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General Forums => The O' Club => Topic started by: Sol75 on February 01, 2009, 09:56:51 AM

Title: can you break a rib coughing?
Post by: Sol75 on February 01, 2009, 09:56:51 AM
I have had a fairly severe sinus/upper respiratory infection the past few days.  Last night, I went into a VERY severe coughing fit while I was in bed.  All of a sudden there was a sharp pain on my side, right over the last rib on my right.  Now, it has a dull ache constantly, and a sharp pain whenever i inhale.  It also hurts like HELL when I cough or sneeze.  Feels like someone stabbing me in my side.  Also, if I inhale deeply and run my finger over the spot, there is a small bump protruding.  Of course this HURTS LIKE HELL to do... as any pressure on the spot hurts, and breathing hurts.

Not sure if this is possible or not, and dont care for an E-room visit just to get laughed at.

Sol
Title: Re: can you break a rib coughing?
Post by: Helm on February 01, 2009, 10:05:19 AM
Probaly not unless it was allready fractured ....you probably pulled a muscle  ...or stressed your rib cartillage ....soak in a hot tub might make you feel better ....


Helm ...out
Title: Re: can you break a rib coughing?
Post by: Curval on February 01, 2009, 10:08:17 AM
I have thrown out my back coughing before.

Don't like the sound of the bump protruding, I'd get it looked at.
Title: Re: can you break a rib coughing?
Post by: Rolex on February 01, 2009, 10:10:34 AM
Sounds like you need to go to the doctor. That is precisely what pneumonia feel like.
Title: Re: can you break a rib coughing?
Post by: Bronk on February 01, 2009, 10:15:24 AM
I have thrown out my back coughing before.

Don't like the sound of the bump protruding, I'd get it looked at.

IIRC people have herniated discs from coughing.
Title: Re: can you break a rib coughing?
Post by: sluggish on February 01, 2009, 10:17:15 AM
All you boneheads need to stop smoking.  There are much cheaper and quicker ways to kill yourself.
Title: Re: can you break a rib coughing?
Post by: Delirium on February 01, 2009, 10:29:45 AM
Yes, you can break a rib coughing although this generally happens to those with already brittle bones (osteo old ladies for example).

Generally, they don't do much for a broken rib unless there is a risk of further injury.
Title: Re: can you break a rib coughing?
Post by: Curval on February 01, 2009, 10:57:50 AM
IIRC people have herniated discs from coughing.

Yup, in my case the disk was already past the herniation stage...it had burst.  So, I always have to be very careful when coughing and sneezing and too much pressure would force more fluid out of the partially mended disk and into the nerve bundles.  The I'd hobble around like an old man for a few days until the fluid dissipated and I'd be back to normal.  (Normal meaning constant pain but not enough to have me hunched over).

Now the disk is barely even recognisable on an MRI...essentially it is just scar tissue now.
Title: Re: can you break a rib coughing?
Post by: Bronk on February 01, 2009, 11:04:25 AM
Yup, in my case the disk was already past the herniation stage...it had burst.  So, I always have to be very careful when coughing and sneezing and too much pressure would force more fluid out of the partially mended disk and into the nerve bundles.  The I'd hobble around like an old man for a few days until the fluid dissipated and I'd be back to normal.  (Normal meaning constant pain but not enough to have me hunched over).

Now the disk is barely even recognisable on an MRI...essentially it is just scar tissue now.
Feel for ya. I have had surgery to correct my disc issues.
Title: Re: can you break a rib coughing?
Post by: WyoKId on February 01, 2009, 11:26:13 AM
Happens all the time.
Title: Re: can you break a rib coughing?
Post by: dkff49 on February 01, 2009, 11:32:24 AM
Actually my wife broke a rib coughing once when she had whooping cough, she does not have brittle bones or a preexisting broken bone neither.

