Understanding Abdominal Pain When Coughing
Have you noticed stomach pain when coughing during a cold or flu? This annoying symptom often results from excess mucus dripping down the throat and increased abdominal pressure.
What Causes Coughing During Colds and Flu?
Colds and influenza (flu) are respiratory infections caused by viruses. As your body works to fight off the virus, inflammation swells nasal passages and the throat, while excess mucus builds up.
This combination stimulates cough receptors, triggering painful coughing fits as your body tries to expel germs and clear congestion. Severe bouts of coughing can strain the muscles and nerves in the abdomen, causing aches and discomfort.
How Coughing Strains the Abdomen
When you cough forcefully, your abdominal muscles contract suddenly. This builds intense pressure in the abdomen that can strain muscles and irritate nerves.
Additionally, all that mucus drips down the throat and coats the stomach lining. Mucus can irritate the digestive tract, potentially worsening cough-related abdominal pain.
Other Causes of Abdominal Pain When Coughing
While respiratory infections represent the most common trigger for stomach pain when coughing, other conditions may also cause this miserable symptom combination.
Pneumonia
Pneumonia, a serious lung infection, inflames air sacs while filling them with fluid and pus. This significantly exacerbates coughing and breathing difficulties. The heavy congestion and near-constant coughing associated with pneumonia frequently strain abdominal muscles, causing substantial pain.
Asthma
Asthma also makes coughing fits more extreme. During an asthma flare-up, inflamed, constricted airways obstruct breathing and get clogged with mucus. The relentless cough this stimulates can leave abdominal muscles sore and achy.
COPD
Chronic obstructive pulmonary disease (COPD) describes progressive lung damage that impairs breathing over time. Conditions like chronic bronchitis and emphysema fall under the COPD umbrella. Like pneumonia and asthma, COPD intensifies coughing, which taxes abdominal muscles.
Smoking
Smoking irritates lung tissue, sparking excess mucus production and coughing. Smokers usually cough more regularly. Over time, chronic smokers cough can strain muscles enough to cause abdominal discomfort.
Heartburn
Acid reflux results when stomach acid flows back up into the esophagus, irritating its lining. This common condition can cause chest pain along with burning discomfort internally and in the throat. Acid reflux may worsen during coughing fits, heightening pain levels.
Hiatal Hernia
A hiatal hernia develops when part of the stomach bulges into the chest through an opening in the diaphragm muscle. This can trap acid beside the esophagus, increasing heartburn. Forcefully contracting the abdomen throughout repeated coughing may exacerbate related stomach pain.
When to See a Doctor About Cough Pain
Occasional stomach soreness from coughing isnt too concerning. However, call your doctor if you experience:
- Intense or persistent abdominal pain
- Inability to catch your breath
- Cough that produces bloody mucus
- Fever over 100.4F (38C)
- Vomiting or diarrhea
- Sudden, sharp abdominal pain
- Swelling or tenderness of the abdomen
- Pain accompanied by dizziness, weakness or fatigue
These red flag symptoms may indicate a severe infection, asthma attack, or other condition requiring prompt medical treatment.
Medical Evaluation
To diagnose whats behind your cough and abdominal discomfort, a doctor starts by reviewing symptoms and medical history. They will ask questions like:
- Where exactly does it hurt?
- Does pain worsen with coughing or breathing?
- Have you experienced nausea, vomiting or appetite changes?
- What color is your mucus?
- Do you have any other concerning symptoms?
Your doctor will also listen to your lungs and palpate different areas of your abdomen to pinpoint damage and irritation.
Medical Testing
If the initial evaluation fails to reveal an obvious cause, medical tests offer more clarity with finding the source of stomach and lung problems. Potential diagnostic tests include:
- Blood tests checking for indicators of infection
- Chest X-rays to visualize lung tissue
- Sputum cultures analyzing mucus for germs
- Pulmonary function testing assessing lung capacity and airflow
- Endoscopy examining the esophagus and stomach lining
- CT scans showing detailed organ images
How to Soothe Abdominal Pain When Coughing
Treating the underlying condition, like pneumonia or asthma, is the first step toward resolving coughs exacerbating stomach and abdomen discomfort. But while recovering, the following methods can ease pain:
Over-the-Counter Medications
Cough suppressants containing dextromethorphan (DM) or benzonatate temporarily switch off cough reflexes. Expectorants with guaifenesin help thin out mucus. By calming coughs, these provide abdominal muscle relief.
Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen sodium also alleviate general achiness associated with coughing fits. Plus, antacids neutralize stomach acid from reflux related to repeated abdominal contractions.
Home Remedies
Additionally, various home remedies can soothe irritated respiratory and digestive tracts, along with strained abdomen muscles, including:
- Hot teas with honey
- Chicken soup
- Warm baths
- Humidifiers adding moisture to the air
- Abdomen heating pads or cold packs
- Peppermint oil
- Ginger
- Licorice root
Lifestyle Adjustments
Making healthy lifestyle changes reduces coughing fits long-term. Key strategies include:
- Quitting smoking
- Staying well hydrated
- Managing acid reflux
- Practicing stress-relieving techniques
- Getting adequate sleep
When to Try Alternative Treatments
Several alternative medicine therapies may also decrease coughing and related stomach discomfort, especially when conventional approaches provide insufficient relief.
Acupuncture
Acupuncture uses very fine needles to stimulate specific body points along energy pathways or meridians. Some research indicates this traditional Chinese medicine technique calms coughs while easing gastroesophageal reflux.
Osteopathic Manipulation
Osteopaths specialize in treating musculoskeletal system strains contributing to poor health in other areas. Gentle osteopathic manipulations may soothe abdominal muscle tension from coughing. Light stretching of rib joints can also optimize breathing capacity.
Preventing Future Abdominal Pain When Coughing
While few people can avoid ever getting another cough, strategically strengthening lungs, stomach and abdomen may reduce future discomfort. Helpful proactive measures include:
- Annual flu shots
- Handwashing
- Avoiding smoke, allergens and air pollution
- Practicing deep breathing exercises
- Following an anti-inflammatory diet
- Daily abdominal muscle stretches
- Managing conditions like asthma or acid reflux
Though annoying and sometimes painful, coughs serve an important protective purpose. Tuning into signals from your body facilitates timely treatment when needed to prevent small issues from progressing into more harmful conditions.
FAQs
Why does coughing cause pain under ribs?
Repeated coughing causes your abdomen and muscles under the ribs to contract forcefully and suddenly. This strains tissues, potentially causing pain below the ribs as nerves get irritated. Excess mucus dripping down the throat can further aggravate discomfort.
Is abdominal pain after coughing serious?
Mild stomach discomfort from occasional coughing spells usually isn’t concerning. But recurrent, severe, or worsening pain after cough fits may indicate an underlying condition needing evaluation. Seek medical care if you experience intense pain alongside breathing issues, bloody mucus, vomiting, fever or rapid heartbeat.
Can acid reflux get worse from coughing?
Yes, increased abdominal pressure from coughing can worsen acid reflux symptoms. Stomach acid can rise up into the esophagus during coughing episodes, especially if you have a hiatal hernia. This exposes the lining to pungent acid, potentially increasing chest pain and stomach discomfort.
What color mucus is normal when coughing?
Typically, expelled mucus ranges in color from clear or white to yellow or green as your body fights infection. But coughing up thick yellow, brown, or red mucus signals likely bacterial growth. Blood-tinged mucus also warrants prompt medical evaluation to rule out dangers like pneumonia, bronchitis or pulmonary emboli.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.
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