What causes pain under breast at top of rib cage?
Patient: I have pain under my breast at top of rib cage when I blow my nose or sneeze. the discomfort started on the left side first. The discomfort feels like I have been using muscles to lift stuff but I have not. I have cold symptoms as well with a periodic cough not consistent. Doctor: Hello,  Your symptoms are suggestive of local musculoskeletal inflammation or costochondritis.  For this reason, I would recommend performing a chest X-ray study and inflammation tests (complete blood count, PCR, ESR).   In the meantime, naproxen or ibuprofen can help improve your situation.  Hope I have answered your query. Let me know if I can assist you further.  Take care  Regards, Dr Ilir Sharka, Cardiologist