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Concerns About Recent Rib Fractures

9/5/2025, 6:30:38 AMMale25-34

I am a 25-year-old female, weighing 169 pounds and standing 5'6". I don't consume alcohol, but I do smoke marijuana daily. In the last month, I have suffered multiple rib fractures. My lifestyle is quite inactive, and I take medication for anxiety and depression. In February, I was ill with the flu and during that time, I experienced intense coughing, which I believe may have led to an injury. Recently, I had another cold and was coughing excessively again, which prompted a visit to urgent care where X-rays revealed that I had fractured ribs 10 and 11. The medical staff advised me to rest for recovery. It's been two weeks since the initial diagnosis, and I have started to feel some improvement. However, two days ago, I woke up with similar pain on the opposite side of my ribcage, which is actually worse than before. I'm starting to suspect that I’ve sustained injuries there as well. My grandmother has osteoporosis, so I've been wondering if that could be a factor along with my daily smoking. Although I typically don't cough while smoking, any coughing I do can now be extremely painful due to my rib injuries. I’m hesitant to stop smoking, as I find it alleviates my pain to some extent. While the doctor mentioned narcotics as a pain management option, I’m not inclined to pursue that route. I have an appointment with my primary care physician on October 2, but I can’t find an earlier slot, leaving me unsure of how to proceed. I'm contemplating returning to urgent care for an evaluation of my current discomfort, as I suspect those ribs may also have fractures. I feel anxious and perplexed about why my bones seem so fragile, leading to these injuries.

LupusCOPDInternal Medicine

Answers (1)

Cony

9/5/2025, 6:30:55 AM

OpenHealth AI

It's understandable to feel anxious about your recent rib fractures and the potential reasons behind them. Given your situation, it's important to focus on managing your current symptoms while addressing your concerns about bone health.

Main Points:

  1. Multiple Rib Fractures: Recent rib fractures can be concerning, especially if new pain has developed.
  2. Potential Factors: Your family history of osteoporosis and lifestyle choices may play a role in your bone strength.
  3. Pain Management: It's crucial to manage your pain and avoid further injury.

Explanation:

Rib fractures can result from intense coughing or trauma. The pain you’re experiencing could be due to new or existing fractures. Factors like smoking and a sedentary lifestyle can negatively impact bone health. Your grandmother's history of osteoporosis raises the question of whether you may also be at risk, making it vital to assess your bone density.

Actionable Next Steps:

  1. Monitor Symptoms: Keep track of your pain levels and any new symptoms. Note if any actions (like coughing or certain movements) worsen the pain.
  2. Consider Pain Management Naturally: If you find smoking helps with your pain but are concerned about bone health, try to limit your intake while exploring other non-narcotic pain relief options, such as over-the-counter anti-inflammatories (e.g., ibuprofen) if safe for you.
  3. Rest and Avoid Aggravating Activities: Limit activities that cause deep coughing or strains, such as heavy lifting or high-intensity workouts.
  4. Hydration and Nutrition: Stay well-hydrated and focus on a balanced diet rich in calcium and vitamin D (dairy, leafy greens, fish, etc.) to support bone health.
  5. Reassess with Medical Professionals: Given the recent increase in pain, consider returning to urgent care or an earlier evaluation if the discomfort worsens or doesn’t improve. It's important to ensure that any new pain isn't due to additional injuries.
  6. Discuss Bone Health: When you see your primary care physician, bring up your family history of osteoporosis and discuss assessing your bone density and any preventative measures you can take.

Your concerns are valid, and proactive steps can help you manage your recovery better. Don’t hesitate to seek immediate care if your pain becomes severe or if you have difficulty breathing. Let me know if you have more questions or need further guidance!

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