What causes cough and difficulty while breathing with a normal chest X-ray?
Patient: 51, female 5'10" 200 lbs,  Fell on my right side, right arm under ribs when I fell.  Wed, Thurs, am blood in my mouth.  Only lasted two days.  Had chest x-rays.  No Fracture.  Very, painful, to breath, cough, lay down.  Was told it was a bruise inside, or bone bruise.  No outside bruising.  Am taking Humira 40mg injections too Doctor: Respected user, hi I evaluated your query thoroughly.*cause of difficult breathing is associated with costochondritis , irritation of   underlying nerves & reflux coughing irritating bronchi & alveoli in presence  of normal X-ray.*Along with Humira do following for faster recovery : - deep breathing exercises ( will seem to be difficult in beginning but very   important & result giving ) & YOGA at home . - remain ambulatory . - when resting keep your body in semi-reclining position with 3-4 pillows   support over back. - walk in fresh air for rejuvenating your lungs with fresh dose of oxygen    daily  - avoid smoking / alcohol / abuse substances if any. - have adequate sound sleep of 8 hours. - relieve stress / anxiety  - have diet rich in protein , iron , anti-oxidants , vitamins , minerals to    boost up your immunity and getting better faster . - maintain your hydration , weight , BP , Blood sugar levels . - Local analgesic sprays also help better. - refrain from sleeping where you apply weight over the affected ribs. - avoid weight lifting / strenuous work. - additional analgesic anti-inflammatory agents can be taken from your Dr. - occasional cases require further detailed elaboration as MRI also Hope this clears your doubts . Thanks for using Health Care Magic & reviewing my answer. Wishing you fast and speedy recovery from the same. Regards dear take care .