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A member asked:
Chest pains that hurt when i strain to use the bathroom and when i sit in certain positions and cough sometimes any ideas ?
A doctor has provided 1 answer
Possible causes: When you strain, you increase intra-abdominal and intra-thoracic pressure which favor acid reflux as the cause, but pain with cough and change in position suggests pericarditis or possibly pleurisy. A chest x-ray, echocardiogram, physical exam and sed rate would rule out pericarditis and pleurisy.
Answered 3/23/2014
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