After having cough, I have an obstruction at the third rib above the nipple. What causes it?

Hi,

Welcome to icliniq.com. I understand your concern. According to your statement, you are suffering from mild expectorant for the past six months. According to the CXR (chest X-ray) provided here, (attachment removed to protect patient identity) I have not found any pathology present in the third rib just above the nipple. You can have an impaction of cough there and so you can feel better after coughing hardly. I suggest taking some medicines that help to subside the impaction of cough present in that particular region. You take the following medicines. Take tablet Zithromax 500 mg (Azithromycin) one tablet at night for seven days, tablet Allegra 120 mg (Fexofenadine) one tablet at night for ten days, tablet Singulair 10 mg (Montelukast) one tablet at night time for fifteen days. Taking above mentioned medications along with any type of anti-ulcer medication helps to subside the uneasiness in the chest. You can also undergo bronchoscopy or HRCT (high-resolution computed tomography) of the chest to exclude the causes. Hope I have answered the questions. Let me know if I can assist you further.

Hi,

Welcome back to icliniq.com. Your high resolution computed tomography (HRCT) of the chest has shown that there is a small solitary soft tissue nodule seen in the apical segment of the left lower lobe, and a small granuloma liner plate-like atelectasis on the right middle and left lower lobe. Granuloma affects the functions of the lungs. Usually, granuloma disappears and heals on its own. In some cases, it may persist. So you should undergo CT guided FNAC (fine needle aspiration cytology) for the granuloma to determine its exact etiology and then treat them accordingly. Linear atelectasis is a focal area of subsegmental atelectasis with a linear shape. It may be caused due to the obstruction in the bronchus of the pulmonary subsegment. In case of any other query, kindly ask me.