Severe Pain In Ribs When Coughing

Dr. Devi SanthoshGeneral Physician

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Costochondritis is usually caused when you have severe cough, breathing difficulties or trauma like experience. Consultation with pictures might be more helpful. 

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Dr. Prakhar SinghMBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)General Physician

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Pain may be caused by an injury to the muscle, cartilage or ribs. Deep breathing, coughing and sneezing can increase the pain. It needs to be find out with some examination or test. Let's have a detailed discussion for better advice and healthy lifestyle. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Treatment methods are: night time saturation records with pulse oximeter and bilevel positive airway pressure (bipap) may be indicated for the patients. Physical therapy measures (chest percussion, breathing exercises, resistive inspiratory training) may be required to clear respiratory secretions to reduce the work of breathing. Special weaning protocol to prevent over fatigue of respiratory muscles can be recommended for more severe patients with tracheostomy. Patients with cranial nerve involvement need extra monitoring as they are more prone to respiratory dysfunction. Patients should be encouraged to cease smoking. Posturally drain areas of lung tissues, 2-hourly turning into supine or side lying positions. 2-4 litre anaesthetic bag can be used to enhance chest expansion. Therefore, 2 people are necessary for this technique, one to squeeze the bag and another to apply chest manipulation. Rib springing to stimulate cough after the removal of a ventilator and adequate expansion, effective coughing must be taught to the patient maintain normal range of movement gentle passive movements through full rom at least three times a day especially at hip, shoulder, wrist, ankle, feet. Orthoses use of light splints (eg. Using plastazote) may be required for the following purpose listed below: a) support the peripheral joints in comfortable and functional position during flaccid paralysis. B) to prevent abnormal movements. C) to stabilize patients using sandbags, pillows. Prevention of pressure sores 2- hourly change in patients position from supine to side lying. If the sores have developed then uvr or ice cube massage to enhance healing. Maintenance of circulation a) passive movements b) effleurage massage to lower limbs. Relief of pain: a) transcutaneous electrical nerve stimulation b) massage with passive rom c) patient can demonstrate increased sensitivity to light touch, a cradle can be used to keep the bed sheet away from the skin. Low-pressure wrapping or snug fitting garments can provide a way to avoid light touch. D) reassurance and explanation of what to expect can help in alleviation of anxiety that could compound the pain. 

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Dr. Rajinder K. SharmaMBBS, D.O. Orthopedic SurgeryOrthopedist

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It will subside it is due to present fluctuating weather condition take analgesic cough suppressant drugs consult me thru Lybrate. 

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Dr. Pulak MukherjeeBHMSHomeopath

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Pain is common due to hard fall injury, it's common to have pain during respiration, you need homoeopathic treatment for this purpose, as soon as possible take homoeopathic medicine, you can also contact me through Lybrate in private consultation where I can prescribe medicine name. 

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Dr. Sanjay SinghBHMSHomeopath

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You may try capsicum anum 200 but for permanent treatment go for proper consultation. As we need to take whole case history with regards. 

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Dr. Prashant K VaidyaDiploma In Gastroenterology, Diploma In Dermatology, BHMSHomeopath

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Apply a lubricating, alcohol-free moisturizer like CeraVe, Cetaphil, Vanicream, or Eucerin to your skin during the day and before bed. Apply cool, wet compresses to soothe the itch. Take a bath in lukewarm water and colloidal oatmeal or baking soda. Turn on a humidifier. 

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Dr. Tanmay PalsuleMD - Homeopathy, BHMSHomeopath

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Causes of Pain in Ribs Injury or trauma – any kind of injury or trauma or chest injury can cause mild to severe rib pain along with inflammation. Fracture rib – caused due to any accident or severe injury results in intense rib pain. Arthritis – it include osteoarthritis and rheumatoid arthritis. Osteoporosis – due to abnormal thinning of the bone tissue along with reduced bone density, bones become weak and which result in to rib pain. Costochondritis – There is inflammation at the junction of ribs and sternum. Pleurisy – caused due to inflammation of the lining of the lungs and pleura, pain worse by deep breathing. Pneumonia – it is a common cause of rib pain or chest pain. Tuberculosis – bacterial infection which mainly affects lungs, can cause rib pain. Cough – Excessive coughing can cause pain in ribs. It is a kind a trauma. FOR MEDICATION CONSULT ONLINE IN PRIVATE 

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Dr. Amit Kumar PoddarMBBS, MD TUBERCULOSIS AND CHEST DISEASES, Diploma in Tuberculosis & Chest Diseases, Diploma in Tropical Medicine and HygienePulmonologist

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Yes you should stop playing football and basketball. You should avoid heavy strenuous activity. No specific medicine is required for abdominal problems you should keep all records properly. 

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Dr. Rajiv BajajMBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EPCardiologist

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You should get relief with usual antacid medicines, H2 blockers, PPI etc. Meet a gastro if a physician doesn't solve your problem. 

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