Without looking at it I would say,  the protruding lump is something to have looked at but typically the doc's won't do anything for a single broken rib. You pretty much have to have several of them and develop what is known to us in the medical profession as a flail chest (visible abnormal movement when breathing/ simplest explanation I can come up with)

here is a link to a description

http://rds.yahoo.com/_ylt=A0geu.7224VJKiYA4SRXNyoA;_ylu=X3oDMTEzNWQzbmJrBHNlYwNzcgRwb3MDMQRjb2xvA2FjMgR2dGlkA1FSVzFfMTE1/SIG=11srqn77b/EXP=1233595766/**http%3a//en.wikipedia.org/wiki/Flail_chest (http://rds.yahoo.com/_ylt=A0geu.7224VJKiYA4SRXNyoA;_ylu=X3oDMTEzNWQzbmJrBHNlYwNzcgRwb3MDMQRjb2xvA2FjMgR2dGlkA1FSVzFfMTE1/SIG=11srqn77b/EXP=1233595766/**http%3a//en.wikipedia.org/wiki/Flail_chest)

edit: however if you do see the doctor he will most likely give you some high powered cough medicine to help keep you from aggrevating things any further.
Title: Re: can you break a rib coughing?
Post by: Sol75 on February 01, 2009, 11:52:54 AM
the lump was certainly not there before this incident.  This hurts like all hell.. probably will go to the doc if for nothing else, some pain meds.

Title: Re: can you break a rib coughing?
Post by: Vulcan on February 01, 2009, 12:51:22 PM
workmates missus did it late last year.
Title: Re: can you break a rib coughing?
Post by: Chalenge on February 01, 2009, 01:14:29 PM
I have cracked ribs twice in my life from coughing spasms and after that even clearing your throat hurts like blue fury.
Title: Re: can you break a rib coughing?
Post by: mechanic on February 01, 2009, 01:27:22 PM
more likely that you have strained a muscle than broken a rib, but still, get it checked out if its not better within a week.
Title: Re: can you break a rib coughing?
Post by: Simaril on February 01, 2009, 01:54:10 PM
Also possible to have popped the head of the rib out from its cartilage socket. The rib bone itself doesn't plug right into the breastbone, but instead into a big mess of cartilage and connective tissue. Most of the time that's a pretty firm connection, but sometimes the rib will pop free of its bindings. Can be pretty painful, but can also be popped back in. Can be a recurring problem called Slipped Rib Syndrome.

Much of the time though the pain after coughing hard comes from pulled muscle or sprain of muscle/connective tissue. Just like any other sprain, the best treatment is time and rest (as in no longer coughing -- or binding the area with a wrap around sheet or something, so that area of the chest doesn't flex with deep breath.)

Sharp pains with breathing -- that are only present with the deep breath or cough -- are usually from sprains, but can be from other problems. Pleurisy is an inflammation of the lining tissue around the lung, which causes pain whenever the lining surfaces rub together. It can be caused by pneumonia, viral infections of the chest, or rarely show up by itself. More concerningly, when there's a sudden onset of pain (usually without the cough) and equally sudden onset of shortness of breath, fast heart rate, and fast breathing rate may need to thinlk about bllod clot to lung. Most common in older people, after long periods with minimal leg movement, and in people with higher risk of cblood clots in general. (Brith control pills, smoking, medical disorders.) This wouldn't cause a bump on your chest wall, though.
Title: Re: can you break a rib coughing?
Post by: Twister2 on February 01, 2009, 03:10:40 PM
If your a smoker you could have popped your lung. I have dealt with many of those in my career as a paramedic that were a result of severe coughing in either a cancer patient or someone who is a smoker. If you develope more shortness of breath pressure in the chest and the like it would be somthing to consider. However I think it is a slight chance. Be sure to let all of us online doc's know what the real cause is. We should start a betting pool.
Title: Re: can you break a rib coughing?
Post by: Sox62 on February 01, 2009, 05:06:33 PM
You could separate your ribs coughing.I've had separated ribs (skiing accident) and man does it hurt.
Title: Re: can you break a rib coughing?
Post by: Anodizer on February 01, 2009, 05:49:59 PM
the lump was certainly not there before this incident.  This hurts like all hell.. probably will go to the doc if for nothing else, some pain meds.



I doubt you have pneumonia.  I had an injury last year where I slipped in the kitchen at work and landed on back left side after trying to twist and land on my hands..
I had the exact same kind of pain, and I was sick as well..  I had some opiate based pain meds left over from when I had some dental work a few months ago..
Opiates are an analgesic as well as a cough suppressant..  But you have to be cautious..  Most of the time, you need to cough to expel what's in your respiratory system..
I'd still go to the doctor to get it looked at though...
Title: Re: can you break a rib coughing?
Post by: cpxxx on February 01, 2009, 06:02:06 PM
My ribs are painful since I had a bad cough. I think it probably happened as Simaril says. A muscle spasm. Very painful though. I have to hold my ribs now when I cough. The cough was so bad that I actually felt myself blacking out a couple of times as if I was pulling g in an aircraft. Not only that my legs buckled. Pretty horrible. There was a bad dose of flu or a flu like virus doing the rounds at Christmas.

