Система Orphus

Symptoms of disease - pain in the lungs

As the lungs do not have perceiving pain nerve, pain in the lungs do not happen. Symptoms of a purely lung diseases, cough, and shortness of breath. The only part of the light that is able to painful sensations, is the pleura, the trachea and major bronchi.

In the differential-diagnostic terms have the meaning of the evaluation of pain intensity, its localization, communication with the breath and cough, the emergence of shortness of breath, efficiency relieves pain medication. Intense pain in the lungs testifies to the acute illness and, as a rule, it is combined with shortness of breath, increases in breathing, it's a pain pleural. In acute tracheitis the pain is localized for the breastbone and sometimes intensive, compounded cough. Serious symptom is pain in the chest, combined with shortness of breath, especially if they are difficult to treat. You should always specify the dependence of the pain from the position of the patient's body and the influence of the intensity of the pain. Such pain occurs when intercostal neuralgia, diseases of the thoracic spine, radiculitis and diseases of muscles, pleurisy. You should also remember projected and irradiate pain. Pain behind the breastbone, in the region of the heart, the left half of the chest, between the shoulder blades often radiating to the left arm is typical for coronary heart disease. Chest pain occurs when pericarditis, diseases of the aorta, pulmonary embolism, gastric ulcer and duodenal ulcer, pancreatitis, subdiaphragmatic abscess, etc.



Which diseases there is pain in the lungs

Causes of pain in the lungs:

1. Dry pleurisy
Often pleurisy is developing with tuberculous process in the lungs. Pleurisy occurs also in pneumonia, lung abscess, myocardial lung tumors with the defeat of the pleura, echinococcosis, injuries in the chest, rheumatism, diffuse diseases of connective tissue (collagenosis), uremia, diseases of the blood.
Chest pain usually one-sided, stitching, increases with deep breathing, coughing, change of body position. The most typical localization - the bottom and sides of the departments of the chest. In the position on the affected side of the pain to subside, which is connected with the decrease of the movements of the pleura, so sick instinctively takes such a position.

2. Exudative pleurisy
In most cases the cause of exudative pleurisy is tuberculosis, however, it can be a consequence of other diseases.
In the beginning of the pleural ekssoudace noted the pain in his side, the limitation of the respiratory mobility of the affected side of the chest, rubbing noise of the pleura, there arises a dry, painful cough. In process of accumulation of effusion pain in his side disappears, a feeling of gravity, some vbuhanie and smoothing of intercostal spaces at the patient's side.

3. Lobar pneumonia
An acute infectious disease of the lung, an exciting one or more shares. The most frequent culprit is pneumococcus.
The disease begins with the appearance of stitching pains in the chest, accompanied by the abrupt onset of fever, chills, increasing symptoms of intoxication, hyperemia of the cheeks, herpes on lips, shortness of breath, cianosis. Characterized by a dry, painful cough, variable cough with allocation of rusty sputum, viscous consistency with admixture of blood.

4. Spontaneous pneumothorax
At pneumothorax air in the chest cavity until the pressure in it does not reach the air or collapse the lung. Spontaneous pneumothorax can occur in the injury of the thoracic cage, pulmonary tuberculosis, suppurative diseases of the lungs, the cancer of the lung, bullous emphysema, if you break hydatid bladder and air cysts. Distinguish outdoor, indoor and valve pneumothorax. When you open the pneumothorax pleural cavity communicates with the atmospheric air constantly - as when you inhale, and when you exhale. The closure of the perforation leads to the fact that in the pleural cavity is installed negative pressure. The most terrible is the valve pneumothorax, where the air enters the cavity of the pleura during inspiration, and during the expiratory hole is closed and the air is delayed in the pleural cavity. As the concentrations of air pressure in the pleural cavity is growing, the barrier moves in a healthy way, the light on the affected side of the falls down, there are hemodynamic disorders.
Spontaneous pneumothorax occurs mostly in men young age, is manifested sudden sharp pain in the chest, increased in breathing, talking, physical strain. The pain usually long and accompanied by severe pallor of skin, weakness, cold sweat, small rapid heart rate, drop in blood pressure. The patient concerned about sudden shortness of breath, a dry cough. Appear tachycardia, zianoz. Patients prefer to be in a sitting position. Respiratory movements of the chest surface. Are lagging behind in breathing and often extension of their half of the thorax. Voice trembling on the affected side is missing.

