Q. What causes pain in my chest region while coughing, though my chest x-ray is normal?

Answered by
Dr. B. Vageesh Padiyar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 30, 2021

Hello doctor,

I have postnasal drip, and I get sneezing often. I feel pain on coughing. The pain is localized to the right chest region. My x-ray is entirely normal, and there is no abnormality. My doctor said that I have GERD. I never had this issue before. I do not have any other allergies or health issues.

Kindly help.



Welcome to

Thanks for the briefing regarding the problem in concern.

Constant irritation in the throat with post nasal drip can be due to two major reasons;

1) Allergic issues in the nose, wherein there is some irritative substance entering, and initially, the node produces a sneezing reflex to remove the offending agent. In addition, the nasal mucosa produces mucus to trap the offending agent so that it does not go into your lungs along with your breath. Irritative substances usually include dust, smoke, fumes, pollen, animal dander. It will help if you take adequate precautions by wearing an n95 mask.

You can also consider the following;

  • Take tablet containing Acetyl Cysteine twice daily after food for ten days.
  • Take a tablet containing Fexofenadine and Levocetirizine twice daily after food for ten days.
  • Do salt water gargling eight to ten times a day for one month.
  • Keep sipping on boiled warm water every two hours for the next one month.
  • Duonase nasal spray (Fluticasone propionate and Azelastine) two puffs in each nostril twice daily for the next one month.

The other co-existing problem could be chronic silent GERD with LPR (gastroesophageal reflux with laryngopharyngeal reflux). The acidic gastric contents reflux back into your throat, causing inflammation, irritation, and often a laryngospasm. This often causes a foreign body sensation in the throat.

You can consider the following advice for GERD;

  • Keep a strict diet and eat on time.
  • Kindly avoid oily, spicy food and cold beverages.
  • Reduce the quantity of each meal and increase the frequency of your meals.
  • Keep a gap of two hours between meals and going to bed or exercise.
  • Try to maintain a left lateral position when you lie down.
  • Take syrup containing antacid one tablespoon thrice daily before food for one month.
  • Take tablet Pan-D (Pantoprazole and Domperidone) once daily in the morning before breakfast for one month.

This typically takes around three to four weeks for things to subside.

I hope I have answered your query in detail.

Warm regards.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Should I take Prevacid in the night for GERD?

I am currently taking Prevacid (over-the-counter) once a day in the morning ... Should I take Prevacid at night too ... GERD (gastroesophageal reflux disease) ...   Read full

Can chest pain have other reasons than heart attack?

.. there is no heart attack. It is normal. If there is recurrent chest pain especially with exertion or chest pain that relieves with rest and recurs on walking, climbing stairs, etc., then to be on safer side, have an ETT (exercise tolerance test) d...   Read full

I am getting chest pain that subsides on taking the Pan-D tablet. Why?

As you mentioned, Pan-D (Pantoprazole and Domperidone), an antacid, helps in the pain, which means most probably your pain is due to acidity or GERD (gastroesophageal reflux disease) ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask an ENT Otolaryngologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.