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What causes cold and rib pain for 4 days?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I recently had a cold (I got tested to ensure it was not COVID-19, and the results came back negative) and have been experiencing prolonged symptoms. I have sore ribs, a continued cough, expelling mucus, and numbness. For about four days now, I have had difficulty breathing, pain on my left side under my armpit near the nipple, and I have experienced numbness in my fingertips twice.

I believe the numbness was caused by hyperventilation, resulting from over-breathing due to the other symptoms. In addition, the pain is worse when I use that muscle group, especially when sitting up in bed. I do not take medication other than a rare Albuterol inhaler for asthma and a few herbal teas.

Please advise.

Answered by Dr. Sugreev Singh

Education:

MD

Professional Bio:

Dr. Sugreev Singh is an experienced General Surgeon with expertise in Internal Medicine and General Medicine. He is skilled in performing a wide range of surgical procedures and managing complex medical conditions with a holistic approach. Known for his clinical precision and compassionate care, Dr. Singh is dedicated to delivering effective, patient-centered treatment to promote long-term health and recovery.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Thank you for writing, and I understand your concern.

Actually, this all can be due to a chest infection, though COVID is negative, but still, there are other infections that can cause such symptoms. So further testing is required. The fingertips are usually numb due to a deficiency of vitamins. Do not worry, it will be fine.

I would suggest that you undergo a CBC (complete blood count), a chest x-ray, and a CRP (C-reactive protein) test. Then please send me reports, and I will check and let you know. Please do the testing and send me the reports. Are you allergic to any antibiotics?

Please answer.

Thank you.

The Probable causes

The probable cause is infection.

Investigations to be done

Investigations required are chest X-ray, CRP, and CBC.

Differential diagnosis

The differential diagnosis is pneumonia.

Probable diagnosis

The probable diagnosis is flu-like symptoms.

Treatment plan

The treatment plan is to take a tablet of Azithromycin 500 mg once a day after meal. Tablet Vitamin B complex once a day before sleeping. Tablet Paracetamol 500 mg whenever fever. Tablet Pantoprazole 40 mg once a day before breakfast. Take these medications for three days and let me know afterward.

Preventive measures

Preventive measures are to drink lukewarm water only.
Medically reviewed by Dr. Preetha. J
Published At November 17, 2021
Reviewed At February 4, 2026

Education:

MD

Professional Bio:

Dr. Sugreev Singh is an experienced General Surgeon with expertise in Internal Medicine and General Medicine. He is skilled in performing a wide range of surgical procedures and managing complex medical conditions with a holistic approach. Known for his clinical precision and compassionate care, Dr. Singh is dedicated to delivering effective, patient-centered treatment to promote long-term health and recovery.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Preetha J. is a proficient Dental Surgeon with expertise in cosmetic dentistry, restorative procedures, root canal treatments, and oral surgery. She is known for her gentle approach, precision, and commitment to patient comfort. Dr. Preetha combines advanced dental techniques with personalized care to ensure optimal oral health and aesthetic results, helping patients achieve confident, healthy smiles. Currently, she contributes her expertise as a valuable member of the medical reviewer team at iCliniq.com. 

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Sugreev Singh is an experienced General Surgeon with expertise in Internal Medicine and General Medicine. He is skilled in performing a wide range of surgical procedures and managing complex medical conditions with a holistic approach. Known for his clinical precision and compassionate care, Dr. Singh is dedicated to delivering effective, patient-centered treatment to promote long-term health and recovery.

This doctor is not available for online consultations on the platform anymore.

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