5. Lung cancer
Chest pain may occur in the later stages of the disease.
Other clinical symptoms depend on the localization of the tumor, its proximity to bronchial tree, the rapidity of the growth of the tumour and involvement in the process of nearby bodies. If the inflammatory perifocal process in lung cancer reaches of the pleura, the developing hemorrhagic exudative pleurisy.
The nature of the pain varies: acute, stitching, girdle, increased cough, breathing. The pain may cover a certain area or one-half of the chest, it is possible irradiation in the hands, neck, belly, etc. The pain is especially intense and painful upon germination the tumor in the ribs, spine, with compression of the nerve roots. Allocate a special form of lung cancer (Pancoast) with a painful plexites.
The pain may be in the spine and extremities, which is due to the metastasis of tumor. In the later stage, appear shortness of breath, cough, coughing up blood, fever, the increasing weakness, weight loss. The patient's condition is very bad. Apex weakened breath with a large number of wet finely wheezing.

6. The pain of bone origin
The cause may be the following pathological processes:
1) injury;
2) inflammatory diseases of:
a) osteomyelitis of the ribs and sternum - post-traumatic, hematogenous or in the transition suppurative process of the pleural cavity of the bone tissue, characterized by local swelling, which spreads along the edges, hyperemia, sometimes fluctuation. The palpation of the ribs sharply painful. May be formed fistula. As a rule, the process is accompanied by fever, symptoms of intoxication;
b) tuberculosis of the ribs (the result of hematogenous dissemination), which is characterized by the more sluggish current, typically the formation of cold abscess, and in the future fistula;
in) actinomycosis ribs that develops as a complication of actinomycosis the lung, is characterized by hard deep infiltrate, fistulas, pus on the skin surface;
d) syphilitic bone lesions observed in the tertiary period, often struck by the collarbone;
3) dysplastic and neoplastic processes
a) the primary tumor, among which are the most common benign chondroma at the junction of the bone tissue and cartilage of the rib. The pain appears only in case of significant size of the tumor. Chondrosarcoma is usually in the back part of the ribs. The more rare forms are myeloma, endotelioma sarcoma, fibrosarcoma, neyrosarkoma;
b) metastatic bone lesions. Most often there are metastases in the lungs, mammary gland, the prostate gland;
in) tumor processes, among which emit chondromatosis bones, eosinophilic granuloma, bone cysts, pseudotumor rib cartilage - Tietze's disease. The latter is characterized by swelling and painful on palpation rib cartilage on the left, mainly III and IV of the edges;
4) dystrophic processes. Osteoporosis, osteomalacia bones. Are observed in the endocrine diseases and as a complication of corticosteroid therapy.

7. The pain of the joint origin
The cause may be any of the following diseases:
1) various types of arthritis:
a) traumatic;
b) Bechterew's disease, which in 90% of cases occur in men young age.
Typical gradual onset, chronic progressive course with a primary lesion of the spinal joints and intervertebral ligaments. There is a gradual ankylosing:
in) arthritis infectious-metastatic of origin, developing with osteomyelitis, tuberculosis, actinomycosis and syphilis. Less often causes pain in the chest can be arthritis rheumatic and infectious-allergic nature. Is characterized by redness, swelling, and a sharp pain at the movement and palpation of the joints, the restriction of the function;
2) arthrosis. The most common deforming osteoarthritis of the spine;
3) tumor of the joints.

8. Muscular pain of origin
The reason are myositis of different origin:
a) acute infections (influenza, gonorrhea, typhoid fever);
b) chronic infections (tuberculosis, syphilis);
in) diseases of metabolism (diabetes, obesity);
d) muscular fatigue or injury. Symptoms include swelling, induration and tenderness of the affected muscles during movement and palpation. Pain in the left side of the chest may occur when excessive hypertrophy of the front staircase muscles.

9. The pain of gas. Colon comes to the level of the chest. Passing through the upper part of the abdominal cavity for the stomach, it reaches the highest point in the lower left part of the chest, then turns to 90, down to the rectum. The turn is the spleen, why and called splenic the curve of the large intestine. Gases tend to rise up, so the focus is in this upper point. Compressed powerful muscles of the colon, trapped gases are causing severe pain; it happens so often that the phenomenon has its own name - syndrome concentrations of air (gases) in splenic bending. Sometimes, people with this syndrome was brought to hospital with a suspected heart attack, or kidney stones. After clarifying the truepain in the lungs -
As the lungs do not have perceiving pain nerve, pain in the lungs do not happen. Symptoms of a purely lung diseases, cough, and shortness of breath. The only part of the light that is able to painful sensations, is the pleura, the trachea and major bronchi.

