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Dr. Abby
Dr. Abby, US Board Certified MD
Category: Medical
Satisfied Customers: 10330
Experience:  Family Physician practicing medicine for over 10 years, United States
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Left side abdominal pain and sharp pain when coughing. Help

Resolved Question:

Have pain on left side and really get a sharp pain if I cough or sneeze and hurt if I laugh.

Submitted: 5 years ago.
Category: Medical
Expert:  Dr. Abby replied 5 years ago.

Is the pain in the rib area?
Have you had an injury to the area?
Any recent illness? (cough, congestion, fever?)

Customer: replied 5 years ago.

No pain in the rib area or any injury.

Expert:  Dr. Abby replied 5 years ago.
Where is the pain? Upper abdomen, lower?
Customer: replied 5 years ago.

It's not in the abdomen. It is more like the left side to the back or if I had to say it would be lower abdomen.

Expert:  Dr. Abby replied 5 years ago.

Thank you for clarifying.
Just a few more questions if you don't mind..
Is the pain always there and then worse with cough/sneeze, etc?
Do you have any urinary symptoms?
Does it radiate at all to the groin area?
Have you done any heavy lifting or strained your back?

Customer: replied 5 years ago.

Yes, the pain is always there. Yes, then worse with cough/sneeze.

No I do not have urinary symptoms.

No it does not radiate to the groin.

No I have not done any lifting..

and doc maybe it is high instead of lower

Expert:  Dr. Abby replied 5 years ago.

The pain could be due to several things...because it seems to be worse with coughing/sneezing, it sounds like it is more likely to be muscular.
Some people develop muscle strains without knowing how the underlying injury developed...trying an anti-inflammatory such as ibuprofen or aleve may help as long as you do not have any history of high blood pressure or ulcers.
Another type of pain that can develop in the area you are describing (if it is in the lower lung area) is pleuritic chest pain. This is due to inflammation of the lining of the lungs from viral infections, injury, pneumonia or autoimmune disease. The pain is worse with deep breathing, cough, sneeze and feels sharp in quality. Again, the initial treatment is to try anti-inflammatories.
Lastly, kidney stones can present with pain in the area you are describing. However, the pain of these is usually not worse with cough/sneeze. And, the pain is usually quite severe and often radiates to the groin.
Because of the vast number of possible causes, I do suggest you see your doctor..especially if the pain persists despite anti-inflammatories. You should also see your doctor if you develop any fever, shortness of breath, cough or worsening.
Feel free to ask any follow up questions you may have. Thank you!!!

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