimulate surrounding nerve endings, causing pain. When patients cough, increased airway pressure further irritates the damaged pleura, intensifying friction between pleural layers and worsening pain. Symptoms may also include difficulty breathing, chest tightness, and shortness of breath. Medications such as ibuprofen sustained-release tablets, rifampicin tablets, or aspirin tablets may be used under medical guidance.

In daily life, ensure adequate rest and avoid excessive fatigue. Limit visits to public places to prevent inhalation of dust or irritating gases that could worsen symptoms.