In the differential-diagnostic terms have the meaning of the evaluation of pain intensity, its localization, communication with the breath and cough, the emergence of shortness of breath, efficiency relieves pain medication. Intense pain in the lungs testifies to the acute illness and, as a rule, it is combined with shortness of breath, increases in breathing, it's a pain pleural. In acute tracheitis the pain is localized for the breastbone and sometimes intensive, aggravated by cough. Serious symptom is pain in the chest, combined with shortness of breath, especially if they are difficult to treat. You should always specify the dependence of the pain from the position of the patient's body and the influence of the intensity of the pain. Such pain occurs when intercostal neuralgia, diseases of the thoracic spine, radiculitis and diseases of muscles, pleurisy. You should also remember projected and irradiate pain. Pain behind the breastbone, in the region of the heart, the left half of the chest, between the shoulder blades often radiating to the left arm is typical for coronary heart disease. Chest pain occurs when pericarditis, diseases of the aorta, pulmonary embolism, gastric ulcer and duodenal ulcer, pancreatitis, subdiaphragmatic abscess, etc.

When no disease occurs pain in the lungs:



Causes of pain in the lungs:

1. Dry pleurisy
Often pleurisy is developing with tuberculous process in the lungs. Pleurisy occurs also in pneumonia, lung abscess, myocardial lung tumors with the defeat of the pleura, echinococcosis, injuries in the chest, rheumatism, diffuse diseases of connective tissue (collagenosis), uremia, diseases of the blood.
Chest pain usually one-sided, stitching, increases with deep breathing, coughing, change of body position. The most typical localization - the bottom and sides of the departments of the chest. In the position on the affected side of the pain to subside, which is connected with the decrease of the movements of the pleura, so sick instinctively takes such a position.

2. Exudative pleurisy
In most cases the cause of exudative pleurisy is tuberculosis, however, it can be a consequence of other diseases.
In the beginning of the pleural ekssoudace noted the pain in his side, the limitation of the respiratory mobility of the affected side of the chest, rubbing noise of the pleura, there arises a dry, painful cough. In process of accumulation of effusion pain in his side disappears, a feeling of gravity, some vbuhanie and smoothing of intercostal spaces at the patient's side.

3. Lobar pneumonia
An acute infectious disease of the lung, an exciting one or more shares. The most frequent culprit is pneumococcus.
The disease begins with the appearance of stitching pains in the chest, accompanied by the abrupt onset of fever, chills, increasing symptoms of intoxication, hyperemia of the cheeks, herpes on lips, shortness of breath, cianosis. Characterized by a dry, painful cough, variable cough with allocation of rusty sputum, viscous consistency with admixture of blood.

4. Spontaneous pneumothorax
At pneumothorax air in the chest cavity until the pressure in it does not reach the air or collapse the lung. Spontaneous pneumothorax can occur in the injury of the thoracic cage, pulmonary tuberculosis, suppurative diseases of the lungs, the cancer of the lung, bullous emphysema, if you break hydatid bladder and air cysts. Distinguish outdoor, indoor and valve pneumothorax. When you open the pneumothorax pleural cavity communicates with the atmospheric air constantly - as when you inhale, and when you exhale. The closure of the perforation leads to the fact that in the pleural cavity is installed negative pressure. The most terrible is the valve pneumothorax, where the air enters the cavity of the pleura during inspiration, and during the expiratory hole is closed and the air is delayed in the pleural cavity. As the concentrations of air pressure in the pleural cavity is growing, the barrier moves in a healthy way, the light on the affected side of the falls down, there are hemodynamic disorders.
Spontaneous pneumothorax occurs mostly in men young age, is manifested sudden sharp pain in the chest, increased in breathing, talking, physical strain. The pain usually long and accompanied by severe pallor of skin, weakness, cold sweat, small rapid heart rate, drop in blood pressure. The patient concerned about sudden shortness of breath, a dry cough. Appear tachycardia, zianoz. Patients prefer to be in a sitting position. Respiratory movements of the chest surface. Are lagging behind in breathing and often extension of their half of the thorax. Voice trembling on the affected side is missing.

5. Lung cancer
Chest pain may occur in the later stages of the disease.
Other clinical symptoms depend on the localization of the tumor, its proximity to bronchial tree, the rapidity of the growth of the tumour and involvement in the process of nearby bodies. If the inflammatory perifocal process in lung cancer reaches of the pleura, the developing hemorrhagic exudative pleurisy.
The nature of the pain varies: acute, stitching, girdle, increased cough, breathing. The pain may cover a certain area or one-half of the chest, it is possible irradiation in the hands, neck, belly, etc. The pain is especially intense and painful upon germination the tumor in the ribs, spine, with compression of the nerve roots. Allocate a special form of lung cancer (Pancoast) with a painful plexites.
The pain may be in the spine and extremities, which is due to the metastasis of tumor. In the later stage, appear shortness of breath, cough, coughing up blood, fever, the increasing weakness, weight loss. The patient's condition is very bad. Apex weakened breath with a large number of wet finely wheezing.

