How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Paramedic P Your Own Question

Paramedic P
Paramedic P, Paramedic (EMT)
Category: Health
Satisfied Customers: 368
Experience:  Paramedic, 12+ years in health care, work in a mobile clinic that treats the homeless
Type Your Health Question Here...
Paramedic P is online now
A new question is answered every 9 seconds

when I cough my left side hurts very bad

Resolved Question:

left side between hip and rib area hurt so bad when I sneezed almost went to the ground
Submitted: 6 years ago.
Category: Health
Expert:  Paramedic P replied 6 years ago.

Hi Chezus

Have you had any recent injuries? Falls? Back injuries? Etc.

Have you recently or do you now have a cold or have you been coughing a lot?

Are you short of breath other than when you had the sneezing episode?

Do you have any chronic health problems or are you taking any medication?

Have you seen a doctor yet or had any blood tests done?

How tall are you and are you slender?

Is the pain in the side or more towards the back?

 

 

Customer: replied 6 years ago.
I have had the flu and I am still coughing and sneezing but I have never had a pain such as this before. The pain is just in my left side my breathing is normal. I am 6 ft tall husky build no medical issues.
Expert:  Paramedic P replied 6 years ago.

Hello Chezus

Sorry for the delay I had to take care of a 911 call.

Your lungs have a lining called the pleura. There are basically two linings one is connected to your ribs this is called parietal pleura. This is the lining that covers the interior part of the ribs and diaphragm. The second lining is called the visceral pleura this pleura is on the exterior of the lungs. Sometimes when you get an acute infection such as the flu you can develop a condition called Pleurisy. Basically what happens is inflammation develops between the two spaces. Their purpose is to lubricate the the exterior of the lungs and the ribs so that when your lungs move it would be like 2 pieces of satin rubbing together. When you get inflammation in the pleural space rather than gently lubricating it can cause severe pain.

Although people with pleurisy generally have some pain when breathing or especially taking a deep breath, it can also cause pain while coughing, sneezing, moving or when taking a deep breath. Since the pleura is also part of the diaphragm it can cause pain in the upper abdomen, flanks and any place where internal thoracic organs are connected to the body.

The pain is often sharp and intense but will resolve shortly after the sneeze, cough or deep breath. The treatment for pleurisy is based mostly on treating the underlying cause. For example if you have pneumonia or a bacterial infection antibiotics can help to alleviate the bacterial infection and then the pleural effusion will in turn become better. For pleurisy involving a viral infection there isn't a whole lot that can be done since antibiotics are ineffective for viral infections. These types of pleural effusion usually resolve on their own with time.

Over the counter NSAID's such as Motrin can help to alleviate some of the symptoms of pleurisy. If you are continuing to cough and the pain is severe your doctor may want to prescribe you codeine for the pain. Codeine also works as a cough suppressant and will help stop the painful coughing. It is rare that pleurisy requires hospitalization but it would depend upon the underlying illness. For example, If you were to have a severe case of pneumonia hospitalization could possibly be necessary to drain the excess fluid that has accumulated in the pleural space.

If you are running a fever or become short of breath it is imperative that you get to your doctor or an emergency room right away. On some occasions the fluid itself can be infected with a bacteria and may require treatment but again it is rare in otherwise healthy people.

Since you have no medical history it is doubtful that you have a condition such as pancreatitis or any other abdominal issue. If this were the case you would generally have constant abdominal pain rather than just pain when coughing or sneezing.

Depending on how severe your flu was and how bad you were coughing it is possible that you pulled a muscle or are sore from all the coughing. I know it sounds a bit ridiculous to have pain so severe that you feel like you are going to collapse just from a pulled or strained muscle but it does happen. Every time you cough or sneeze you are putting more strain on an already injured area. If this is the case it should go away on it's own within a few days and NSAID's would also help the inflammation in this case as well.

It is not a bad idea to call your doctor tomorrow and let him/her know what is going on. Most doctor's aren't open on the weekends and he/she may want to examine you to ensure that you are ok. A chest X-ray and lab work may be ordered depending on the severity of the pain.

Again if you develop a fever, shortness of breath or severe, constant unbearable pain then you may need to see a doctor immediately. If this happens and your doctor's office is not open you will want to go to the emergency room or an immediate treatment center. Most cities have immediate treatment centers and they are similar to hospital emergency rooms or after hour doctor's offices.

Also pleurisy can affect either one side alone or both. It all depends on the underlying cause.

If you want to read more about any of the terms in blue all you have to do is to click on them and it will take you to the links. I hope that you feel better soon.

Sincerely,

Bunny

 

If you feel that I have answered your question please hit the ACCEPT button. If you are still unsatisfied with answer please let me know any more questions that you may have and I will do my best to help you. Thank you

 

 

Paramedic P, Paramedic (EMT)
Category: Health
Satisfied Customers: 368
Experience: Paramedic, 12+ years in health care, work in a mobile clinic that treats the homeless
Paramedic P and other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery