Could be a number: Of things. If it is getting worse, not getting better, or if you notice any other issues, go to the er. After severe coughing issues, you can irritate your diaphragm, even cause a mild spasm that then hurts when you cough. Coughing too hard can even cause partial tears. Many other things can cause pain there too, including heart, pancreas, abdominal aorta, etc. So if it doesn't improve, go to er.
Answered 12/2/2015
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