6. The pain of bone origin
The cause may be the following pathological processes:
1) injury;
2) inflammatory diseases of:
a) osteomyelitis of the ribs and sternum - post-traumatic, hematogenous or in the transition suppurative process of the pleural cavity of the bone tissue, characterized by local swelling, which spreads along the edges, hyperemia, sometimes fluctuation. The palpation of the ribs sharply painful. May be formed fistula. As a rule, the process is accompanied by fever, symptoms of intoxication;
b) tuberculosis of the ribs (the result of hematogenous dissemination), which is characterized by the more sluggish current, typically the formation of cold abscess, and in the future fistula;
in) actinomycosis ribs that develops as a complication of actinomycosis the lung, is characterized by hard deep infiltrate, fistulas, pus on the skin surface;
d) syphilitic bone lesions observed in the tertiary period, often struck by the collarbone;
3) dysplastic and neoplastic processes
a) the primary tumor, among which are the most common benign chondroma at the junction of the bone tissue and cartilage of the rib. The pain appears only in case of significant size of the tumor. Chondrosarcoma is usually in the back part of the ribs. The more rare forms are myeloma, endotelioma sarcoma, fibrosarcoma, neyrosarkoma;
b) metastatic bone lesions. Most often there are metastases in the lungs, mammary gland, the prostate gland;
in) tumor processes, among which emit chondromatosis bones, eosinophilic granuloma, bone cysts, pseudotumor rib cartilage - Tietze's disease. The latter is characterized by swelling and painful on palpation rib cartilage on the left, mainly III and IV of the edges;
4) dystrophic processes. Osteoporosis, osteomalacia bones. Are observed in the endocrine diseases and as a complication of corticosteroid therapy.

7. The pain of the joint origin
The cause may be any of the following diseases:
1) various types of arthritis:
a) traumatic;
b) Bechterew's disease, which in 90% of cases occur in men young age.
Typical gradual onset, chronic progressive course with a primary lesion of the spinal joints and intervertebral ligaments. There is a gradual ankylosing:
in) arthritis infectious-metastatic of origin, developing with osteomyelitis, tuberculosis, actinomycosis and syphilis. Less often causes pain in the chest can be arthritis rheumatic and infectious-allergic nature. Is characterized by redness, swelling, and a sharp pain at the movement and palpation of the joints, the restriction of the function;
2) arthrosis. The most common deforming osteoarthritis of the spine;
3) tumor of the joints.

8. Muscular pain of origin
The reason are myositis of different origin:
a) acute infections (influenza, gonorrhea, typhoid fever);
b) chronic infections (tuberculosis, syphilis);
in) diseases of metabolism (diabetes, obesity);
d) muscular fatigue or injury. Symptoms include swelling, induration and tenderness of the affected muscles during movement and palpation. Pain in the left side of the chest may occur when excessive hypertrophy of the front staircase muscles.
9. The pain of gas. Colon comes to the level of the chest. Passing through the upper part of the abdominal cavity for the stomach, it reaches the highest point in the lower left part of the chest, then turns to 90, down to the rectum. The turn is the spleen, why and called splenic the curve of the large intestine. Gases tend to rise up, so the focus is in this upper point. Compressed powerful muscles of the colon, trapped gases are causing severe pain; it happens so often that the phenomenon has its own name - syndrome concentrations of air (gases) in splenic bending. Sometimes, people with this syndrome was brought to hospital with a suspected heart attack, or kidney stones. After finding out the true cause of pain patients experienced a huge moral relief, while doctors have put the wrong diagnosis, felt so strong embarrassment and shame. Pain syndrome of the accumulation of gases in the splenic bending of the colon appears to the left of the sternum or in the left upper part of the abdominal cavity, and an experienced doctor in this case, just put the correct diagnosis. But do not do a self-diagnosis, if the pain is severe and acute.



Which doctor should I contact if there is a pain in the lungs

  • Pulmonologist
  • Cardiologist
  • Traumatologist
  • Oncologist


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Do you feel lungs hurts? You should be very careful approach to your health in general. People pay not enough attention to the symptoms of the disease and don't realize that these diseases can be critically dangerous. There are many diseases that in the beginning didn't manifest in our body, but in the end it turns out, unfortunately, it have already been treated too late. Every disease has its own specific features typical symptoms - called symptoms of the disease. Definition of symptoms is the first step in the diagnosis of diseases in general. You just need a few times a year to be screened by a doctor, not only to prevent a terrible disease, but also to maintain a healthy spirit in a body and the organism in general.

Pains by category

Pains by alphabet


Map of the symptoms and the types of pain is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.

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