My ribs haven't been this painful since Andy Serkis elbowed me in the ribs and knocked me off my feet. But that's another story. :huh
Title: Re: can you break a rib coughing?
Post by: Sol75 on February 01, 2009, 06:15:19 PM
Went to urgent care... severe sprain of the muscle and connective tissue.  They do not believe anything was torn though.  Basically im just gunna hurt for a while :/

Sol
Title: Re: can you break a rib coughing?
Post by: Curval on February 01, 2009, 06:18:51 PM
Went to urgent care... severe sprain of the muscle and connective tissue.  They do not believe anything was torn though.  Basically im just gunna hurt for a while :/

Sol

So, a few percocets and you'll be golden in a few days.

 :aok
Title: Re: can you break a rib coughing?
Post by: Anodizer on February 01, 2009, 08:10:49 PM
Went to urgent care... severe sprain of the muscle and connective tissue.  They do not believe anything was torn though.  Basically im just gunna hurt for a while :/

Sol

Any meds?  800mg Ibuprofen at least!
Yeah, that's pretty much what happened to me when I fell.. 
Title: Re: can you break a rib coughing?
Post by: Fugita on February 01, 2009, 09:47:35 PM
I had a really bad coughing/farting incident one time.... :noid We will speak no more of this  :noid
Title: Re: can you break a rib coughing?
Post by: sluggish on February 01, 2009, 10:13:08 PM
I had a really bad coughing/farting incident one time.... :noid We will speak no more of this  :noid

A wise man once told me, "never trust a fart."  He was right...
Title: Re: can you break a rib coughing?
Post by: Chalenge on February 02, 2009, 12:09:24 AM
I saw that in an inflight movie once. (http://i447.photobucket.com/albums/qq197/Chalenge08/costumed-smiley-011.gif) I was flying AH and watching the movie...
Title: Re: can you break a rib coughing?
Post by: allaire on February 02, 2009, 05:41:09 AM
Best cough medicine is to take a double dose of Phillips Milk Of Magnesia.  Won't don anything for the cough but it will make you to afraid to cough.
Title: Re: can you break a rib coughing?
Post by: skullman on February 02, 2009, 02:35:07 PM
cant go wrong with percocet -been on em for 3 weeks now-just had total knee arthoplasty-sure makes your day mellow and dont care if dr7 or rondar rips me a new one
Title: Re: can you break a rib coughing?
Post by: Babalonian on February 02, 2009, 02:41:31 PM
I have had a fairly severe sinus/upper respiratory infection the past few days.  Last night, I went into a VERY severe coughing fit while I was in bed.  All of a sudden there was a sharp pain on my side, right over the last rib on my right.  Now, it has a dull ache constantly, and a sharp pain whenever i inhale.  It also hurts like HELL when I cough or sneeze.  Feels like someone stabbing me in my side.  Also, if I inhale deeply and run my finger over the spot, there is a small bump protruding.  Of course this HURTS LIKE HELL to do... as any pressure on the spot hurts, and breathing hurts.

Not sure if this is possible or not, and dont care for an E-room visit just to get laughed at.

Sol

It is quite possible to fracture a rib while coughing.  Happened to two people I know.  One is a really skinny scrapy guy who doesn't take care of himself when hes sick or not (it got worse and one night, pop, fractured a rib).  The other is a big and stronger guy like me who unlike me can't put down his sins for even a day or two to get over a cold/flu (he kept smoking his stoges when sick and you could hear him cough a mile away... pop, fractured a rib).  In both cases the doctor 'bout smacked them up the side of the head and threatened to sick their own mothers/grandmothers on them.  Told them to stop being stupid, stop smoking/working like a dog, lay in bed and not leave the house at all for a couple days until they felt better.

