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Dr. Bob
Dr. Bob, Medical Doctor
Category: Medical
Satisfied Customers: 5162
Experience:  20 Years in Internal Medicine, Neurology and Sports Medicine
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i have had a sore throat that turned into a cold then a cough

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i have had a sore throat
that turned into a cold then a cough -
started on 2nd nov -
cough still bad but have now developed a pain in my chest on the left hand side -
taken 2 ADVILS and some lemsip after 4 hours today -
should i worry about it being heart related ??

Doctor-Bob :

Hi there. Is the pain constant or does it come and go? What brings it on or makes it worse?

Customer:

no constant since about 3 hours

Doctor-Bob :

Does it hurt more when you cough?

Customer:

no

Doctor-Bob :

Does it change at all with activity..worse or better?

Customer:

no i don't have acidity

Customer:

this is the first time this has happened after I've been coughing three days

Customer:

sorry -

Doctor-Bob :

activity, not acidity...does it get worse with walking, going up stairs etc?

Customer:

no difference with activity

Doctor-Bob :

any shortness of breath? any dizziness? nausea?

Customer:

slight shortness of breath - not bad

Customer:

do u think i could have sprained a muscle coughing ?

Doctor-Bob :

do you have a history of heart trouble? any risk factors such as diabeted, high blood pressure, smoking?

Customer:

no - never smoked - no history of heart trouble

Doctor-Bob :

does not sound cardiac....vigorous coughing can cause strain in the muscles of the chest wall, yes...some patients have been known to break a rib from coughing hard or continuously.

Customer:

I'm on holiday in london i don't have a gp here -

Customer:

but have travel insurance

Doctor-Bob :

I see. Does it hurt more if you take a very deep breath?

Customer:

ok is it ok to take the 2 anvils again - or is one enough

Customer:

yes a little

Customer:

advils

Doctor-Bob :

advil is 200mg, so you can take 3 or 4 at a time (600-800mg) depending on your tolerance. you can repeat this every 4-6 hours.

Customer:

heart beat faster than normal

Customer:

ok thanks

Doctor-Bob :

upper respiratory infections can lead to chest strain...they can also lead to pneumonia, which causes chest pain and shortness of breath in addition to cough...pleurisy is when the lining of the lung gets inflammed and this can hurt as well, though it is not dangerous.

Doctor-Bob :

the heart often accelerates due to fever and dehydration, as our fluid needs go up but our fluid intake tends to go down when we are ill.

Customer:

ok - i was worried because it was only on the left side

Doctor-Bob :

yes, well don't worry unless the pain gets worse with activity or there are associated symptoms such as dizziness, increased shortness of breath, sweating, nausea, etc. if things don't improve with the advil you should consider going into a local urgent care type clinic just as a precaution.

Customer:

ok

Customer:

thanks

Doctor-Bob :

you're welcome, i hope you feel better soon!

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