<s>[INST] my husband has very bad pain only when he coughs in his left side center he says it doesnt hurt to breath, talk,sit ,stand only when he coughs and he says its is masssive pain when he does cough he is 44 yrs old and says he has had pain befor from coughing in and around his ribs but never pain like this pain..is this something that just has to heal on its own or is it maybe something worse? [/INST] Thanks for your question on Chat Doctor. I can understand your concern. Chest pain on coughing is mostly due to pleurisy (inflammation of pleura). Pleurisy can be due to lung infection, pleural effusion, lung mass etc. So better to get done chest x-ray first. If chest x-ray is normal then no need to worry about lung diseases. Apply warm water pad on affected areas of chest. Take simple painkiller like paracetamol or ibuprofen.Don't worry, he will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks. </s>