Im personaly not one to see a doctor/hospital unless someone else drags me in there.  If you're still coughing a lot and it keeps getting worse and worse then you should have a doctor check it out asap (better to walk in there today and get a bill for $100 than to go in tommorow and get a bill for $1000).
Title: Re: can you break a rib coughing?
Post by: mechanic on February 04, 2009, 05:58:44 PM
The size of the person should make no difference, as your story prooves. Whatever your size is your body has developed to handle it, ergo a big man has more lung power to cough with. What does make a difference is bone composition. Strong flexible bones (through youth or genes) wont fracture as easily and there is more chance of suffering muscle/tissue trauma. More brittle bones will be more likely to fracture but less likely to do long term painfull damage (although a badly broken rib is a life time of pain). The other factor is muscle ratio. Someone with a solid abdominal and pectoral build will tense these muscles when coughing giving the correct counter pressures to prevent injury.
Title: Re: can you break a rib coughing?
Post by: MORAY37 on February 04, 2009, 07:05:43 PM
I have had a fairly severe sinus/upper respiratory infection the past few days.  Last night, I went into a VERY severe coughing fit while I was in bed.  All of a sudden there was a sharp pain on my side, right over the last rib on my right.  Now, it has a dull ache constantly, and a sharp pain whenever i inhale.  It also hurts like HELL when I cough or sneeze.  Feels like someone stabbing me in my side.  Also, if I inhale deeply and run my finger over the spot, there is a small bump protruding.  Of course this HURTS LIKE HELL to do... as any pressure on the spot hurts, and breathing hurts.

Not sure if this is possible or not, and dont care for an E-room visit just to get laughed at.

Sol

Yes you can break a rib coughing.
No, there's nothing they can do with a broken rib other than tell you not to laugh or cough... then laugh at you.  You can tape it up and reduce the amount of travel per breath, reducing pain.

Yes, you should visit the doctor.  If you broke it right, you risk puncture and subsequent collapse of the lung, should you fall or be involved in any impact.  You also will be able to tolerate the break better if you get that infection taken care of, hence reducing your coughing, and therefore, your pain.  You don't want pneumonia over top of everything else.

Go to the doctor.
Title: Re: can you break a rib coughing?
Post by: FiLtH on February 04, 2009, 11:58:21 PM
My guess?









Blood clot.
Title: Re: can you break a rib coughing?
Post by: Sol75 on February 05, 2009, 03:40:18 AM
Went to the doc... final report after urgent care visit, and follow up with family doc:
Cracked rib, strained muscle and cartilage, Pneumonia as underlying cause of cough.

On antibiotics for cough, muscle relaxers for strain, and percocet for pain.

Doc didnt wrap me, says I NEED to be able to do deep breathing excercises, or I risk lung collapse, and need to be able to cough to expel the fluid from pneumonia.  Bottom line, pain is manageable with the percs, still hurts to cough, but contant pain is gone.... as I said.. manageable...

Just gunna take some time.

Sol
Title: Re: can you break a rib coughing?
Post by: Marauding Conan on February 05, 2009, 07:27:18 AM
I have had a fairly severe sinus/upper respiratory infection the past few days.  Last night, I went into a VERY severe coughing fit while I was in bed.  All of a sudden there was a sharp pain on my side, right over the last rib on my right.  Now, it has a dull ache constantly, and a sharp pain whenever i inhale.  It also hurts like HELL when I cough or sneeze.  Feels like someone stabbing me in my side.  Also, if I inhale deeply and run my finger over the spot, there is a small bump protruding.  Of course this HURTS LIKE HELL to do... as any pressure on the spot hurts, and breathing hurts.

Not sure if this is possible or not, and dont care for an E-room visit just to get laughed at.

Sol

See a doctor right away. I had the same problem. It has something to do with a muscle displaced/damaged. It gets more painfull over time.
Title: Re: can you break a rib coughing?
Post by: Curval on February 05, 2009, 08:19:24 AM
Went to the doc... final report after urgent care visit, and follow up with family doc:
Cracked rib, strained muscle and cartilage, Pneumonia as underlying cause of cough.

On antibiotics for cough, muscle relaxers for strain, and percocet for pain.

Doc didnt wrap me, says I NEED to be able to do deep breathing excercises, or I risk lung collapse, and need to be able to cough to expel the fluid from pneumonia.  Bottom line, pain is manageable with the percs, still hurts to cough, but contant pain is gone.... as I said.. manageable...

Just gunna take some time.

Sol

I ended up with double pnemonia some years ago...breathing hurt like heck.

Two weeks later I felt well enough to try and have a cigarette...damn near broke a rib coughing after trying to do so.  Not smart.

Enjoy your percocet haze.
Title: Re: can you break a rib coughing?
Post by: WWhiskey on February 05, 2009, 09:13:56 AM
patient: so doc what did you find out?


doc: well its sad to say but you only have ten to live!


patient: ten what ?


doc: nine, eight, seven, ect, ect